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