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”
- Analyze information gathered by investigation and report findings and recommendations.
- 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.
- 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.
- 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.
- Investigate and assess damage to property and create or review property damage estimates.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- 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.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
Related Technology & Tools
- Mobile wireless handheld communication devices
- Handheld computers
- Event data recorders
- Data collectors
- Field computers
- Measure markers
- Desktop computers
- Personal digital assistants PDA
- Total stations
- BCCORP Burkitt W5
- CCC TL2000 Solution
- CAD Zone Insurance
- Captiva InputAccel
- CGI-AMS BureauLink Enterprise
- CGI INSideOUT
- Autoclaims Direct DirectLink
- MapScenes Evidence Recorder
- Corporate Systems ClaimsPro
- Magnify Predictive Targeting System
- IBM Fraud and Abuse Management System
- CCC EZNet electronic communications network
- CSC Fault Evaluator
- ISO ClaimSearch
- Bridium Claims 3
- Agency Management Systems AMS 360
- ADP software
- Microsoft Office
- CCC Pathways Image Management Solution
- Hummingbird Legal Bill Review
- Bramerhill ClaimsTech
- MapScenes Pro
- Microsoft Excel
- Bill review software
- Datanex ClaimTrac
- Property damage, bodily injury, and liability estimation software
- Automatic Data Processing Estimating
- Injury Sciences EDR InSight
- Microsoft Word
- Claims processing administration and management software
- Castek Insure3 Claims
- Axonwave Fraud and Abuse Management System
- Fair Isaac SmartAdvisor
- CSC Automated Work Distributor AWD
- LexisNexis RiskWise
- 4n6xprt Systems StiffCalcs
- Document management system software
- Clear Technology Tranzax
- ISO NetMap for Claims
- Hyland OnBase Enterprise Content Management
- Automatic Data Processing Claims Manager & Dispatch
- Visual Statement Investigator Suite
- CSC Colossus
- Brightwork Alyce Claims Systems
- Computerized voice stress analyzer CVSA software
- Automatic Data Processing Autosource
- StrataCare StrataWare eReview
- Simsol for Adjusters
- Covansys ClaimConnect
- Insurance claims fraud detection software
- ARSoftware WinSMAC
- First Notice Systems ClaimCapture
- PhotoModeler
- CCC Pathways Appraisal Quality Solution
- Turtle Creek Software Goldenseal Architect
- CCC GuidePost Decision Support
- QwikQuote software
- InSystems Calligo Document Management System