Insurance Claims and Policy Processing Clerks
Every task in this role, whether it passes the census's structural hand-over screen, which models pass it, and why. It is a screen, not a claim about what AI can do: a task can pass and still be beyond the systems of the day. The stricter and looser rules re-vote every task, and small differences between roles are noise.
Passes the screen · 7 of 25 tasks
Post or attach information to claim file.
quick to check, an existing check settles it, and a mistake is cheap · 6.8% of the role's time · $786M · passed by Claude Sonnet, GPT-6 Sol · the models disagreed
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
quick to check, an existing check settles it, and a mistake is cheap · 6.6% of the role's time · $761M · passed by Claude Sonnet, GPT-6 Sol · the models disagreed
Transmit claims for payment or further investigation.
quick to check, an existing check settles it, and a mistake is cheap · 6.4% of the role's time · $743M · passed by Claude Sonnet, Gemini 3.1 Pro · the models disagreed
Calculate amount of claim.
quick to check, an existing check settles it, and a mistake is cheap · 5.1% of the role's time · $598M · passed by Claude Sonnet, Gemini 3.1 Pro · the models disagreed
Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.
quick to check, an existing check settles it, and a mistake is cheap · 3.9% of the role's time · $457M · passed by Claude Sonnet, Gemini 3.1 Pro · the models disagreed
Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.
quick to check, an existing check settles it, and a mistake is cheap · 3.3% of the role's time · $382M · passed by Claude Sonnet, Gemini 3.1 Pro · the models disagreed
Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.
quick to check, an existing check settles it, and a mistake is cheap · 3.1% of the role's time · $356M · passed by Claude Sonnet, GPT-6 Sol · the models disagreed
Does not pass
Prepare insurance claim forms or related documents, and review them for completeness.
reason given most often: no existing check settles it · 7.0% of the role's time · $809M · passed by Claude Sonnet · the models disagreed
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
reason given most often: no existing check settles it · 5.5% of the role's time · $643M
Contact insured or other involved persons to obtain missing information.
reason given most often: no existing check settles it · 5.2% of the role's time · $601M
Review insurance policy to determine coverage.
reason given most often: no existing check settles it · 5.2% of the role's time · $601M
Pay small claims.
physical work, outside the screen · 5.1% of the role's time · $596M
Correspond with insured or agent to obtain information or to inform them of account status or changes.
reason given most often: no existing check settles it · 4.8% of the role's time · $558M · waiting on a check
Process and record new insurance policies and claims.
reason given most often: no existing check settles it · 3.9% of the role's time · $457M · passed by Claude Sonnet · the models disagreed
Enter insurance- and claims-related information into database systems.
reason given most often: no existing check settles it, and a failure is too expensive · 3.9% of the role's time · $457M · passed by Claude Sonnet · the models disagreed
Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
reason given most often: no existing check settles it · 3.9% of the role's time · $457M · passed by Claude Sonnet · the models disagreed
Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
physical work, outside the screen · 3.9% of the role's time · $457M
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.
reason given most often: no existing check settles it · 3.5% of the role's time · $412M
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.
reason given most often: nobody can tell quickly whether it worked · 2.4% of the role's time · $277M · passed by Claude Sonnet · the models disagreed
Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.
an accountable sign-off — stays with a person · 2.4% of the role's time · $277M
Collect initial premiums and issue receipts.
physical work, outside the screen · 1.8% of the role's time · $215M
Interview clients and take their calls to provide customer service and obtain information on claims.
reason given most often: no existing check settles it · 1.7% of the role's time · $201M
Compose business correspondence for supervisors, managers, and professionals.
reason given most often: no existing check settles it · 1.7% of the role's time · $199M · waiting on a check
Notify insurance agent and accounting department of policy cancellation.
reason given most often: no existing check settles it, and a failure is too expensive · 1.6% of the role's time · $184M · passed by Claude Sonnet · the models disagreed
Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.
physical work, outside the screen · 1.2% of the role's time · $137M
Where this role works
| Industry | Workers | Wage bill | Passes the screen | All three pass |
|---|---|---|---|---|
| Agencies, Brokerages, and Other Insurance Related Activities | 97,970 | $5.1B | $1.8B | $0 |
| Insurance Carriers | 79,340 | $4.3B | $1.5B | $0 |
| Management of Companies and Enterprises | 9390 | $480M | $169M | $0 |
| Office Administrative Services | 5010 | $236M | $82.8M | $0 |
| Offices of Physicians | 4550 | $202M | $71.1M | $0 |
| Accounting, Tax Preparation, Bookkeeping, and Payroll Services | 2730 | $143M | $50.3M | $0 |
| Offices of Dentists | 2800 | $137M | $48.3M | $0 |
| General Medical and Surgical Hospitals | 2720 | $135M | $47.5M | $0 |
| Management, Scientific, and Technical Consulting Services | 2670 | $127M | $44.7M | $0 |
| Employment Services | 2190 | $102M | $35.7M | $0 |