Office & AdministrativeO*NET: 43-9041.00
Will AI Replace Insurance Claims and Policy Processing Clerks?
Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records. Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.
90out of 100
Critical Risk
AI Risk Score
90/100
Risk Level
Critical
Job Zone
2/5
Entry
Total Tasks Analyzed
15
🤖 What AI Can Do
- ▸Prepare insurance claim forms or related documents, and review them for completeness.
- ▸Calculate amount of claim.
- ▸Post or attach information to claim file.
- ▸Contact insured or other involved persons to obtain missing information.
- ▸Review insurance policy to determine coverage.
- ▸Process and record new insurance policies and claims.
👤 What Requires Humans
- ▸Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
Task Breakdown
🤖AI Can Automate (13)
- Prepare insurance claim forms or related documents, and review them for completeness.
- Calculate amount of claim.
- Post or attach information to claim file.
- Contact insured or other involved persons to obtain missing information.
- Review insurance policy to determine coverage.
- Process and record new insurance policies and claims.
- Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
- Correspond with insured or agent to obtain information or to inform them of account status or changes.
- Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
- Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
- Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
- Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
- Notify insurance agent and accounting department of policy cancellation.
👤Requires Humans (1)
- Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
⚡AI-Assisted (1)
- Transmit claims for payment or further investigation.
Key Skills Analysis
Reading ComprehensionAI-Vulnerable
Importance: 3.50/5.00
Time ManagementAI-Resistant
Importance: 3.50/5.00
Speaking
Importance: 3.38/5.00
Active Listening
Importance: 3.25/5.00
Critical ThinkingAI-Resistant
Importance: 3.25/5.00
WritingAI-Vulnerable
Importance: 3.12/5.00
Social PerceptivenessAI-Resistant
Importance: 3.12/5.00
CoordinationAI-Resistant
Importance: 3.12/5.00
Service OrientationAI-Resistant
Importance: 3.12/5.00
Monitoring
Importance: 3.00/5.00
Complex Problem SolvingAI-Resistant
Importance: 3.00/5.00
Judgment and Decision MakingAI-Resistant
Importance: 3.00/5.00
NegotiationAI-Resistant
Importance: 2.88/5.00
PersuasionAI-Resistant
Importance: 2.75/5.00
Active LearningAI-Resistant
Importance: 2.62/5.00
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Frequently Asked Questions
Based on our analysis, Insurance Claims and Policy Processing Clerks have a critical risk of AI replacement with a score of 90/100. Many routine tasks in this role can be automated, but human oversight remains important.
Last updated: 2026-03-28· Data from O*NET 30.2 & Frey/Osborne automation research