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