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