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