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