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