Type in a career question:
salary_header

What does an Insurance Claims Handler do?

1 Answer(s)
Top Answer
Talent.com talent.com
Answered May 20 2022
Career Expert at Talent.com
Insurance Claims Handlers are responsible for a wide range of tasks related to processing insurance claims. The primary task of an Insurance Claims Handler is to investigate insurance claims and determine whether they are valid. This involves talking to the claimant and any witnesses, reviewing documentation, and conducting on-site investigations.

Insurance Claims Handlers must have strong analytical and problem-solving skills, as they often have to deal with complex cases. They must be able to make decisions quickly and efficiently.

In some cases, Insurance Claims Handlers may also be responsible for providing customer service to claimants. This includes answering questions about the claims process, providing updates on the status of claims, and resolving any problems that may arise.
 
Insurance Claims Handlers play a vital role in the insurance industry. They are responsible for ensuring that claims are processed quickly and efficiently and that only valid claims are paid out. This helps to keep costs down for both insurers and policyholders.

Average day of an Insurance Claims Handler
Here’s a non-exhaustive list of  common tasks Insurance Claims Handlers are required to complete: 
  • Assist clients with claim filing
  • Recall policy information from the database
  • Verify that clients have no overdue payments
  • Give clients advice on the claims process
  • Gather documents such as receipts, photographs, and valuations 
  • Prepare proper documentation to file claims
  • Enter claim documentation into the system by opening new cases on the company database
  • Contact Insurance Adjusters and Examiners and liaise with other experts
  • Arrange appointments for Appraisers and Examiners
  • Estimate the costs of goods, property, and treatments to calculate claim values 
  • Calculate estimated settlement costs
  • Contact people involved with claims and liaise with Doctors, Mechanics, and Contractors
  • Liaise with other insurance professionals (e.g., Adjusters, Brokers, or Underwriters) when necessary
  • Request settlement payment from financing departments
  • Verify settlement payments to avoid over or underpayment
  • Liaise with hospitals, clinics, contracting firms, and mechanic workshops and intermediate between clients and experts
Easteregg!