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