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