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