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