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