Claims Adjusters, Examiners, and Investigator

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  Business and Financial Operations Occupations

Claims Adjusters, Examiners, and Investigator

Also Called: Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative, Claims Specialist, Corporate Claims Examiner, Field Claims Adjuster, General Adjuster, Home Office Claims Specialist, Litigation Claims Representative, Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative, Claims Specialist, Corporate Claims Examiner, Field Claims Adjuster, General Adjuster, Home Office Claims Specialist, Litigation 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.

$47,390
Starting Salary (2023)
$75,050
Median Salary (2023)
-3.1%
Projected Job Growth
293,780
Employment (2022)

Typical Tasks

Examine claims forms and other records to determine insurance coverage.
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
Analyze information gathered by investigation and report findings and recommendations.
Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.

A day in the life

What kind of work is this?

Conventional
Organized, Procedural Work
Enterprising
Business based Work
Investigative
Studying, Research based work

What personality traits do you need to succeed?

Stress Tolerance
Integrity
Dependability
Attention to Detail
Initiative
Independence

What key skills are needed for this job?

Reading Comprehension
Active Listening
Critical Thinking
Speaking
Judgment and Decision Making
Writing

Expected Knowledge

Customer and Personal Service
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
English Language
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Administrative
Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.

Common Activities

Working with Computers
Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
Communicating with People Outside the Organization
Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
Getting Information
Observing, receiving, and otherwise obtaining information from all relevant sources.

More Info

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