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