Claims Processor Duties & Responsibilities
The role and function of a Claims Processor includes the following duties and responsibilities:
- Communicating with insurance agents and beneficiaries.
- Preparing claim forms and related documentation.
- Determining policy coverage and calculating claim amounts.
- Processing claim payments.
- Complying with federal, state, and company regulations and policies.
- Reviewing claim submissions and verifying the information.
- Recording and maintaining insurance policy and claims information in a database system.
- Performing other clerical tasks, as required.
Note that this is not an exhaustive list of Claims Processor duties and responsibilities. Job functions for specific Claims Processor roles may vary, depending on the industry and type of employer.
