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