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