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