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