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