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”
- Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- 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.
- Prepare report of findings of investigation.
- Examine titles to property to determine validity and act as company agent in transactions with property owners.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Examine claims forms and other records to determine insurance coverage.
- 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.
- Analyze information gathered by investigation and report findings and recommendations.
- Investigate and assess damage to property and create or review property damage estimates.
- Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
Related Technology & Tools
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- Agency Management Systems AMS 360
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- Automatic Data Processing Estimating
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- CSC Colossus
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- Brightwork Alyce Claims Systems
- Automatic Data Processing Claims Manager & Dispatch
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- Simsol for Adjusters
- CSC Automated Work Distributor AWD
- Document management system software
- Property damage, bodily injury, and liability estimation software
- Castek Insure3 Claims
- Bridium Claims 3
- MapScenes Pro
- Computerized voice stress analyzer CVSA software
- LexisNexis RiskWise
- ISO ClaimSearch
- Axonwave Fraud and Abuse Management System
- First Notice Systems ClaimCapture
- ADP software
- Bill review software
- Fair Isaac SmartAdvisor
- Microsoft Excel
- CCC Pathways Image Management Solution
- MapScenes Evidence Recorder
- Autoclaims Direct DirectLink
- CGI INSideOUT
- CCC TL2000 Solution
- PhotoModeler
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- Covansys ClaimConnect
- Hyland OnBase Enterprise Content Management
- CSC Fault Evaluator
- Bramerhill ClaimsTech
- Microsoft Office
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- StrataCare StrataWare eReview
- 4n6xprt Systems StiffCalcs
- InSystems Calligo Document Management System
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- ISO NetMap for Claims