Insurance Claims and Policy Processing Clerks

Office and Administrative Support Occupations

O*NET-SOC 代码: 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.

数据来源: BLS发布时间: 2026-08
很高· 相对
低四级相对区间很高
职业群单位数值
尺度 · 母数 · 来源
四级相对类别（低 / 中等 / 高 / 很高）
以BLS就业预测表中831个细分职业为基数。取值按 NEM（全国就业矩阵）代码给定，因此共用同一 NEM 代码的职业得到相同分档
来源数据集（XLSX 文件下载）
数据来源: Anthropic发布时间: 2026-03
0.147
0.000此处所载数值的范围0.745
尺度 · 母数 · 来源
观测暴露度指数，按发布原值0–1
以O*NET任务映射为基准
按 SOC 2018 职业发布的数值；具有相同 SOC 2018 代码的所有 O*NET 职业均显示此值
来源数据集（CSV 文件下载）
数据来源: ILO发布时间: 2025
0.64
0.09此处所载数值的范围0.70
职业群单位数值
尺度 · 母数 · 来源
生成式AI暴露度指数，按发布原值0–1
按 ISCO-08 细类（4 位）发布的数值。按原样应用美国劳工统计局（BLS）的官方对照表（ISCO-08→2010 SOC、2010 SOC→2018 SOC）关联到本职业，对应关系为全部或部分对应
来源数据集（PDF 文件下载）

该来源发布的是什么性质的数值

BLS的类别是相对排位而非绝对水平，也不是一手测量：它把多项已发表研究给出的职业百分位排名归并为四个等级。它不是就业或工资预测，不是采用概率，也不区分自动化与增强。

Task-level exposure

仅显示有暴露的工作

已评分任务 27 项 · β ≥ 0.5 的任务 27 项（100.0%）

β = 直接暴露（E1）+ 0.5 × 借助工具时的暴露（E2），依据原始代码库的定义。

原始单位：O*NET 27.2 任务 → O*NET 31.0 职业代码
已评分任务中有 2 项不在 O*NET 31.0 任务列表中，其分数按 O*NET 27.2 的发布值保留。

来源: OpenAI "GPTs are GPTs" exposure rubric
版本: gh-main-0471612
许可: MIT License, Copyright (c) 2024 OpenAI

以下为 O*NET-SOC 2010 职业 43-9041.01 Insurance Claims Clerks; 43-9041.02 Insurance Policy Processing Clerks 的工作任务，由本站依据 O*NET-SOC 2010→2019 官方对照表关联到此职业

Task (O*NET 20.1)	Claude.aiRaw / share %
Compose business correspondence for supervisors, managers, and professionals. 43-9041.02	0.100558.6
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers. 43-9041.02	0.01549.0
Enter claims information into database systems. 43-9041.01	0.00895.2
Transmit claims for payment or further investigation. 43-9041.01	0.00643.7
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes. 43-9041.02	0.00533.1
Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled. 43-9041.02	0.00432.5
Check computations of interest accrued, premiums due, and settlement surrender on loan values. 43-9041.02	0.00392.3
Calculate premiums, refunds, commissions, adjustments, and new reserve requirements, using insurance rate standards. 43-9041.02	0.00362.1
Review and verify data, such as age, name, address, and principal sum and value of property on insurance applications and policies. 43-9041.02	0.00352.1
Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts. 43-9041.02	0.00352.1
Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance. 43-9041.02	0.00342.0
Prepare insurance claim forms or related documents and review them for completeness. 43-9041.01	0.00291.7
Review insurance policy to determine coverage. 43-9041.01	0.00271.6
Process and record new insurance policies and claims. 43-9041.02	0.00261.5
Correspond with insured or agent to obtain information or inform them of account status or changes. 43-9041.02	0.00251.4
Interview clients and take their calls to provide customer service and obtain information on claims. 43-9041.02	0.00201.1
再显示 6 项工作 ▾收起 ▴
Not observed on any surface — 11 task(s) — These tasks have no row in the source for this release. The 0 in the share row is a display-stage composition ratio; absence is what the — in the raw row states.
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.	—0
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.	—0
Post or attach information to claim file.	—0
Contact insured or other involved persons to obtain missing information.	—0
Calculate amount of claim.	—0
Pay small claims.	—0
Apply insurance rating systems.	—0
Notify insurance agent and accounting department of policy cancellation.	—0
Collect initial premiums and issue receipts.	—0
Compare information from application to criteria for policy reinstatement and approve reinstatement when criteria are met.	—0
Obtain computer printout of policy cancellations or retrieve cancellation cards from file.	—0

Values in this tab are predicted labels, not observations. Eloundou et al. (2023) published two rating regimes — human raters and GPT-4 — and the β shown here is derived from the GPT-4 rater basis alone; the same task can take a different value under the other regime. The unit and the meaning differ from the observed shares (%) in the other tabs, so do not place them on the same axis.

