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