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Career and Education Opportunities for Insurance Claims Processors in Worcester, Massachusetts

Insurance claims processors can find many career and educational opportunities in the Worcester, Massachusetts area. Currently, 6,070 people work as insurance claims processors in Massachusetts. This is expected to shrink by 5% to 5,740 people by 2016. This is not quite as good as the national trend for insurance claims processors, which sees this job pool growing by about 0.3% over the next eight years. Insurance claims processors generally obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Income for insurance claims processors is about $18 hourly or $38,520 per year on average in Massachusetts. Nationally, their income is about $15 hourly or $33,100 per year. Earnings for insurance claims processors are better than earnings in the general category of Clerical in Massachusetts and better than general Clerical category earnings nationally.

There are thirty-nine schools of higher education in the Worcester area, including one within twenty-five miles of Worcester where you can get a degree to start your career as an insurance claims processor. Insurance claims processors usually hold a high school diploma or GED, so you can expect to spend only a short time studying to be an insurance claims processor if you already have a high school diploma.

CAREER DESCRIPTION: Insurance Claims Processor

In general, insurance claims processors obtain information from insured or designated persons for purpose of settling claim with insurance carrier.

Insurance claims processors contact insured or other involved persons to obtain missing data. They also post or attach data to claim file. Equally important, insurance claims processors have to ready insurance claim forms and related documents and review them for completeness. They are often called upon to furnish customer service. Finally, insurance claims processors inspect insurance policies to establish coverage.

Every day, insurance claims processors are expected to be able to read and understand documents and reports. They need to articulate ideas and problems. It is also important that they see details at a very fine level of focus.

It is important for insurance claims processors to transmit claims for payment or further investigation. They are often called upon to organize and coordinate with detailed office or warehouse archives, using computers to enter, access, search and retrieve data. They also pay small claims. Somewhat less frequently, insurance claims processors are also expected to calculate amount of claim.

They also have to be able to apply insurance rating systems And finally, they sometimes have to ready insurance claim forms and related documents and review them for completeness.

Like many other jobs, insurance claims processors must be reliable and be thorough and dependable.

Similar jobs with educational opportunities in Worcester include:

  • Broker Assistant. Perform clerical duties involving the purchase or sale of securities. Duties include writing orders for stock purchases and sales, computing transfer taxes, verifying stock transactions, accepting and delivering securities, tracking stock price fluctuations, computing equity, and keeping records of daily transactions and holdings.
  • Clerk. Compile data, compute fees and charges, and prepare invoices for billing purposes. Duties include computing costs and calculating rates for goods, services, and shipment of goods; posting data; and keeping other relevant records. May involve use of computer or typewriter, calculator, and adding and bookkeeping machines.
  • Correspondence Clerk. Compose letters in reply to requests for merchandise, damage claims, credit and other information, delinquent accounts, or unsatisfactory services. Duties may include gathering data to formulate reply and typing correspondence.
  • Courtroom Clerk. Perform clerical duties in court of law; prepare docket of cases to be called; secure information for judges; and contact witnesses, attorneys, and litigants to obtain information for court.
  • File Clerk. File correspondence, cards, and other records in alphabetical or numerical order or according to the filing system used. Locate and remove material from file when requested.
  • Insurance Processing Clerk. Process applications for, changes to, and cancellation of insurance policies. Duties include reviewing insurance applications to ensure that all questions have been answered, compiling data on insurance policy changes, changing policy records to conform to insured party's specifications, compiling data on lapsed insurance policies to determine automatic reinstatement according to company policies, canceling insurance policies as requested by agents, and verifying the accuracy of insurance company records.
  • License Clerk. Issue licenses or permits to qualified applicants. Obtain necessary information; record data; advise applicants on requirements; collect fees; and issue licenses. May conduct oral, written, or performance testing.
  • Medical Secretary. Perform secretarial duties utilizing specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.
  • Municipal Clerk. Draft agendas and bylaws for town or city council; record minutes of council meetings; answer official correspondence; keep fiscal records and accounts; and prepare reports on civic needs.
  • Office Clerk. Perform duties too varied and diverse to be classified in any specific office clerical occupation, requiring limited knowledge of office management systems and procedures. Clerical duties may be assigned in accordance with the office procedures of individual establishments and may include a combination of answering telephones, bookkeeping, typing or word processing, stenography, office machine operation, and filing.
  • Order Clerk. Receive and process incoming orders for materials, merchandise, or services such as repairs, installations, or rental of facilities. Duties include informing customers of receipt, prices, and delays; preparing contracts; and handling complaints.
  • Payroll Bookkeeper. Compile and post employee time and payroll data. May compute employees' time worked, production, and commission. May compute and post wages and deductions. May prepare paychecks.
  • Postal Clerk. Perform any combination of tasks in a post office, such as receive letters and parcels; sell postage and revenue stamps, postal cards, and stamped envelopes; fill out and sell money orders; place mail in pigeon holes of mail rack or in bags according to State, address, or other scheme; and examine mail for correct postage.
  • Procurement Clerk. Compile information and records to draw up purchase orders for procurement of materials and services.
  • Receptionist. Answer inquiries and obtain information for general public, customers, and other interested parties. Provide information regarding activities conducted at establishment; location of departments, offices, and employees within organization.
  • Secretary. Perform routine clerical and administrative functions such as drafting correspondence, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to callers.
  • Statement Clerk. Prepare and distribute bank statements to customers, answer inquiries, and reconcile discrepancies in records and accounts.
  • Statistical Clerk. Compile and compute data according to statistical formulas for use in statistical studies. May perform actuarial computations and compile charts and graphs for use by actuaries. Includes actuarial clerks.
  • Weighter. Weigh, measure, and check materials, supplies, and equipment for the purpose of keeping relevant records. Duties are primarily clerical by nature.

