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