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