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