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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

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

  • Post or attach information to claim file.

  • Review insurance policy to determine coverage.

  • Pay small claims.

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

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

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

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

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

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

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

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

  • Collect initial premiums and issue receipts.

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

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

  • Notify insurance agent and accounting department of policy cancellation.

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

  • Calculate amount of claim.

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

  • Transmit claims for payment or further investigation.

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

  • Process and record new insurance policies and claims.

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

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

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

Technologies & Software

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  • Mistral (Mistral AI)
  • Microsoft Windows
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  • Gemini (Google)
  • Qwen (Alibaba)
  • InSystems Calligo Enterprise
  • Xactware Xactimate
  • ChatGPT (OpenAI)
  • IBM Lotus Notes
  • Policy issuance system software
  • Zapier AI
  • Microsoft Excel
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  • Claude (Anthropic)
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  • Kimi (Moonshot AI)
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  • Healthcare common procedure coding system HCPCS
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  • Gemini for Workspace
  • Word processing software
  • Microsoft Copilot
  • Automated information system software
  • Personal computers
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  • Dictation machines
  • Desktop computers

Alternative Job Titles