Claims Adjusters, Examiners, & Investigators

claim information data conventional interests customer claimant questionable claim settlement company practice

Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative

What they do:
Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims.
On the job, you would:
  • Examine claims forms and other records to determine insurance coverage.
  • Analyze information gathered by investigation and report findings and recommendations.
  • Pay and process claims within designated authority level.

Knowledge

Business

  • customer service
  • administrative services

Arts and Humanities

  • English language

Math and Science

  • arithmetic, algebra, geometry, calculus, or statistics

Engineering and Technology

  • computers and electronics

Skills

Basic Skills

  • reading work related information
  • listening to others, not interrupting, and asking good questions

Problem Solving

  • noticing a problem and figuring out the best way to solve it

People and Technology Systems

  • thinking about the pros and cons of different options and picking the best one
  • figuring out how a system should work and how changes in the future will affect it

Abilities

Verbal

  • read and understand what is written
  • communicate by speaking

Ideas and Logic

  • make general rules or come up with answers from lots of detailed information
  • use rules to solve problems

Visual Understanding

  • see hidden patterns
  • quickly compare groups of letters, numbers, pictures, or other things

Math

  • add, subtract, multiply, or divide

Personality

People interested in this work like activities that include data, detail, and regular routines.

They do well at jobs that need:

  • Integrity
  • Stress Tolerance
  • Dependability
  • Attention to Detail
  • Initiative
  • Achievement/Effort

Technology

You might use software like this on the job:

Data base user interface and query software

  • Microsoft Access Hot Technology
  • Xactware Xactimate

Video conferencing software

  • Zoom Hot Technology

Document management software

  • Document management system software
  • InSystems Calligo Document Management System

Education

Education: (rated 4 of 5)
bachelor's degree or
high school diploma/GED
usually needed

Get started on your career:

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Job Outlook

Below Average
New job opportunities are less likely in the future.
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