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