Direct Health and Medical Insurance Carriers
National industry · NAICS 524114
A source-stamped Markdown brief of this occupation — paste it into an agent, or fetch
/industries/524114/context.md directly.
Direct Health and Medical Insurance Carriers is a U.S. industry in the NAICS classification. The Bureau of Labor Statistics estimates about 449,090 workers across 157 detailed occupations in it. A typical worker earns around $86,781 a year (Singulariki estimate, see below).
This U.S. industry comprises establishments primarily engaged in initially underwriting (i.e., assuming the risk and assigning premiums) health and medical insurance policies. Group hospitalization plans and HMO establishments that provide health and medical insurance policies without providing health care services are included in this industry. Cross-References.
Employment is national May 2024 OEWS. "Typical pay" is Singulariki's own figure — the employment-weighted average of each occupation's national median wage — a rough center of the industry, not an official BLS number.
How exposed this industry is to AI
Weighting every occupation in this industry by its employment and its unified AI-exposure index (the OpenAI "GPTs are GPTs" human-rated task overlap folded with the Felten/Raj/Seamans AIOE index), this industry sits in the High band — 96th percentile across all industries.
Exposure measures how much of the work overlaps with what today's AI can do, not a prediction of automation; high-exposure industries are where AI is most likely to reshape tasks. Employment-weighted across 145 occupations that carry an exposure score. Compare every industry on the AI exposure hub.
How AI is actually used in this industry
Among measured Claude.ai (Free and Pro) conversations mapped to O*NET task statements (Anthropic Economic Index, 2026-01-15), these patterns are most associated with the occupations in this industry, weighted by its employment mix. They are shares of observed AI conversations — not of worker time, revenue, or what could be automated — and reflect one AI assistant's consumer sample, not all AI.
| Signal coverage | 81.7% of employment · 106/155 occupations have AEI task data |
| Augmentation vs. automation | 49.5% working with AI · 33.4% handed to AI |
| Most common pattern | Directive · AI does it; you give the instruction |
| Typical AI autonomy | 3.5 / 5 · higher = AI acts more independently |
Tasks driving the signal
The task families that account for the most AI activity across this industry's occupations (employment × observed usage), each attributed to the occupation it comes from.
| Task | Occupation | How | Share of signal |
|---|---|---|---|
| Troubleshoot problems involving office equipment, such as computer hardware and software. | Office Clerks, General | Feedback loop | 7.9% |
| Direct or provide home health services. | Registered Nurses | Learning | 5.6% |
| Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work. | First-Line Supervisors of Office and Administrative Support Workers | Iteration | 4.1% |
| Educate patients and family members about mental health and medical conditions, preventive health measures, medications, or treatment plans. | Registered Nurses | Learning | 3.9% |
| Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. | Customer Service Representatives | Directive | 3.5% |
| Document findings of study and prepare recommendations for implementation of new systems, procedures, or organizational changes. | Management Analysts | Iteration | 3.4% |
| Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints. | Customer Service Representatives | Directive | 3.0% |
| Develop and distribute newsletters, brochures, or other printed materials to share information with patients or medical staff. | Customer Service Representatives | Iteration | 2.0% |
| Compose business correspondence for supervisors, managers, and professionals. | Insurance Claims and Policy Processing Clerks | Iteration | 2.0% |
| Present investment information, such as product risks, fees, or fund performance statistics. | Managers, All Other | Learning | 1.8% |
| Explain policies, procedures, or services to patients using medical or administrative knowledge. | Customer Service Representatives | Learning | 1.8% |
| Teach patient education programs that include information required to make informed health care and treatment decisions. | Registered Nurses | Directive | 1.5% |
Occupations behind the signal
The occupations whose AI-touched tasks contribute most to this industry's signal, by employment here.
| Occupation | Workers | Share | How they use AI |
|---|---|---|---|
| Customer Service Representatives | 68,480 | 15.3% | Directive |
| Registered Nurses | 34,380 | 7.7% | Learning |
| Insurance Claims and Policy Processing Clerks | 24,150 | 5.4% | Iteration |
| Insurance Sales Agents | 21,460 | 4.8% | Learning |
| Management Analysts | 20,380 | 4.5% | Iteration |
| Claims Adjusters, Examiners, and Investigators | 18,840 | 4.2% | Learning |
| First-Line Supervisors of Office and Administrative Support Workers | 13,020 | 2.9% | Iteration |
| Business Operations Specialists, All Other | 9,200 | 2.1% | Directive |
| Computer and Information Systems Managers | 8,520 | 1.9% | Learning |
| Accountants and Auditors | 8,290 | 1.8% | Directive |
| General and Operations Managers | 8,140 | 1.8% | Iteration |
| Medical and Health Services Managers | 8,020 | 1.8% | Iteration |
This rollup is only as complete as the occupation-task matches available for the industry; the coverage figure above is shown so sparse industries do not look falsely precise. AI exposure is not the same as replacement.
