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