Claims Handler
👤 For candidates
🤖 Enhance with AI
- ›Leverage AI tools for faster document review
- ›Use chatbots to streamline customer communications
- ›Apply analytics to spot fraud or anomalies early
📈 Disruption outlook
% risk of significant disruption
🎓 Learn now
📚 For full-time, part-time & evening courses on the Isle of Man, visit University College Isle of Man (UCM)
🏢 For employers
🔄 Alternatives
Automates routine processing and record-keeping tasks
Handles initial customer queries and claim updates
Mixes human expertise with automated workflows
⚡ Recommendation
⚡ Augment roleAI boosts efficiency but human judgment needed for complex cases
Microsoft Copilot & M365
Automate routine claims processing tasks
Draft empathetic customer emails quickly
Summarise and analyse claim documents
Claims Adjusters, Examiners, and Investigators
O*NET 13-1031.00
Job Description
Automation Risk
Many core tasks, such as claims processing and record-keeping, are routine and increasingly automated by claims management software and RPA tools. However, tasks requiring empathy, negotiation, and complex problem-solving still rely on human skills. The role is moderately exposed to AI augmentation, especially for communication and document analysis, but not fully automatable due to the need for judgment and customer interaction.
Task analysis
- Communicate empathetically with customers by phone and email to gather information and provide claim updates.
- Review and process insurance claims according to company procedures and authority levels.
- Accurately document claim details and maintain up-to-date records in the claims system.
- Investigate claim validity by reviewing documents, reports, and evidence provided by claimants.
- Collaborate with team members to resolve complex or disputed claims.
- Follow up with customers, agents, or third parties to clarify information and resolve outstanding issues.
- Ensure compliance with regulatory and company standards throughout the claims process.
- Support continuous improvement by identifying process gaps and suggesting enhancements.
Occupational Classification
UK Salary Benchmark
Financial service activities, except insurance and pension funding · ONS ASHE 2024 annual earnings
👤 For Candidates
AI & future-of-work guidance
🤖 Enhance with AI
- ›Leverage AI tools for faster document review
- ›Use chatbots to streamline customer communications
- ›Apply analytics to spot fraud or anomalies early
📈 Disruption outlook
% risk of significant disruption
🎓 Learn now
📚 For full-time, part-time & evening courses on the Isle of Man, visit University College Isle of Man (UCM)
🏢 For Employers
Strategic hiring options & technology alternatives
🔄 Alternatives
Automates routine processing and record-keeping tasks
Handles initial customer queries and claim updates
Mixes human expertise with automated workflows
⚡ Recommendation
⚡ Augment roleAI boosts efficiency but human judgment needed for complex cases
Microsoft Copilot & M365
Automate routine claims processing tasks
Draft empathetic customer emails quickly
Summarise and analyse claim documents
Key Skills
Knowledge Areas
O*NET Competency Skills
Alternative Career Paths
Handles more complex claims and mentors junior staff, with increased authority and responsibility.
Supports underwriters in assessing risk and preparing policy documentation.
Leads a team in delivering high-quality customer service and resolving escalated issues.
Ensures company processes and claims handling comply with relevant regulations.
Also Consider
🔥 Hot Technologies
In-demand tools for this occupation (O*NET)
Work Activities
General work activities from O*NET
- Working with Computers
- Communicating with People Outside the Organization
- Getting Information
- Identifying Objects, Actions, and Events
- Making Decisions and Solving Problems
- Communicating with Supervisors, Peers, or Subordinates
- Documenting/Recording Information
- Resolving Conflicts and Negotiating with Others
- Organizing, Planning, and Prioritizing Work
- Analyzing Data or Information
- Processing Information
- Establishing and Maintaining Interpersonal Relationships
- Updating and Using Relevant Knowledge
- Evaluating Information to Determine Compliance with Standards
- Interpreting the Meaning of Information for Others
Anthropic Economic Index
Real-world AI adoption data from millions of Claude conversations · Dataset ↗
Observed Claude Usage
8%
of conversations
Classic Auto. Risk
98%
Frey & Osborne
Job Zone
-1/5
Extensive prep
O*NET Median Salary
£52k
US ref. $66k · fx 0.79
Occupational family: Business and Financial Operations
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