Skill & tool metabolism
What this industry's work actually runs on. Each figure is the share of the industry's workers in occupations that significantly rely on a skill, knowledge area, or ability (O*NET importance ≥ 3 of 5), or that use a tool category — its employment reach. This is a measure of how widespread a requirement is across the workforce, not how intensively any one worker uses it. Shares are independent and need not add to 100%.
Based on 94.6% of this industry's employment that maps to a detailed occupation with an O*NET skill profile.
Skills
| Skill | Employment reach | Workers |
|---|---|---|
| Reading Comprehension | 94.6% | 424,640 |
| Active Listening | 94.4% | 423,900 |
| Critical Thinking | 94.3% | 423,280 |
| Speaking | 94.3% | 423,440 |
| Writing | 93.6% | 420,280 |
| Time Management | 92.2% | 414,150 |
| Monitoring | 87.3% | 392,060 |
| Social Perceptiveness | 85.7% | 384,660 |
| Complex Problem Solving | 84.3% | 378,630 |
| Service Orientation | 79.1% | 355,330 |
| Coordination | 74.9% | 336,500 |
| Judgment and Decision Making | 74.1% | 332,820 |
Knowledge areas
| Knowledge area | Employment reach | Workers |
|---|---|---|
| English Language | 94.5% | 424,450 |
| Customer and Personal Service | 90.8% | 407,570 |
| Administration and Management | 76.0% | 341,140 |
| Computers and Electronics | 72.9% | 327,490 |
| Mathematics | 70.2% | 315,480 |
| Administrative | 52.7% | 236,890 |
| Education and Training | 38.5% | 172,840 |
| Sales and Marketing | 29.9% | 134,210 |
| Law and Government | 27.1% | 121,830 |
| Economics and Accounting | 25.3% | 113,680 |
| Personnel and Human Resources | 21.7% | 97,520 |
| Psychology | 21.6% | 96,910 |
Abilities
| Abilitie | Employment reach | Workers |
|---|---|---|
| Oral Comprehension | 94.6% | 424,710 |
| Oral Expression | 94.6% | 424,710 |
| Written Comprehension | 94.6% | 424,640 |
| Speech Recognition | 94.5% | 424,520 |
| Speech Clarity | 94.3% | 423,710 |
| Near Vision | 94.1% | 422,740 |
| Written Expression | 93.8% | 421,300 |
| Information Ordering | 93.7% | 420,960 |
| Problem Sensitivity | 93.7% | 420,840 |
| Deductive Reasoning | 93.4% | 419,570 |
| Inductive Reasoning | 93.4% | 419,640 |
| Category Flexibility | 78.5% | 352,380 |
Tool categories
| Tool category | Employment reach | Workers |
|---|---|---|
| Office suite software | 98.9% | 444,110 |
| Spreadsheet software | 98.9% | 444,180 |
| Electronic mail software | 98.8% | 443,860 |
| Presentation software | 98.6% | 442,690 |
| Word processing software | 98.3% | 441,390 |
| Data base user interface and query software | 97.8% | 439,140 |
| Document management software | 91.9% | 412,590 |
| Enterprise resource planning ERP software | 85.8% | 385,280 |
| Operating system software | 84.8% | 380,770 |
| Internet browser software | 83.8% | 376,540 |
| Medical software | 78.1% | 350,850 |
| Project management software | 76.5% | 343,660 |
| Business intelligence and data analysis software | 70.8% | 317,910 |
| Financial analysis software | 70.7% | 317,510 |
| Information retrieval or search software | 70.1% | 315,030 |
Reach = share of industry employment in occupations where the requirement is significant; it is not a per-worker usage or proficiency measure. Skill, knowledge, and ability importance is from O*NET; tool use is reported presence of a technology category.
Largest occupations
The occupations that employ the most people in this industry, with their share of the industry's workforce and national median pay for the occupation (not industry-specific pay).
Showing the top 40 of 157 occupations by employment.
Most distinctive occupations
The occupations most unusually concentrated in this industry compared with the economy as a whole. The location quotient is how many times more common an occupation is here versus its economy-wide share (a value of 5 means five times as concentrated).
