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