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