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