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