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