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Claims Adjusters, Examiners, & Investigators

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

Where in the military? In the military: see titles from the Air Force.

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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.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Knowledge

Business
  • customer service
  • administrative services
Arts and Humanities
  • English language
Safety and Government
  • law and government
Math and Science
  • arithmetic, algebra, geometry, calculus, or statistics

Skills

Basic Skills
  • reading work related information
  • thinking about the pros and cons of different ways to solve a problem
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

Abilities

Verbal
  • listen and understand what people say
  • read and understand what is written
Ideas and Logic
  • use rules to solve problems
  • make general rules or come up with answers from lots of detailed information
Math
  • choose the right type of math to solve a problem
  • 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
  • Dependability
  • Attention to Detail
  • Stress Tolerance
  • Self Control
  • Independence

Technology

You might use software like this on the job:

Document management software
  • Datanex ClaimTrac
  • Document management system software
Expert system software
  • Axonwave Fraud and Abuse Management System
  • Bill review software
Computer aided design CAD software Hot Technology
  • 4n6xprt Systems StiffCalcs
  • ARSoftware WinSMAC

Education

Education: (rated 4 of 5)

Get started on your career:

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Job Outlook

Below Average Outlook
New job opportunities are less likely in the future.
Salary
$66,790
$41,100
$100,400
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Explore More

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