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