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