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