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