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