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