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