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