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