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