| Occupation | Concentration | Workers |
|---|---|---|
| Actuaries | 41.67× | 3,440 |
| Insurance Claims and Policy Processing Clerks | 36.2× | 24,150 |
| Claims Adjusters, Examiners, and Investigators | 21.21× | 18,840 |
| Correspondence Clerks | 17× | 310 |
| Insurance Sales Agents | 15.69× | 21,460 |
| Insurance Underwriters | 12.48× | 3,920 |
| Community Health Workers | 12.44× | 2,200 |
| Operations Research Analysts | 12.36× | 3,880 |
| Health Education Specialists | 11.8× | 2,240 |
| Telemarketers | 10.18× | 1,970 |
| Data Scientists | 9.74× | 6,620 |
| Database Architects | 8.8× | 1,660 |
| Customer Service Representatives | 8.63× | 68,480 |
| Medical Records Specialists | 7.84× | 4,290 |
| Management Analysts | 7.83× | 20,380 |
| Computer Systems Analysts | 7.51× | 10,890 |
| Healthcare Social Workers | 7.46× | 4,040 |
| Compensation, Benefits, and Job Analysis Specialists | 6.77× | 2,020 |
| Compensation and Benefits Managers | 6.33× | 370 |
| Health Information Technologists and Medical Registrars | 6.21× | 680 |
Write a report on thisheadline · factoids · citation
The Direct Health and Medical Insurance Carriers workforce sits at the 96th percentile of AI task overlap — 449,090 U.S. workers
- Weighting every occupation by its real share of Direct Health and Medical Insurance Carriers employment, the industry's workforce ranks in the 96th percentile (High band) for AI task overlap — overlap with what AI can attempt, not a measure of jobs at risk.Eloundou et al. + Felten AIOE, weighted by BLS OEWS
- The industry employs about 449,090 U.S. workers across 157 occupations.BLS OEWS (May 2024)
- Employment-weighted typical annual pay is about $86,781.BLS OEWS (May 2024)
- Of AI use observed across this industry's occupations, 50% looks like augmentation rather than automation — from a Claude.ai sample, not a census.Anthropic Economic Index
The Direct Health and Medical Insurance Carriers workforce sits at the 96th percentile of AI task overlap — 449,090 U.S. workers • Weighting every occupation by its real share of Direct Health and Medical Insurance Carriers employment, the industry's workforce ranks in the 96th percentile (High band) for AI task overlap — overlap with what AI can attempt, not a measure of jobs at risk. (Eloundou et al. + Felten AIOE, weighted by BLS OEWS) • The industry employs about 449,090 U.S. workers across 157 occupations. (BLS OEWS (May 2024)) • Employment-weighted typical annual pay is about $86,781. (BLS OEWS (May 2024)) • Of AI use observed across this industry's occupations, 50% looks like augmentation rather than automation — from a Claude.ai sample, not a census. (Anthropic Economic Index) Source: Singulariki — "Direct Health and Medical Insurance Carriers". https://singulariki.com/industries/524114 Note: AI task overlap measures what today's AI can attempt, not automation, job loss, or a forecast.
AssetsShare imageMethodology & sourcesPress & newsroomThe newsroom
Every line is built only from figures this page already shows and cites. AI task overlap means what today's AI can attempt — not automation, job loss, or a forecast.
Sources for this page
Every figure above traces to a named public dataset and the exact release below — not hand-written opinion. See the full methodology for what each measure does and does not mean.
- O*NET 30.3 U.S. Department of Labor / National Center for O*NET Development
- BLS Occupational Employment and Wage Statistics (OEWS) May 2024 U.S. Bureau of Labor Statistics
- Census NAICS 2022 U.S. Census Bureau
- Anthropic Economic Index v4 (2026-01-15) + v2 (2025-03-27) Anthropic
- “GPTs are GPTs” (Eloundou et al.) arXiv 2303.10130 OpenAI / academic
- AI Occupational Exposure (AIOE) Felten, Raj & Seamans academic
Data compiled June 3, 2026. Figures are estimates, not advice.
Cite this page
Singulariki. "Direct Health and Medical Insurance Carriers." Singulariki: a source-backed encyclopedia of work. Built from O*NET 30.3; BLS Occupational Employment and Wage Statistics (OEWS) May 2024; Census NAICS 2022; Anthropic Economic Index v4 (2026-01-15) + v2 (2025-03-27); “GPTs are GPTs” (Eloundou et al.) arXiv 2303.10130; AI Occupational Exposure (AIOE) Felten, Raj & Seamans. Accessed June 7, 2026. https://singulariki.com/industries/524114
Singulariki. (2026). Direct Health and Medical Insurance Carriers. Singulariki: a source-backed encyclopedia of work. Retrieved June 7, 2026, from https://singulariki.com/industries/524114
@misc{singulariki-524114,
title = {Direct Health and Medical Insurance Carriers},
author = {{Singulariki}},
year = {2026},
note = {O*NET 30.3; BLS Occupational Employment and Wage Statistics (OEWS) May 2024; Census NAICS 2022; Anthropic Economic Index v4 (2026-01-15) + v2 (2025-03-27); “GPTs are GPTs” (Eloundou et al.) arXiv 2303.10130; AI Occupational Exposure (AIOE) Felten, Raj & Seamans. Accessed June 7, 2026},
url = {https://singulariki.com/industries/524114}
} Citations name the underlying public dataset releases — they reflect what this page is built from, not just the URL.