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