Will AI Replace Insurance Claims and Policy Processing Clerks?

Prepare insurance claim forms or related documents, and review them for completeness.

Semi-structured cognitive task involving analysis, inspection, or monitoring.

Calculate amount of claim.

Semi-structured task combining routine and non-routine responsibilities.

Post or attach information to claim file.

Semi-structured task combining routine and non-routine responsibilities.

Transmit claims for payment or further investigation.

Semi-structured task combining routine and non-routine responsibilities.

Contact insured or other involved persons to obtain missing information.

Semi-structured task combining routine and non-routine responsibilities.

Review insurance policy to determine coverage.

Semi-structured cognitive task involving analysis, inspection, or monitoring.

Process and record new insurance policies and claims.

Routine cognitive or manual task with high vulnerability to automation.

Organize or work with detailed office or warehouse records, using computers to enter, access, search or retrieve data.

Routine cognitive or manual task with high vulnerability to automation.

Provide customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.

Semi-structured task combining routine and non-routine responsibilities.

Correspond with insured or agent to obtain information or to inform them of account status or changes.

Semi-structured task combining routine and non-routine responsibilities.

Review and verify data, such as age, name, address, and principal sum and value of property, on insurance applications and policies.

Semi-structured cognitive task involving analysis, inspection, or monitoring.

Compare information from application to criteria for policy reinstatement, and approve reinstatement when criteria are met.

Semi-structured task combining routine and non-routine responsibilities.

Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.

Semi-structured task combining routine and non-routine responsibilities.

Transcribe data to worksheets, and enter data into computer for use in preparing documents and adjusting accounts.

Routine cognitive or manual task with high vulnerability to automation.

Notify insurance agent and accounting department of policy cancellation.

Semi-structured task combining routine and non-routine responsibilities.

Pay small claims.

Semi-structured task combining routine and non-routine responsibilities.

Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.

Semi-structured task combining routine and non-routine responsibilities.

Collect initial premiums and issue receipts.

Routine cognitive or manual task with high vulnerability to automation.

Interview clients and take their calls to provide customer service and obtain information on claims.

Semi-structured task combining routine and non-routine responsibilities.

Obtain computer printout of policy cancellations, or retrieve cancellation cards from file.

Semi-structured task combining routine and non-routine responsibilities.

Compose business correspondence for supervisors, managers, and professionals.

Complex problem-solving, strategic leadership, or high-empathy task requiring human judgment.

Calculate premiums, refunds, commissions, adjustments, or new reserve requirements, using insurance rate standards.

Semi-structured task combining routine and non-routine responsibilities.

Enter insurance- and claims-related information into database systems.

Semi-structured task combining routine and non-routine responsibilities.

Modify, update, or process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.

Semi-structured task combining routine and non-routine responsibilities.

Organize or work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.

Routine cognitive or manual task with high vulnerability to automation.