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