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