Will “Litigation Claim Representative” 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
- Independent Insurance Adjuster
- General 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
- Litigation Claim Representative
- 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
- 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 “Litigation Claim Representative”
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
- 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.
- Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
- Investigate and assess damage to property and create or review property damage estimates.
- Analyze information gathered by investigation and report findings and recommendations.
- Prepare report of findings of investigation.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- 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.
- Collect evidence to support contested claims in court.
- Examine claims forms and other records to determine insurance coverage.
Related Technology & Tools
- Handheld computers
- Data collectors
- Measure markers
- Field computers
- Mobile wireless handheld communication devices
- Desktop computers
- Total stations
- Personal digital assistants PDA
- Event data recorders
- Bramerhill ClaimsTech
- CCC GuidePost Decision Support
- Claims processing administration and management software
- Castek Insure3 Claims
- Datanex ClaimTrac
- CGI-AMS BureauLink Enterprise
- Document management system software
- Hummingbird Legal Bill Review
- Clear Technology Tranzax
- Captiva InputAccel
- ADP software
- First Notice Systems ClaimCapture
- InSystems Calligo Document Management System
- CCC EZNet electronic communications network
- ISO ClaimSearch
- 4n6xprt Systems StiffCalcs
- CCC Pathways Appraisal Quality Solution
- CSC Colossus
- QwikQuote software
- CCC Pathways Image Management Solution
- MapScenes Pro
- StrataCare StrataWare eReview
- Corporate Systems ClaimsPro
- Automatic Data Processing Autosource
- Turtle Creek Software Goldenseal Architect
- Automatic Data Processing Claims Manager & Dispatch
- IBM Fraud and Abuse Management System
- CCC TL2000 Solution
- PhotoModeler
- CAD Zone Insurance
- Autoclaims Direct DirectLink
- Covansys ClaimConnect
- Computerized voice stress analyzer CVSA software
- Hyland OnBase Enterprise Content Management
- Microsoft Excel
- Fair Isaac SmartAdvisor
- Property damage, bodily injury, and liability estimation software
- Magnify Predictive Targeting System
- CGI INSideOUT
- CSC Automated Work Distributor AWD
- MapScenes Evidence Recorder
- Brightwork Alyce Claims Systems
- Simsol for Adjusters
- Microsoft Office
- Injury Sciences EDR InSight
- Agency Management Systems AMS 360
- Automatic Data Processing Estimating
- Visual Statement Investigator Suite
- Insurance claims fraud detection software
- Bill review software
- Axonwave Fraud and Abuse Management System
- CSC Fault Evaluator
- Bridium Claims 3
- ARSoftware WinSMAC
- ISO NetMap for Claims
- BCCORP Burkitt W5
- LexisNexis RiskWise
- Microsoft Word