EDUCATIONAL OPPORTUNITIES: Insurance Claims Processor Training

Middlesex Community College - Bedford, MA

Middlesex Community College, Springs Rd, Bedford, MA 01730-9124. Middlesex Community College is a medium sized college located in Bedford, Massachusetts. It is a public school with primarily 2-year programs and has 8,511 students. Middlesex Community College has a less than one year and an associate's degree program in General Office Occupations and Clerical Services which graduated zero and three students respectively in 2008.

CERTIFICATIONS

Certified Patient Account Technician: The Certified Patient Account Manager exam is every bit as challenging for patient account managers as the CPA and Bar exams are for their respective fields.

For more information, see the American Association of Healthcare Administrative Management website.

Certified Clinic Account Technician: AAHAM developed the Certified Clinic Account Technician (CCAT) examination to test the proficiency of individuals involved in the collection of patient accounts and to prepare them for the many changes to come.

For more information, see the American Association of Healthcare Administrative Management website.

LOCATION INFORMATION: Worcester, Massachusetts

Worcester, Massachusetts
Worcester, Massachusetts photo by Yassie

Worcester is located in Worcester County, Massachusetts. It has a population of over 175,011, which has grown by 1.4% in the past ten years. The cost of living index in Worcester, 121, is far greater than the national average. New single-family homes in Worcester cost $108,900 on average, which is far less than the state average. In 2008, sixty-one new homes were constructed in Worcester, down from two hundred fourteen the previous year.

The top three industries for women in Worcester are health care, educational services, and finance and insurance. For men, it is educational services, construction, and health care. The average commute to work is about 22 minutes. More than 23.3% of Worcester residents have a bachelor's degree, which is lower than the state average. The percentage of residents with a graduate degree, 9.8%, is lower than the state average.

The unemployment rate in Worcester is 9.9%, which is greater than Massachusetts's average of 8.4%.

The percentage of Worcester residents that are affiliated with a religious congregation, 57.4%, is more than the national average but less than the state average. Burncoat Baptist Church, United Congregational Church and Unitarian Universalist Church are among the churches located in Worcester. The largest religious groups are the Catholic Church, the United Church of Christ and the Episcopal Church.

Worcester is home to the Tatnuck Country Club and the Massachusetts Biotech Research Park as well as Ty Cobb Park and General Foley Stadium. Shopping malls in the area include Lincoln Plaza Shopping Center, Mid Town Mall and Norwich Place Shopping Center. Visitors to Worcester can choose from Days Inn, Hampton Inn and Maple Manor Hotel for temporary stays in the area.