What does a Claims Assistant do?
Published 3 min read
A claims assistant helps with the processing of insurance claims. They work with customers to gather the necessary information and documentation to support a claim. They may also contact insurance companies on behalf of the customer to follow up on the status of a claim.
Claims Assistant job duties include:
- Read and analyze claim forms and other documentation to determine coverage and benefits.
- Contact insurance companies to verify coverage and benefits.
- Calculate benefits due and process claims for payment.
- Maintain records of claims filed, payments made, and related correspondence.
- Prepare reports on claims activity.
- Resolve problems with claims or benefit payments.
- Refer unresolved claims to supervisors for further investigation.
- Analyze trends in claims data to identify potential areas of fraud or abuse.
- Recommend changes in claims procedures to improve efficiency or effectiveness.
Claims Assistant Job Requirements
Most Claims Assistants have at least a high school diploma, although some jobs may require postsecondary education, and most employers provide on-the-job training. Certification is not typically required, but voluntary certification may be beneficial. Previous experience in customer service or administrative work may be helpful.
Claims Assistant Skills
- Communication
- Organization
- Time management
- Customer service
- Data entry
- Microsoft Office
- 10-key
- Filing
- Insurance knowledge
- Typing
- Claim forms
Related: Top Claims Assistant Skills: Definition and Examples
How to become a Claims Assistant
A Claims Assistant is responsible for providing administrative support to the claims department of an insurance company. They are responsible for handling customer inquiries, preparing claim files, and assisting with the investigation and settlement of claims.
The first step to becoming a Claims Assistant is to obtain a high school diploma or equivalent. Many insurance companies require Claims Assistants to have at least some college experience, so pursuing a degree in business or a related field may be beneficial. Once you have completed your education, you will need to obtain a position with an insurance company. Many Claims Assistants start their careers as customer service representatives or file clerks. Once you have gained some experience in the industry, you can apply for a position as a Claims Assistant.
The most important skill for a Claims Assistant is excellent customer service. You will be dealing with customers who are often upset or frustrated, so it is important that you are able to remain calm and polite at all times. Good communication and organizational skills are also essential, as you will be responsible for handling a large volume of information on a daily basis. If you have the necessary skills and experience, becoming a Claims Assistant can be a rewarding career choice.
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