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.
- Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Prepare report of findings of investigation.
- Obtain credit information from banks and other credit services.
- Examine claims forms and other records to determine insurance coverage.
- Investigate and assess damage to property and create or review property damage estimates.
- Collect evidence to support contested claims in court.
- 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.
- Analyze information gathered by investigation and report findings and recommendations.
- Examine titles to property to determine validity and act as company agent in transactions with property owners.
Related Technology & Tools
- Event data recorders
- Mobile wireless handheld communication devices
- Handheld computers
- Personal digital assistants PDA
- Field computers
- Desktop computers
- Data collectors
- Total stations
- Measure markers
- StrataCare StrataWare eReview
- Automatic Data Processing Autosource
- Turtle Creek Software Goldenseal Architect
- Clear Technology Tranzax
- Microsoft Office
- MapScenes Pro
- MapScenes Evidence Recorder
- CSC Automated Work Distributor AWD
- CSC Colossus
- Automatic Data Processing Estimating
- CGI-AMS BureauLink Enterprise
- ARSoftware WinSMAC
- Brightwork Alyce Claims Systems
- Datanex ClaimTrac
- Covansys ClaimConnect
- ISO NetMap for Claims
- ISO ClaimSearch
- Hyland OnBase Enterprise Content Management
- CGI INSideOUT
- CCC TL2000 Solution
- Agency Management Systems AMS 360
- Axonwave Fraud and Abuse Management System
- Microsoft Word
- Claims processing administration and management software
- CCC Pathways Appraisal Quality Solution
- Microsoft Excel
- QwikQuote software
- Autoclaims Direct DirectLink
- LexisNexis RiskWise
- Castek Insure3 Claims
- 4n6xprt Systems StiffCalcs
- Property damage, bodily injury, and liability estimation software
- Document management system software
- IBM Fraud and Abuse Management System
- Hummingbird Legal Bill Review
- ADP software
- Automatic Data Processing Claims Manager & Dispatch
- Insurance claims fraud detection software
- CSC Fault Evaluator
- Magnify Predictive Targeting System
- Captiva InputAccel
- Corporate Systems ClaimsPro
- CAD Zone Insurance
- CCC EZNet electronic communications network
- Bramerhill ClaimsTech
- CCC Pathways Image Management Solution
- Injury Sciences EDR InSight
- PhotoModeler
- BCCORP Burkitt W5
- Computerized voice stress analyzer CVSA software
- Visual Statement Investigator Suite
- First Notice Systems ClaimCapture
- Bridium Claims 3
- Bill review software
- Fair Isaac SmartAdvisor
- InSystems Calligo Document Management System
- Simsol for Adjusters
- CCC GuidePost Decision Support