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