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