Insurance Payment Calculation Clerk

ほけんきんさんしゅつじむいん

Industry & Occupation

Business, Finance & Consulting

Classification

Summary

A clerical position that calculates and determines the insurance payment amount by verifying contract conditions and policy terms based on insurance claims such as accidents or illnesses.

Description

Insurance payment calculation clerks collate the contents of claims from insured persons with contract policies, taking into account deductibles and co-insurance rates, etc., to calculate the payment amount. They are specialized clerical positions. They check the contents of submitted medical certificates, damage reports, and other related documents, and if there are deficiencies or doubts, they coordinate with investigators or clients. They handle data entry into internal systems, double-checking calculations, and creating payment instructions, requiring accuracy and speed.

Future Outlook

While routine tasks are being automated by the introduction of RPA and AI, human intervention is still needed for complex policy interpretations and exception handling, so a certain level of demand is expected to be maintained.

Personality Traits

Cautious / Emphasizes Accuracy / Good at Steady Work / Strong Sense of Responsibility

Work Style

Flexitime / Office Work / Remote

Career Path

Insurance Payment Calculation Clerk (Junior) → Senior Clerical Staff → Team Leader → Insurance Payment Manager → Department Manager

Required Skills

Basic Calculation Skills / Clerical Processing / Excel (Advanced) / Insurance Policy Knowledge

Recommended Skills

Data Analysis / Document Creation / Insurance System Operation

Aptitudes (Strengths Preferred)

Item Description
Analytical & Logical Thinking Because it is necessary to accurately understand contract conditions and policies and construct calculation logic.
Attention to Detail & Accuracy Because calculation errors or oversights in documents affect insurance payments.

Aptitudes (Weaknesses Acceptable)

Item Description
Creativity & Ideation Because routine tasks based on manuals and policies are the main work.
Physical Stamina & Endurance Because it is mainly desk work.

Related Qualifications

  • FP Skill Test (Grade 2 or higher)
  • Life Insurance Agent Qualification
  • Property and Casualty Insurance Agent Qualification

Aliases

  • Claims Clerk
  • Insurance Payment Calculation Clerk

Related Jobs

  • Claims Investigator
  • Insurance Adjuster
  • Insurance Contract Clerk
  • Insurance Payment Assessment Clerk

Tags

Keywords