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Automation Risk Analysis

Will “Billing and Insurance Coordinator” be Automated?

Historical Context: Oxford Study (2013)

Ranked #689 of 702. Estimated risk: 98.0%

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AI Exposure Risk

57%

“Billing and Insurance Coordinator” will maybe be replaced by AI.

Based on the cognitive demands, communication requirements, and logical reasoning intrinsic to this occupation according to O*NET data, we project a 57% probability of disruption by generative AI and Large Language Models.

Automation & Robot Risk

33%

“Billing and Insurance Coordinator” will probably not be replaced by robots.

Evaluating the physical dexterity, repetitive motion tasks, and manual labor associated with this role, our analysis indicates a 33% likelihood of substitution by advanced robotics systems.

Personal & Financial Insights

Every occupation has a unique profile. For Insurance Claims and Policy Processing Clerks, the Bureau of Labor Statistics and O*NET classify the day-to-day work broadly as: 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.

Avg. Annual Salary $51,980
Avg. Hourly Wage $24.99
Available Jobs (US) 229,070
Job Title & Hierarchy Code (SOC) Insurance Claims and Policy Processing Clerks #43-9041
Wage vs. National Median
ℹ️

Data is based on the reference occupation: “Insurance Claims and Policy Processing Clerks”

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Core Skills & Abilities

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

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

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

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

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

  • Contact insured or other involved persons to obtain missing information.

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

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

  • Pay small claims.

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

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

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

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

  • Transmit claims for payment or further investigation.

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

  • Process and record new insurance policies and claims.

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

  • Review insurance policy to determine coverage.

  • Compose business correspondence for supervisors, managers, and professionals.

  • Calculate amount of claim.

  • Collect initial premiums and issue receipts.

  • Post or attach information to claim file.

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

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

  • Notify insurance agent and accounting department of policy cancellation.

Technologies & Software

  • Otter.ai
  • Healthcare common procedure coding system HCPCS
  • Alpha Software Alpha Five
  • MicroFocus GroupWise
  • Microsoft PowerPoint
  • Account management software
  • Microsoft Word
  • Policy issuance system software
  • Napkin AI
  • Medical condition coding software
  • Microsoft Internet Explorer
  • InSystems Calligo Enterprise
  • Microsoft Outlook
  • GroupMe
  • UiPath (RPA + AI)
  • DeepSeek
  • Claim processing system software
  • St. Paul Travelers e-CARMA
  • Microsoft Excel
  • IBM Lotus Notes
  • Microsoft Access
  • Gemini for Workspace
  • ChatGPT (OpenAI)
  • Notion AI
  • Claude (Anthropic)
  • Xactware Xactimate
  • Zapier AI
  • Spreadsheet software
  • Word processing software
  • Microsoft Office software
  • Database software
  • Medical procedure coding software
  • Perplexity AI
  • Automated information system software
  • Llama (Meta)
  • Kimi (Moonshot AI)
  • Billing software
  • Grammarly AI
  • Microsoft Copilot
  • Mistral (Mistral AI)
  • Grok (xAI)
  • Web browser software
  • Microsoft Windows
  • Insurance rating software
  • IBM Check Processing Control System CPSC
  • Nova (Amazon)
  • Qwen (Alibaba)
  • Gemini (Google)
  • Desktop computers
  • Personal computers
  • Dictation machines
  • 10-key calculators

Alternative Job Titles