Task (O*NET 27.2)	βE1 + 0.5 × E2
Prepare insurance claim forms or related documents, and review them for completeness. O*NET Task ID 23313	1.0
Post or attach information to claim file. O*NET Task ID 23315	1.0
Transmit claims for payment or further investigation. O*NET Task ID 23316	1.0
Review insurance policy to determine coverage. O*NET Task ID 23318	1.0
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data. O*NET Task ID 23320	1.0
Correspond with insured or agent to obtain information or to inform them of account status or changes. O*NET Task ID 23322	1.0
Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies. O*NET Task ID 23323	1.0
Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met. O*NET Task ID 23324	1.0
Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts. O*NET Task ID 23326	1.0
Notify insurance agent and accounting department of policy cancellation. O*NET Task ID 23327	1.0
Pay small claims. O*NET Task ID 23328	1.0
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers. O*NET Task ID 23329	1.0
Check computations of interest accrued, premiums due, and settlement surrender on loan values. O*NET Task ID 23331	1.0
Obtain computer printout of policy cancellations, or retrieve cancellation cards from file. O*NET Task ID 23333	1.0
Compose business correspondence for supervisors, managers, and professionals. O*NET Task ID 23334	1.0
Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards. O*NET Task ID 23336	1.0
Enter insurance- and claims-related information into database systems. O*NET Task ID 23337	1.0
Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance. O*NET Task ID 23338	1.0
Calculate amount of claim. O*NET Task ID 23314	0.5
Contact insured or other involved persons to obtain missing information. O*NET Task ID 23317	0.5
Process and record new insurance policies and claims. O*NET Task ID 23319	0.5
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors. O*NET Task ID 23321	0.5
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes. O*NET Task ID 23325	0.5
Collect initial premiums and issue receipts. O*NET Task ID 23330	0.5
Interview clients and take their calls to provide customer service and obtain information on claims. O*NET Task ID 23332	0.5
Apply insurance rating systems. O*NET Task ID 23335	0.5
Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled. O*NET Task ID 23339	0.5
再显示 17 项工作 ▾收起 ▴

β = E1 + 0.5 × E2 · E1 = tasks where direct LLM access alone cuts time by at least 50%, E2 = tasks where software built on top of an LLM cuts time by at least 50%. Values take only 0 / 0.5 / 1.0.

Data sources & licenses — O*NET®, Anthropic Economic Index, Eloundou et al. (2023): see full notices on the Credits page

O*NET 31.0 全部任务（25 项）

本职业在 O*NET 31.0 中的全部任务（英文原文；任务类型为核心或补充）。暴露值不列在此清单中，而在上方表格里，位于各来源所用 O*NET 版本的任务表述旁。

任务（O*NET 31.0）	类型
Prepare insurance claim forms or related documents, and review them for completeness.	核心
Calculate amount of claim.	核心
Post or attach information to claim file.	核心
Transmit claims for payment or further investigation.	核心
Contact insured or other involved persons to obtain missing information.	核心
Review insurance policy to determine coverage.	核心
Process and record new insurance policies and claims.	核心
Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.	核心
Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.	核心
Correspond with insured or agent to obtain information or to inform them of account status or changes.	核心
Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.	核心
Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.	核心
Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.	核心
Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.	核心
Notify insurance agent and accounting department of policy cancellation.	核心
Pay small claims.	补充
Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.	补充
Collect initial premiums and issue receipts.	补充
Interview clients and take their calls to provide customer service and obtain information on claims.	补充
Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.	补充
Compose business correspondence for supervisors, managers, and professionals.	补充
Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.	—
Enter insurance- and claims-related information into database systems.	—
Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.	—
Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.	—

就业展望（BLS）

就业人数，2025: 239K
预计就业人数，2035: 235K
变化 (2025–35): -1.9%
年薪中位数，2025: $49,230
入职通常所需学历: High school diploma or equivalent

最低 $30,890BLS EP 2025–35 中 825 个细分职业的工资中位数范围最高 $559,030

来源: U.S. Bureau of Labor Statistics, Employment Projections 2025–35 — Employment by detailed occupation, 2025 and projected 2035

韩国职业分类关联（KSCO）

来自 AI Changing Work 制作的 Korea Occupation Direct Crosswalk v1.1 当前版本的关联。关系值从 O*NET-SOC 职业一侧解读。

KSCO 代码	KSCO 名称	关系	状态
34022	보험 사무원	范围相同	已确认
34021	보험 심사원	有重叠，但不相同	已确认

关系与状态的定义(kr-direct v1.1)

国际劳工组织（ILO）职业说明

以下 ISCO-08 职业组由 AI Changing Work 原样套用美国劳工统计局（BLS）发布的对照表（2018 SOC→2010 SOC、2010 SOC→ISCO-08）、不逐案取舍，与本职业相关联；每项关联可能是完全对应，也可能是部分对应。

ISCO-08 4312Statistical, Finance and Insurance Clerks
统计、金融和保险文员

自行翻译

自行翻译 · 非 ISCO 官方词汇 — 未经国际劳工组织审核。

以下定义、任务和职业示例是 ILO 对该 ISCO-08 职业组的描述，而不是对本职业的描述。

Statistical, finance and insurance clerks obtain, compile and compute statistical or actuarial data or perform clerical tasks relating to the transactions of insurance establishments, banks and other financial establishments.

