What does an insurance processor do?
Insurance Processors deal with the processing of insurance applications, amendments of policies, changes, and cancellations. An Insurance Processor works with the client to choose the best insurance package and advise them on how to maximize their benefits. Clients need to understand the insurance process by answering inquiries. It is also essential that an Insurance Processor work hand in hand with the client, guiding them through the process, explaining all crucial parts of the insurance to establish trust in you and the company.
Insurance processor responsibilities
Here are examples of responsibilities from real insurance processor resumes:
- Manage database by processing renewals and endorsements.
- Input and process all dental claims, through electronic and paper submission, to private insurance companies and Medicaid.
- Maintain patient privacy and confidentiality complaint with HIPPA regulations.
- Work directly with mortgage lenders and foreclosure attorneys to negotiate timely and cost effective repayment plans or modifications for delinquent loans.
- Handle a substantial amount of Allstate customers, third party carriers, and others who need assistance to file a claim.
Insurance processor skills and personality traits
We calculated that 18% of Insurance Processors are proficient in Data Entry, Customer Service, and Phone Calls. They’re also known for soft skills such as Communication skills, Math skills, and Organizational skills.
We break down the percentage of Insurance Processors that have these skills listed on their resume here:
- Data Entry, 18%
Upload information using accurate data entry and analyze experiences.
- Customer Service, 12%
Provided rapid and effective customer service to assigned insurance providers who communicate with VNSNY.
- Phone Calls, 9%
Make outbound phone calls to insurance agents/companies verifying insurance policy information.
- Outbound Calls, 9%
Make necessary outbound calls to insurance agents/companies to update insurance policies and obtain needed/missing information.
- Insurance Claims, 6%
Processed demographics and insurance verification Processed insurance claims for outpatient and emergency room charges Applied insurance payments and adjustments
- Insurance Coverage, 5%
Assisted other processing agents with accurate and timely processing of documents to ensure proper insurance coverage for homeowners
"data entry," "customer service," and "phone calls" are among the most common skills that insurance processors use at work. You can find even more insurance processor responsibilities below, including:
Communication skills. The most essential soft skill for an insurance processor to carry out their responsibilities is communication skills. This skill is important for the role because "financial clerks should be able to explain policies and procedures to colleagues and customers." Additionally, an insurance processor resume shows how their duties depend on communication skills: "approved or declined applications as per guidelines independent decision making assisted with data entry completed verbal and written communications when needed"
Math skills. Another essential skill to perform insurance processor duties is math skills. Insurance processors responsibilities require that "the job duties of financial clerks includes calculating charges and updating financial records." Insurance processors also use math skills in their role according to a real resume snippet: "recorded patients' medical history, vital statistics and test results in medical records. "
Organizational skills. insurance processors are also known for organizational skills, which are critical to their duties. You can see how this skill relates to insurance processor responsibilities, because "financial clerks must be able to arrange files so they can find them quickly and efficiently." An insurance processor resume example shows how organizational skills is used in the workplace: "recognized for high-quality work, organizational strengths and exceptional customer service delivery. "
The three companies that hire the most insurance processors are:
- Brown & Brown5 insurance processors jobs
- iStaff4 insurance processors jobs
- BancFirst2 insurance processors jobs
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Compare different insurance processors
Insurance processor vs. Claim taker
Claims clerks review the forms and documents for insurance claims to check for missing information and attachments. The data they obtain is entered into their database for safekeeping and quick retrieval. They should know the answers to their clients' questions about the regulations, policies, and procedures covered by their insurance policy. These clerks prepare documents that their agents use to present to their clients. When working for this position, a person must have the ability to communicate well and be familiar with computer applications.
There are some key differences in the responsibilities of each position. For example, insurance processor responsibilities require skills like "data entry," "customer service," "phone calls," and "outbound calls." Meanwhile a typical claim taker has skills in areas such as "unemployment claims," "unemployment insurance," "customer support," and "unemployment benefits." This difference in skills reveals the differences in what each career does.
The education levels that claim takers earn slightly differ from insurance processors. In particular, claim takers are 5.5% more likely to graduate with a Master's Degree than an insurance processor. Additionally, they're 0.1% less likely to earn a Doctoral Degree.Insurance processor vs. Claims clerk
A claims assistant takes tasks to support staff in processing insurance claims. Claims assistants manage correspondence, take phone calls, do paperwork, and type documents. Also called insurance claim clerks, the assistants do clerical and administrative tasks. They assist professionals working for financial services enterprises, medical providers, and insurance enterprises. Among the skills they need are strong communication skills, data entry, customer service, attention to detail, and knowledge about insurance. They are also expected to have management skills.
Each career also uses different skills, according to real insurance processor resumes. While insurance processor responsibilities can utilize skills like "phone calls," "outbound calls," "insurance coverage," and "insurance carriers," claims clerks use skills like "clerical support," "shipping receiving," "office equipment," and "claims adjusters."
Average education levels between the two professions vary. Claims clerks tend to reach similar levels of education than insurance processors. In fact, they're 0.0% more likely to graduate with a Master's Degree and 0.1% more likely to earn a Doctoral Degree.Insurance processor vs. Claims assistant
The required skills of the two careers differ considerably. For example, insurance processors are more likely to have skills like "phone calls," "outbound calls," "insurance coverage," and "insurance carriers." But a claims assistant is more likely to have skills like "photocopying," "insurance adjusters," "veterans," and "strong customer service."
Claims assistants make a very good living in the government industry with an average annual salary of $40,004. On the other hand, insurance processors are paid the highest salary in the finance industry, with average annual pay of $35,566.When it comes to education, claims assistants tend to earn similar degree levels compared to insurance processors. In fact, they're 2.1% more likely to earn a Master's Degree, and 0.3% more likely to graduate with a Doctoral Degree.Insurance processor vs. Telephone claims representative
Types of insurance processor
Updated January 8, 2025
