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
Estimated Impact
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
InterSystems Automates Health Plan Workflows, Threatening Admin Jobs
InterSystems is rolling out automated data exchange tools that connect Epic's payer platform directly to health plan workflows. This integration eliminates manual data entry tasks for healthcare administrators, signaling a shift toward automated claims processing.
Insurance Claims Adjusters Lag Behind in AI Adoption by 1.8x
Only 42% of insurance claims professionals currently use AI tools, compared to a 78% adoption rate across all other industries. This massive gap highlights a sector ripe for technological disruption and workforce upskilling.
Insurance firms turn to AI to scale revenue without hiring new staff.
Agencies and carriers are increasingly deploying automation tools to handle growth rather than expanding their human workforce. This decoupling of revenue growth from headcount signals a permanent freeze on traditional entry-level administrative roles in the sector.
AI supports coverage decisions, but humans hold the line
Despite the integration of AI in healthcare insurance workflows, human oversight remains mandatory for final coverage approvals and denials. This ensures medical coding and billing professionals retain critical roles as reviewers rather than being fully replaced.
AI in Workers' Comp Aims to Upskill Claims Professionals, Not Replace Them
Industry leaders at the California DWC conference emphasized that AI tools in workers' compensation are currently being deployed to augment clinical and legal decision-making. The focus remains on improving the accuracy of claims adjusters rather than eliminating their roles entirely.
Last scored March 14, 2026 · Based on BLS employment data and O*NET task analysis