Claims Examiners, Property & Casualty Insurance
Also called:
Claims Examiner, Claims Specialist, Claims Adjuster, Claims Representative
What they do:
Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. Confer with legal counsel on claims requiring litigation.
On the job, you would:
- Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
- Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
- Resolve complex, severe exposure claims, using high service oriented file handling.
Business
- customer service
- management
Arts and Humanities
Safety and Government
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Basic Skills
- reading work related information
- writing things for co-workers or customers
Problem Solving
- noticing a problem and figuring out the best way to solve it
Social
- bringing people together to solve differences
- understanding people's reactions
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Verbal
- listen and understand what people say
- read and understand what is written
Ideas and Logic
- use rules to solve problems
- notice when problems happen
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People interested in this work like activities that include data, detail, and regular routines.
They do well at jobs that need:
- Integrity
- Dependability
- Attention to Detail
- Stress Tolerance
- Self Control
- Cooperation
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You might use software like this on the job:
Document management software
- Agency Management Systems AMS 360
- atGlobal Allegro
Expert system software
- atGlobal webMBR
- Axonwave Fraud and Abuse Management System
Data base user interface and query software
- Claims processing administration and management software
- Fair Isaac Claims Advisor
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bachelor's degree or
some college
usually needed
Get started on your career:
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New job opportunities are less likely in the future.
$59,960
per year, on average
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You might like a career in one of these industries:
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