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