Insurance Claims and Policy Processing Clerks

Office and Administrative Support Occupations
رمز O*NET-SOC
43-9041.00

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.

تُعرض أسماء المهن وأوصاف المهام بالإنجليزية كما نُشرت. أما التسميات، ومنها أنواع المهام، فمترجمة.

التعرّض للذكاء الاصطناعي

  • مصدر البيانات: BLSتاريخ النشر: 2026-08

    مرتفع جدًا· نسبي

    منخفضأربع فئات نسبيةمرتفع جدًا

    قيمة على مستوى المجموعة المهنية

    المقياس والأساس والمصدر

    أربع فئات نسبية (منخفض / متوسط / مرتفع / مرتفع جدًا)

    831 مهنة تفصيلية في جدول توقعات التوظيف لدى BLS. وتُسند القيمة على مستوى رمز مصفوفة التوظيف الوطنية (NEM)، فالمهن التي تشترك في الرمز نفسه تأخذ النطاق نفسه

    مجموعة البيانات المصدر (تنزيل ملف XLSX)

  • مصدر البيانات: Anthropicتاريخ النشر: 2026-03

    0.147

    0.000نطاق القيم المعروضة هنا0.745
    المقياس والأساس والمصدر

    مؤشر التعرّض المرصود، 0–1 كما نُشر

    مربوط بمهام O*NET

    منشورة لكل مهنة في SOC 2018؛ وكل مهنة في O*NET تحمل رمز SOC 2018 نفسه تأخذ هذه القيمة

    مجموعة البيانات المصدر (تنزيل ملف CSV)

  • مصدر البيانات: ILOتاريخ النشر: 2025

    0.64

    0.09نطاق القيم المعروضة هنا0.70

    قيمة على مستوى المجموعة المهنية

    المقياس والأساس والمصدر

    مؤشر التعرّض للذكاء الاصطناعي التوليدي، 0–1 كما نُشر

    قيمة منشورة على مستوى مجموعة الوحدة في ISCO-08. رُبطت بهذه المهنة بتطبيق جداول التناظر الرسمية لمكتب إحصاءات العمل الأمريكي (BLS) (من ISCO-08 إلى SOC 2010، ومن SOC 2010 إلى SOC 2018) كما نُشرت، والتناظر كلي أو جزئي

    مجموعة البيانات المصدر (تنزيل ملف PDF)

ما نوع القيمة التي ينشرها هذا المصدر

فئة BLS رتبة نسبية لا مستوى مطلق، وليست قياسًا مباشرًا: فهي تجمع الرتب المئينية للمهنة في عدة دراسات منشورة في أربع فئات. وهي ليست توقّعًا للتوظيف أو الأجور، ولا احتمالًا للتبني، ولا تفرّق بين الأتمتة والتعزيز.

التعرض للذكاء الاصطناعي (معيار OpenAI)

27 مهمة مقيَّمة · 27 مهمة بقيمة β ≥ 0.5 (100.0%)

β = التعرّض المباشر (E1) + 0.5 × التعرّض عند توفر الأدوات (E2)، وفق تعريف المستودع المصدري.

  • وحدة المصدر: مهام O*NET 27.2 ← رمز المهنة في O*NET 31.0
  • عدد المهام المقيَّمة غير الموجودة في قائمة مهام O*NET 31.0: 2؛ وتبقى درجاتها كما نُشرت وفق O*NET 27.2.
المصدر
OpenAI "GPTs are GPTs" exposure rubric
الإصدار
gh-main-0471612
الترخيص
MIT License, Copyright (c) 2024 OpenAI

المهام

أوصاف المهام من O*NET® 31.0 Database، والمهام الأساسية أولًا.

المهمةالنوعβ (OpenAI)
Prepare insurance claim forms or related documents, and review them for completeness.أساسية1
Calculate amount of claim.أساسية0.5
Post or attach information to claim file.أساسية1
Transmit claims for payment or further investigation.أساسية1
Contact insured or other involved persons to obtain missing information.أساسية0.5
Review insurance policy to determine coverage.أساسية1
Process and record new insurance policies and claims.أساسية0.5
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.أساسية1
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.أساسية0.5
Correspond with insured or agent to obtain information or to inform them of account status or changes.أساسية1
Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.أساسية1
Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.أساسية1
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.أساسية0.5
Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.أساسية1
Notify insurance agent and accounting department of policy cancellation.أساسية1
Pay small claims.تكميلية1
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.تكميلية1
Collect initial premiums and issue receipts.تكميلية0.5
Interview clients and take their calls to provide customer service and obtain information on claims.تكميلية0.5
Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.تكميلية1
Compose business correspondence for supervisors, managers, and professionals.تكميلية1
Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.—1
Enter insurance- and claims-related information into database systems.—1
Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.—1
Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.—0.5

معلومات مهنية

المصادر والإسناد

This page includes information from the O*NET® 31.0 Database (https://www.onetcenter.org/database.html) by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/). O*NET® is a trademark of USDOL/ETA. AI Changing Work has modified all or some of this information: the O*NET-SOC code, title and task statements are reproduced in English without change; task-type labels are shown in the page's language and tasks are listed core first; any Korean occupation title shown on the Korean-language page is AI Changing Work's translation; any KSCO-8 unit groups linked to this occupation were paired with it by AI Changing Work's judgment, and the relation labels and statuses are AI Changing Work's additions. USDOL/ETA has not approved, endorsed, or tested these modifications.

Any AI exposure figures on this page are published by third parties, not by AI Changing Work, and none is part of the O*NET information. OpenAI publishes task-level scores (MIT License) for O*NET 27.2 task statements; each is shown next to the O*NET 31.0 task statement with the same task ID, whose wording can differ from the 27.2 statement that was scored. OpenAI also publishes occupation-level scores for O*NET-SOC codes in the same release, and any such score is shown on the O*NET occupation with the same code. Anthropic publishes an observed exposure index in the Anthropic Economic Index (CC-BY), and the U.S. Bureau of Labor Statistics publishes relative AI exposure categories (public domain); both are published per SOC code, and each value is shown on every O*NET occupation with that code. The International Labour Organization publishes a generative AI exposure index in ILO Working Paper 140 (CC BY 4.0) for ISCO-08 unit groups; AI Changing Work links those groups to O*NET occupations by applying the U.S. Bureau of Labor Statistics ISCO-08 to 2010 SOC and 2010 SOC to 2018 SOC crosswalks as published, without case-by-case selection, and these crosswalks match many groups only in part. Where several unit groups are linked, each group's published value is listed, and any summary shows only the lowest and highest of those values with the number of groups; no exposure figure is averaged or recalculated. Any employment figures are published by the U.S. Bureau of Labor Statistics for the SOC group containing this occupation. Each source is credited where its figures are shown.

O*NET OnLine: 43-9041.00 Insurance Claims and Policy Processing Clerks

KSCO 코드·명칭: 한국표준직업분류(제8차 개정) — 통계청 고시 제2024-328호 (2024-07-01 고시, 2025-01-01 시행). 저작권법 제7조 제2호의 고시 항목이다. 명칭 표기(가운뎃점·띄어쓰기)는 해설서 2차 정오 반영판의 표기를 따랐으며, 고시 항목표와는 18개 명칭에서 가운뎃점 글리프나 띄어쓰기만 다르다. 통계청은 2025년 10월 국가데이터처로 개편되었다. 이 페이지의 KSCO 연결은 통계청·국가데이터처의 공식 연계표가 아니다.

الإسناد والتراخيص كاملة