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