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