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