Claims processors work in the insurance industry and handle insurance claims. They review claims submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments. They communicate with insurance agents and beneficiaries and prepare claims forms and related documentation. They are responsible for reviewing claims submissions and verifying the information contained therein.
Claims processors record and maintain insurance policy and claim information in database systems and determine policy coverage while calculating claim amounts. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. Claims processors need at least two years of experience as a claims processor or similar and working knowledge of the insurance industry and relevant federal and state regulations.