Care Insurance Claims Clerk
かいごほけんせいきゅうじむいん
Industry & Occupation
Classification
- Major : Clerical Occupations
- Middle : Medical and Care Administration Occupations
- Minor : Care Administration Clerks
Summary
Specialized clerical role that prepares, reviews, and submits documents related to claims for long-term care insurance benefit payments for care service users.
Description
Care insurance claims clerks aggregate and review service records of users in care facilities or home-based service providers to claim insurance benefits for provided care services, preparing and submitting claim forms and claim documents. They respond to changes in care remuneration calculation rules and the insurance system, handle inquiries from insurers (municipalities or national health insurance associations), and process returns and deductions. Accurate calculations and meticulous clerical processing are required, and PC skills such as dedicated software and Excel are essential.
Future Outlook
With a super-aging society, demand for care insurance claims clerical work will remain stable. Advances in electronic claim forms and ICT will increase the importance of IT skills.
Personality Traits
Meticulous / Prioritizes accuracy / Strong sense of responsibility
Work Style
Full-time / Part-time/Casual / Partial remote work possible / Shift
Career Path
Care Insurance Claims Clerk → Senior Care Clerical → Clerical Manager → Facility Clerical Director → Care Manager
Required Skills
Basic PC Operation / Care Insurance Claims System Operation / Care Remuneration Calculation / Claim Form Creation
Recommended Skills
Communication Skills / Data Entry Speed / Insurance System Knowledge / Medical Care Clerical Knowledge
Aptitudes (Strengths Preferred)
| Item | Description |
|---|---|
| Attention to Detail & Accuracy | Even minor calculation or input errors can affect insurance claims. |
| Learning Agility & Knowledge Acquisition | To respond quickly to legal amendments and remuneration revisions. |
| Numerical & Quantitative Analysis | High numerical skills required for care remuneration calculations and aggregations. |
Aptitudes (Weaknesses Acceptable)
| Item | Description |
|---|---|
| Creativity & Ideation | Many routine tasks, with few creative elements. |
| Physical Stamina & Endurance | Primarily desk work, with low physical demands. |
Related Qualifications
- Certified Care Clerk Manager
- Claim Form Practical Ability Certification Exam
- Medical Clerk
Related Jobs
- Care Clerk
- Care Manager
- Medical Clerk