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