任务

(a) processing insurance enrolments, cancellations, claims transactions, policy changes and payments;
(b) obtaining and compiling statistical or actuarial data based on routine or special sources of information;
(c) calculating totals, averages, percentages and other details and presenting them in the required tabular form;
(d) preparing financial documents, and calculating interest or brokerage charges and stamp duties payable;
(e) maintaining records of bonds, shares and other securities bought or sold on behalf of clients or employer.

职业示例

Actuarial clerk · Brokerage clerk · Finance clerk · Insurance clerk · Mortgage clerk · Securities clerk · Statistical clerk

Sources: ILO ISCO-08 — details: Credits

ESCO 职业词汇

以下每一项都是在已公开的ESCO-O*NET Crosswalk（第 1 版，2022 年）中与本职业逐项对应的。对应类型出自该对照表；表述出自 AI Changing Work。

insurance clerkESCO 4312.4范围相同
Insurance clerks perform general clerical and administrative duties in an insurance company, other service institution, for a self-employed insurance agent or broker or for a government institution. They offer assistance and provide information about insurances to customers and they manage the paperwork of insurance agreements.
insurance claims handlerESCO 3315.3有重叠，但不相同
Insurance claims handlers ensure that all insurance claims are handled accurately and that payment for valid claims is made to the policyholders. They use statistical data and reporting to calculate and adjust claims as needed, communicate with and guide policyholders and monitor the progress of a claim.

来源: European Commission, DG EMPL — ESCO API 2026-08-08 (bridge v1.2.1)

许可: CC BY 4.0 (EU Reuse Notice)

查看原文

ESCO reuse terms and the modification notice are in Credits.

法国职业分类关联（ROME）

本职业与 ROME 4.0 职业条目（fiche）之间的关联，由 AI Changing Work 借助 AI 模型判定。关系从本职业一侧解读。标为「暂定」的关联仅凭同一模型系列（Claude）两位判定者的判定采纳，或对其判定适用运营方规则后采纳，因此其依据弱于已确认的关联。

ROME 代码	ROME 名称（法语）	关系
C1109	Gestionnaire en assurances	本职业范围更窄暂定
C1402	Agent / Agente technique des régimes de retraite complémentaire et de prévoyance	本职业范围更宽暂定
C1128	Rédacteur / Rédactrice règlement assurances	有重叠，但不相同暂定
C1401	Agent administratif / Agente administrative banque ou assurance	相关，但不对应暂定

Source: France Travail — Répertoire Opérationnel des Métiers et des Emplois (ROME 4.0), version 61, last updated 15 June 2026 (https://www.data.gouv.fr/datasets/repertoire-operationnel-des-metiers-et-des-emplois-rome). Licence Ouverte 2.0.

ROME codes and titles are reproduced unchanged; the links to O*NET-SOC occupations are AI Changing Work's own judgment and are not a France Travail correspondence.

(AI Changing Work link release: fr-direct v1)

西班牙职业分类关联（CNO-11）

本职业与 CNO-11 职业之间的关联，由 AI Changing Work 借助 AI 模型判定。关系从本职业一侧解读。

CNO-11 代码	CNO-11 名称（西班牙语）	关系
4113	Empleados de oficina de servicios estadísticos, financieros y bancarios	本职业范围更窄

Source: Instituto Nacional de Estadística (INE), National Classification of Occupations 2011 (CNO-11, Royal Decree 1591/2010) — www.ine.es · Licensed CC BY 4.0. CNO-11 codes and Spanish titles are reproduced unchanged; the links to O*NET occupations are AI Changing Work's own judgment and are not an INE correspondence.

(AI Changing Work link release: es-direct v1)

德国职业分类关联（KldB）

本职业与 KldB 职业之间的关联，由 AI Changing Work 借助 AI 模型判定。关系从本职业一侧解读。

KldB 代码	KldB 名称（德语）	关系
72132	Versicherungskaufleute - fachlich ausgerichtete Tätigkeiten	本职业范围更窄

Source: © Statistik der Bundesagentur für Arbeit — Klassifikation der Berufe 2010 – überarbeitete Fassung 2020, https://statistik.arbeitsagentur.de. KldB codes and titles are reproduced unchanged; the links to O*NET occupations are AI Changing Work's own mapping (eigene Zuordnung) and are not a Bundesagentur für Arbeit correspondence.

(AI Changing Work link release: de-direct v1)

日本职业分类关联（JSCO）

本职业与 JSCO 职业之间的关联，由 AI Changing Work 借助 AI 模型判定。关系从本职业一侧解读。

JSCO 代码	JSCO 名称（日语）	关系
259	その他の一般事務従事者	本职业范围更窄暂定
289	その他の営業・販売事務従事者	相关，但不对应

Source: Ministry of Internal Affairs and Communications (MIC), Japan Standard Occupational Classification (Dec. 2009, MIC Notification No. 555). JSCO codes and Japanese titles are reproduced unchanged; the links to O*NET occupations are AI Changing Work's own judgment and are not a MIC correspondence.

(AI Changing Work link release: jp-direct v1)

本页数据的来源与许可，以及 AI Changing Work 的修改与翻译说明：致谢与来源