Insurance Claims and Policy Processing Clerks

Office and Administrative Support Occupations
O*NET-SOC code
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.

AI exposure

  • Data source: BLSPublished: 2026-08

    Very high· relative

    LowFour relative bandsVery high

    Group-level value

    Scale, basis and source

    Four relative bands (Low / Moderate / High / Very high)

    831 detailed occupations in the BLS Employment Projections table. Assigned per National Employment Matrix (NEM) code, so occupations sharing a NEM code carry the same band

    Source dataset (XLSX download)

  • Data source: AnthropicPublished: 2026-03

    0.147

    0.000Range of values carried here0.745
    Scale, basis and source

    Observed exposure index, 0–1 as published

    Mapped onto O*NET tasks

    Published per SOC 2018 occupation; every O*NET occupation with the same SOC 2018 code carries this value

    Source dataset (CSV download)

  • Data source: ILOPublished: 2025

    0.64

    0.09Range of values carried here0.70

    Group-level value

    Scale, basis and source

    Generative AI exposure index, 0–1 as published

    Published per ISCO-08 unit group. Linked to this occupation, wholly or in part, by applying U.S. Bureau of Labor Statistics crosswalks (ISCO-08 to 2010 SOC, 2010 SOC to 2018 SOC) as published

    Source dataset (PDF download)

What kind of figure this source publishes

The BLS category is a relative rank, not an absolute level, and it is not a first-hand measurement: it groups an occupation's percentile ranks across several published studies into four bands. It is not an employment or wage forecast, not a probability of adoption, and it does not separate automation from augmentation.

AI exposure (OpenAI rubric)

27 rated tasks · 27 tasks with β ≥ 0.5 (100.0%)

β = direct exposure (E1) + 0.5 × exposure when tools are available (E2), per the source repository's definition.

  • Source unit: O*NET 27.2 tasks → O*NET 31.0 occupation code
  • 2 rated tasks are not in the O*NET 31.0 task list; their scores are kept as published for O*NET 27.2.
Source
OpenAI "GPTs are GPTs" exposure rubric
Release
gh-main-0471612
License
MIT License, Copyright (c) 2024 OpenAI

Tasks

Task statements from the O*NET® 31.0 Database, core tasks first.

TaskTypeβ (OpenAI)
Prepare insurance claim forms or related documents, and review them for completeness.Core1
Calculate amount of claim.Core0.5
Post or attach information to claim file.Core1
Transmit claims for payment or further investigation.Core1
Contact insured or other involved persons to obtain missing information.Core0.5
Review insurance policy to determine coverage.Core1
Process and record new insurance policies and claims.Core0.5
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.Core1
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.Core0.5
Correspond with insured or agent to obtain information or to inform them of account status or changes.Core1
Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.Core1
Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.Core1
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.Core0.5
Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.Core1
Notify insurance agent and accounting department of policy cancellation.Core1
Pay small claims.Supplemental1
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.Supplemental1
Collect initial premiums and issue receipts.Supplemental0.5
Interview clients and take their calls to provide customer service and obtain information on claims.Supplemental0.5
Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.Supplemental1
Compose business correspondence for supervisors, managers, and professionals.Supplemental1
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

Occupation information

Sources and attribution

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.

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