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