If used properly and on the right type of system they can be very accurate, (See attached study) but they have limitations and are used incorrectly by about 90% of the people that use them.
Common mistakes:
It can be connected to a ground loop rather than a lead to a grounding electrode. It will invariably provide a very low resistance for the ground loop which has no relevance to the actual ground resistance.
A clamp-on cannot test an isolated ground. There is no return path in place to complete the test circuit.
Because the clamp-on measures an entire electrical loop in series, the clamp-on experiences some loss of accuracy at the critical low end where the best grounds are established.
There are many other misapplications, basially you should always do a fall of potential test because when done correctly is does a self check (Plauteau region check)