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