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