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