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