Insurance Claims Clerks
Obtain information from insured or designated persons for purpose of settling claim with insurance carrier.
How AI Impacts Each Task
12 tasks analyzed
Prepare insurance claim forms or related documents and review them for completeness.
Enter claims information into database systems.
Pay small claims.
Calculate amount of claim.
Post or attach information to claim file.
Transmit claims for payment or further investigation.
Contact insured or other involved persons to obtain missing information.
Review insurance policy to determine coverage.
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.
Apply insurance rating systems.
Enter insurance and claims related information into database systems.
| Task | AI Capability | Risk | Time % | |
|---|---|---|---|---|
| Prepare insurance claim forms or related documents and review them for completeness. | 50.62Observed | 69.5% | 15% | |
| Enter claims information into database systems. | 30.97Observed | 61.6% | 10% | |
| Pay small claims. | 82Estimated | 82.0% | 5% | |
| Calculate amount of claim. | 87Estimated | 84.0% | 10% | |
| Post or attach information to claim file. | 92Estimated | 86.0% | 5% | |
| Transmit claims for payment or further investigation. | 92Estimated | 86.0% | 5% | |
| Contact insured or other involved persons to obtain missing information. | 40Estimated | 31.0% | 10% | |
| Review insurance policy to determine coverage. | 57.77Observed | 72.3% | 10% | |
| Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data. | 30.87Observed | 61.6% | 5% | |
| Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. | 45Estimated | 33.0% | 10% | |
| Apply insurance rating systems. | 92Estimated | 86.0% | 5% | |
| Enter insurance and claims related information into database systems. | 92Estimated | 86.0% | 10% |
Skill Impact Analysis
AI-Vulnerable Skills (6)
High reliance on Reading Comprehension is a risk area. Consider developing complementary AI-resistant skills to maintain value.
High reliance on Information Ordering is a risk area. Consider developing complementary AI-resistant skills to maintain value.
High reliance on Mathematics is a risk area. Consider developing complementary AI-resistant skills to maintain value.
Mathematics is AI-vulnerable but has moderate importance in this role. AI tools may handle this; focus on higher-value skills.
Memorization is AI-vulnerable but has moderate importance in this role. AI tools may handle this; focus on higher-value skills.
Programming is AI-vulnerable but has moderate importance in this role. AI tools may handle this; focus on higher-value skills.
AI-Resistant Skills (11)
Adaptability/Flexibility is AI-resistant — strengthening this skill provides durable career protection.
Service Orientation is AI-resistant — strengthening this skill provides durable career protection.
Leadership is AI-resistant — strengthening this skill provides durable career protection.
Social Perceptiveness is AI-resistant — strengthening this skill provides durable career protection.
Complex Problem Solving is AI-resistant — strengthening this skill provides durable career protection.
Persuasion is AI-resistant — strengthening this skill provides durable career protection.
Coordination is AI-resistant — strengthening this skill provides durable career protection.
Negotiation is AI-resistant — strengthening this skill provides durable career protection.
Recommended Courses
Courses matched to Insurance Claims Clerks skill gaps, ranked by relevance to your displacement risk profile.
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Upskill to Reduce Risk
Courses addressing your most AI-vulnerable skills
SQL Fundamentals Skill Track
by DataCamp
Estimated Impact
AI-Augmentation Tools
Learn to work alongside AI and boost your productivity
Creative Writing Specialization
by Wesleyan University
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Strengthen Your Edge
Double down on skills AI can't replicate
Inspired Leadership Through Emotional Intelligence
by Case Western Reserve University
Estimated Impact
We may earn a commission when you enroll through our links, at no extra cost to you. This helps fund the Takeover Tracker.
Risk reduction and salary impact are estimates based on skill gap analysis, course relevance, and labor market data. Actual results vary by individual circumstance.
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Score History
Risk score over 2 scoring runs
overall change
Education & Training
Percentage of workers at each education and training level
Education Level
Prior Experience Needed
Work experience required to enter this job
Training Provided After Hiring
How long it typically takes to learn on the job
Related News
Recent articles about AI affecting this occupation
AI Now Automating Medical Insurance Denial Appeals
Healthcare administration faces new automation as AI systems begin handling medical insurance denial appeals. This shift threatens traditional medical billing and coding roles with rapid technological displacement.
Lawmakers and AMA Push Back Against AI-Driven Healthcare Denials
The American Medical Association and federal lawmakers are targeting health insurers for using AI to automatically deny patient care. This regulatory pushback could slow the automation of medical billing and claims processing roles.
$5.3B AI startup Abridge expands automation into medical billing and trials
Backed by Nvidia and Eli Lilly, the ambient AI company is moving beyond basic clinical note-taking to automate complex administrative roles. The expansion targets real-time insurance claims and drug trial management, directly threatening medical coding jobs.
House committee takes step toward blocking Medicare AI prior authorization pilot
Lawmakers are moving to halt a controversial pilot program that uses AI for Medicare prior authorizations. The pushback reflects growing concerns over automated decision-making replacing human judgment in healthcare administration.
AI Medical Record Reviews Target Talent Shortages in Claims Industry
Insurance organizations are replacing manual medical record reviews with AI to combat ongoing talent shortages and rising claim volumes. The shift threatens traditional administrative roles while easing pressure on overwhelmed teams.
Last scored March 14, 2026 · Based on BLS employment data and O*NET task analysis