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Claims Adjusters, Examiners, & Investigators

Also called: Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative

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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:

Computer aided design CAD software Hot Technology
  • 4n6xprt Systems StiffCalcs
  • Visual Statement Investigator Suite
Presentation software
  • Microsoft PowerPoint 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:

Find Training Find Certifications Find Licenses Apprenticeship.gov

Job Outlook

Below Average Outlook
New job opportunities are less likely in the future.
Salary
$65,080
$41,490
$101,290
Check out my state Local Salary Info Find Jobs

Explore More

See more details at O*NET OnLine about claims adjusters, examiners, and investigators.