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