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