Will “Accident Investigator” be Replaced By Robots? 🤔
Unknown Chance of Automation
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Job Description
Investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit.
Job Details
- The SOC (Standard Occupational Classification) code is 13-1031.02
☝️ Information based on the reference occupation “Insurance Adjusters, Examiners, and Investigators”.
Also Known As…
- Insurance Adjusters, Examiners, and Investigators
- Litigation Claim Representative
- Independent Insurance Adjuster
- General Adjuster
- Field Liability Generalist
- Claims Specialist
- Claims Representative
- Claims Examiner
- Claims Analyst
- Claims Adjuster
- Claim Representative
- Workers Compensation Claims Adjuster
- Telephone Claims Representative
- Salvage Determiner
- Residential Insurance Inspector
- Property Claims Adjuster
- Property Adjuster
- Multi-line Claims Adjuster
- Medical Claims Specialist
- Medical Claims Examiner
- Medical Claims Analyst
- Material Damage Adjuster
- Job Estimator
- Investigator
- Insurance Inspector
- Insurance Claims Adjuster
- Insurance Appraiser
- Insurance Adjuster
- Inspector
- Health Claims Examiner
- Fire Adjuster
- Field Adjuster
- Examiner
- Estimator
- Disability Specialist
- Disability Examiner
- Compensation Adjuster
- Clerical Adjuster
- Claims Service Adjustor
- Claims Manager
- Claims Assistant
- Claims Adjustor
- Claim Specialist
- Claim Processor
- Claim Investigator
- Claim Inspector
- Claim Examiner
- Claim Approver
- Claim Agent
- Claim Adjuster
- Catastrophe Claims Supervisor
- Building Appraiser
- Bodily Injury Adjuster
- Benefit Authorizer
- Auto Claims Adjuster
- Arson Investigator
- Appraiser
- Adjustment Clerk
- Adjuster
Tasks for “Accident Investigator”
- Investigate and assess damage to property and create or review property damage estimates.
- Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
- Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
- Examine claims forms and other records to determine insurance coverage.
- Analyze information gathered by investigation and report findings and recommendations.
- Obtain credit information from banks and other credit services.
- Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
- Collect evidence to support contested claims in court.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- Prepare report of findings of investigation.
- Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Examine titles to property to determine validity and act as company agent in transactions with property owners.
Related Technology & Tools
- Measure markers
- Desktop computers
- Personal digital assistants PDA
- Total stations
- Data collectors
- Event data recorders
- Field computers
- Handheld computers
- Mobile wireless handheld communication devices
- Claims processing administration and management software
- ISO NetMap for Claims
- ADP software
- CCC Pathways Appraisal Quality Solution
- InSystems Calligo Document Management System
- Axonwave Fraud and Abuse Management System
- MapScenes Pro
- CGI INSideOUT
- Bill review software
- Bridium Claims 3
- CSC Automated Work Distributor AWD
- Computerized voice stress analyzer CVSA software
- CAD Zone Insurance
- Automatic Data Processing Claims Manager & Dispatch
- Corporate Systems ClaimsPro
- CCC TL2000 Solution
- Clear Technology Tranzax
- ARSoftware WinSMAC
- CCC GuidePost Decision Support
- Microsoft Word
- Hyland OnBase Enterprise Content Management
- StrataCare StrataWare eReview
- CSC Colossus
- Simsol for Adjusters
- CSC Fault Evaluator
- MapScenes Evidence Recorder
- Datanex ClaimTrac
- Turtle Creek Software Goldenseal Architect
- Automatic Data Processing Estimating
- Microsoft Excel
- Bramerhill ClaimsTech
- Agency Management Systems AMS 360
- Magnify Predictive Targeting System
- Property damage, bodily injury, and liability estimation software
- PhotoModeler
- Microsoft Office
- Castek Insure3 Claims
- IBM Fraud and Abuse Management System
- Document management system software
- ISO ClaimSearch
- Hummingbird Legal Bill Review
- Captiva InputAccel
- Visual Statement Investigator Suite
- First Notice Systems ClaimCapture
- 4n6xprt Systems StiffCalcs
- CCC Pathways Image Management Solution
- CGI-AMS BureauLink Enterprise
- BCCORP Burkitt W5
- QwikQuote software
- Autoclaims Direct DirectLink
- Covansys ClaimConnect
- Injury Sciences EDR InSight
- CCC EZNet electronic communications network
- Insurance claims fraud detection software
- Fair Isaac SmartAdvisor
- Brightwork Alyce Claims Systems
- LexisNexis RiskWise
- Automatic Data Processing Autosource