Will “Adjuster” 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
- Accident Investigator
Tasks for “Adjuster”
- Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- Investigate and assess damage to property and create or review property damage estimates.
- Examine titles to property to determine validity and act as company agent in transactions with property owners.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Analyze information gathered by investigation and report findings and recommendations.
- Collect evidence to support contested claims in court.
- Examine claims forms and other records to determine insurance coverage.
- Prepare report of findings of investigation.
- Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
- Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
- 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.
Related Technology & Tools
- Field computers
- Event data recorders
- Handheld computers
- Desktop computers
- Data collectors
- Measure markers
- Personal digital assistants PDA
- Mobile wireless handheld communication devices
- Total stations
- CCC Pathways Appraisal Quality Solution
- BCCORP Burkitt W5
- CCC GuidePost Decision Support
- Datanex ClaimTrac
- Clear Technology Tranzax
- Automatic Data Processing Estimating
- CAD Zone Insurance
- CCC Pathways Image Management Solution
- ADP software
- Hummingbird Legal Bill Review
- Bramerhill ClaimsTech
- CSC Fault Evaluator
- 4n6xprt Systems StiffCalcs
- CCC TL2000 Solution
- Simsol for Adjusters
- Agency Management Systems AMS 360
- CSC Automated Work Distributor AWD
- Microsoft Word
- Hyland OnBase Enterprise Content Management
- PhotoModeler
- Computerized voice stress analyzer CVSA software
- Claims processing administration and management software
- StrataCare StrataWare eReview
- Injury Sciences EDR InSight
- Castek Insure3 Claims
- IBM Fraud and Abuse Management System
- QwikQuote software
- MapScenes Pro
- CGI-AMS BureauLink Enterprise
- Magnify Predictive Targeting System
- Automatic Data Processing Autosource
- Automatic Data Processing Claims Manager & Dispatch
- Brightwork Alyce Claims Systems
- Microsoft Excel
- Fair Isaac SmartAdvisor
- CCC EZNet electronic communications network
- CSC Colossus
- Axonwave Fraud and Abuse Management System
- InSystems Calligo Document Management System
- Corporate Systems ClaimsPro
- Bridium Claims 3
- First Notice Systems ClaimCapture
- ISO NetMap for Claims
- Visual Statement Investigator Suite
- Insurance claims fraud detection software
- Autoclaims Direct DirectLink
- LexisNexis RiskWise
- Document management system software
- ARSoftware WinSMAC
- Turtle Creek Software Goldenseal Architect
- Microsoft Office
- Covansys ClaimConnect
- Captiva InputAccel
- MapScenes Evidence Recorder
- Bill review software
- CGI INSideOUT
- Property damage, bodily injury, and liability estimation software
- ISO ClaimSearch