Also referred to as: Claims Payment Clerk II
Requirements and Responsibilities

Claims Clerk II reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk II verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk II processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk II works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Clerk II typically requires 1-3 years of related experience, or may need 0 years of experience with additional specialized training and/or certification.

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