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