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