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