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