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