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