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