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