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