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