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