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