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”
- 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.
- 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.
- Investigate and assess damage to property and create or review property damage estimates.
- 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.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- Obtain credit information from banks and other credit services.
- Examine titles to property to determine validity and act as company agent in transactions with property owners.
- Prepare report of findings of investigation.
Related Technology & Tools
- Total stations
- Personal digital assistants PDA
- Measure markers
- Event data recorders
- Mobile wireless handheld communication devices
- Data collectors
- Desktop computers
- Field computers
- Handheld computers
- Document management system software
- MapScenes Pro
- Agency Management Systems AMS 360
- Corporate Systems ClaimsPro
- Turtle Creek Software Goldenseal Architect
- StrataCare StrataWare eReview
- Hyland OnBase Enterprise Content Management
- Microsoft Office
- InSystems Calligo Document Management System
- CCC Pathways Appraisal Quality Solution
- IBM Fraud and Abuse Management System
- BCCORP Burkitt W5
- ADP software
- CSC Fault Evaluator
- Magnify Predictive Targeting System
- Automatic Data Processing Autosource
- CCC GuidePost Decision Support
- Microsoft Word
- Bridium Claims 3
- ARSoftware WinSMAC
- Simsol for Adjusters
- Computerized voice stress analyzer CVSA software
- Datanex ClaimTrac
- CGI-AMS BureauLink Enterprise
- CCC TL2000 Solution
- CCC EZNet electronic communications network
- Visual Statement Investigator Suite
- ISO NetMap for Claims
- LexisNexis RiskWise
- QwikQuote software
- Fair Isaac SmartAdvisor
- Claims processing administration and management software
- Property damage, bodily injury, and liability estimation software
- CGI INSideOUT
- Insurance claims fraud detection software
- Microsoft Excel
- Injury Sciences EDR InSight
- 4n6xprt Systems StiffCalcs
- CCC Pathways Image Management Solution
- CSC Automated Work Distributor AWD
- Automatic Data Processing Claims Manager & Dispatch
- Automatic Data Processing Estimating
- Bramerhill ClaimsTech
- Clear Technology Tranzax
- Castek Insure3 Claims
- Covansys ClaimConnect
- MapScenes Evidence Recorder
- Brightwork Alyce Claims Systems
- Captiva InputAccel
- Axonwave Fraud and Abuse Management System
- CAD Zone Insurance
- Autoclaims Direct DirectLink
- PhotoModeler
- First Notice Systems ClaimCapture
- CSC Colossus
- ISO ClaimSearch
- Bill review software
- Hummingbird Legal Bill Review