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What Is a Claims Assistant and How to Become One

Claims Assistant

What Are the Duties of a Claims Assistant?

A claims assistant works under the supervision of more senior claims examiners to ensure a claims adjuster and the claimants have followed the proper guidelines for filing claims. You also help adjusters deal with complex cases such as after a natural disaster hits and there are a significant number of claims coming in. As an assistant, you perform a number of administrative and clerical tasks which free examiners up to do other work. These duties include data entry, checking payment paperwork, confirming a claimant’s wage statement, and drafting report and billing paperwork.

How to Become a Claims Assistant

To become a claims assistant, you need to have at minimum a high school diploma or GED certificate. Some employers prefer you to have some postsecondary training in subjects such as finance, accounting, statistics, or math. As an assistant, you gain the requisite experience to move up in the industry. You should have excellent observational skills; a great eye for detail; and the ability to process, review, and log complex forms for indemnity and other industry practices. Strong verbal and written communication is important, as is analytical and critical problem-solving, statistical knowledge, and the ability to take directions.

What Are Insurance Fields That Employ Claims Assistants?

Claims assistants are entry-level employees at insurance companies, and assistants are receiving job training while they prepare for professional exams or learn the skills needed to move up. These higher positions include senior examiners, underwriters, or adjusters. There are numerous insurance fields that employ claims assistants; you can work in property insurance, accident insurance, life insurance, workers compensation, medical insurance, loss control, and financial insurance.

What Are Possible Career Paths for a Claims Assistant?

With more training and an associate or bachelor’s degree, a claims assistant can move up to be an adjuster, examiner, investigator, or underwriter. Some employers consider several years of experience in insurance as a substitute for formal educational qualifications. Certain states require additional certifications and licenses to perform work, and you should study for these licensing exams as an assistant, which can improve your career opportunities. Other possible opportunities include moving into medical billing, office management, and more supervisory roles in your office.

Claims Assistant Job Description Sample

With this Claims Assistant job description sample, you can get a good idea of what employers are looking for when hiring for this position. Remember, every employer is different and each will have unique qualifications when they hire for a Claims Assistant role.

Job Summary

Our company is seeking a part-time Claims Assistant to provide support during periods with a high volume of insurance claims. This role involves creating new claim records, verifying information, and answering client questions so that our analysts can focus on other responsibilities. You may also help process payments, document authorizations or refusals, and transcribe statements for our files and regulatory purposes. Although it is rare, if there is an extreme staffing shortage, you may be asked to perform home inspections to assess the damage and determine the payout needs of our clients.

Duties and Responsibilities

  • Create new claim records
  • Locate and verify information
  • Review incoming and outgoing documents
  • Document authorizations or escalations
  • Process payments
  • Transcribe recorded statements
  • Answer clients' billing or claims questions
  • Assist with other administrative tasks as needed

Requirements and Qualifications

  • A high school diploma or GED certificate
  • An associate degree or a bachelor's degree a plus
  • Some administrative experience preferred
  • Basic computer skills, including Microsoft Word, Excel, and Outlook
  • Strong communication and organizational skills