Claims Adjusters, Examiners, & Investigators
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
- Xactware Xactimate
Video conferencing software
- Zoom
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
high school diploma/GED
usually needed
Job Outlook
Below Average
New job opportunities are less likely in the future.
Explore More
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- Customer Service Representatives
- Eligibility Interviewers, Government Programs
- Insurance Claims & Policy Processing Clerks
- Tax Examiners & Collectors, & Revenue Agents
You might like a career in one of these industries:
See more details at O*NET OnLine about claims adjusters, examiners, and investigators.
