Claims Adjusters, Examiners, and Investigators
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.
68 alternate job titles:
Salary Information
Claims Adjusters, Examiners, and Investigators: $76,790 (median) per year.
Starting salary (10th percentile).
Required expreience: Varies by Company
Data source: U.S. Bureau of Labor Statistics
Daily Tasks & Responsibilities
| Task Description | Category |
|---|---|
| Calculate data to inform organizational operations. | General |
| Investigate legal issues. | General |
| Prepare legal or investigatory documentation. | General |
| Estimate costs of goods or services. | General |
| Appraise property values. | General |
| Interview witnesses, suspects, or claimants. | General |
| Negotiate agreements to resolve disputes. | General |
| Implement financial decisions. | General |
| Advise others on financial matters. | General |
| Apply information technology to solve business or other applied problems. | General |
| Resolve customer complaints or problems. | General |
| Pay charges, fees, or taxes. | General |
| Verify accuracy of records. | General |
| Collect evidence for legal proceedings. | General |
| Prepare financial documents. | General |
| Examine financial records. | General |
| Confer with others about financial matters. | General |
| Prepare operational reports. | General |
| Gather financial records. | General |
| Verify application data to determine program eligibility. | General |
| Advise others on legal or regulatory compliance matters. | General |
| Maintain data in information systems or databases. | Maintenance |
| Report information to managers or other personnel. | Management |
| Supervise employees. | Management |
| Meet with individuals involved in legal processes to provide information and clarify issues. | Communication |
| Present business-related information to audiences. | Communication |
Technology Requirements
| Technology | Description |
|---|---|
| Microsoft Excel | Spreadsheet software |
| Microsoft Office software | Office suite software |
| Microsoft Outlook | Electronic mail software |
| Apple Safari | Internet browser software |
| Microsoft PowerPoint | Presentation software |
| Microsoft Word | Word processing software |
| Mozilla Firefox | Internet browser software |
| Zoom | Video conferencing software |
| 4n6xprt Systems StiffCalcs | Computer aided design CAD software |
| ADP software | Enterprise resource planning ERP software |
| ARSoftware WinSMAC | Computer aided design CAD software |
| Agency Management Systems AMS 360 | Document management software |
| AutoClaims Direct DirectLink | Document management software |
| Automatic Data Processing Autosource | Document management software |
| Automatic Data Processing Claims Manager & Dispatch | Document management software |
| Automatic Data Processing Estimating | Financial analysis software |
| Axonwave Fraud and Abuse Management System | Expert system software |
| BCCORP Burkitt W5 | Document management software |
| BCCORP W5 for Adjusters | Document management software |
| Bill review software | Expert system software |
| Bramerhill ClaimsTech | Document management software |
| Bridium Claims 3 | Document management software |
| Brightwork Alyce Claims Systems | Document management software |
| Business software applications | Office suite software |
| CAD Zone Insurance | Computer aided design CAD software |
| CCC EZNet electronic communications network | Access software |
| CCC GuidePost Decision Support | Expert system software |
| CCC Pathways Appraisal Quality Solution | Enterprise resource planning ERP software |
| CCC Pathways Image Management Solution | Document management software |
| CCC TL2000 Solution | Document management software |
| CGI INSideOUT | Document management software |
| CGI-AMS BureauLink Enterprise | Information retrieval or search software |
| CSC Automated Work Distributor AWD | Access software |
| CSC Colossus | Financial analysis software |
| CSC Fault Evaluator | Expert system software |
| Captiva InputAccel | Document management software |
| Castek Insure3 Claims | Document management software |
| Clear Technology Tranzax | Document management software |
| Computerized voice stress analyzer CVSA software | Interactive voice response software |
| Covansys ClaimConnect | Document management software |
| Datanex ClaimTrac | Document management software |
| Document management system software | Document management software |
| Fair Isaac SmartAdvisor | Expert system software |
| First Notice Systems ClaimCapture | Expert system software |
| Healthcare common procedure coding system HCPCS | Medical software |
| Hummingbird Legal Bill Review | Expert system software |
| Hyland OnBase Enterprise Content Management | Document management software |
| IBM Fraud and Abuse Management System | Expert system software |
| ISO ClaimSearch | Expert system software |
| ISO NetMap for Claims | Expert system software |
| InSystems Calligo Document Management System | Document management software |
| Injury Sciences EDR InSight | Analytical or scientific software |
| Insurance claims fraud detection software | Analytical or scientific software |
| LexisNexis RiskWise | Expert system software |
| Magnify Predictive Targeting System | Analytical or scientific software |
| MapScenes Evidence Recorder | Computer aided design CAD software |
| MapScenes Pro | Computer aided design CAD software |
| Medical condition coding software | Medical software |
| Medical procedure coding software | Medical software |
| Microsoft Publisher | Desktop publishing software |
| PhotoModeler | Computer aided design CAD software |
| Property damage, bodily injury, and liability estimation software | Financial analysis software |
| QwikQuote software | Financial analysis software |
| Simsol for Adjusters | Financial analysis software |
| StrataCare StrataWare eReview | Expert system software |
| Turtle Creek Software Goldenseal Architect | Financial analysis software |
| Visual Statement Investigator Suite | Computer aided design CAD software |
| Microsoft Access | Data base user interface and query software |
| Xactware Xactimate | Data base user interface and query software |
| Claims processing administration and management software | Data base user interface and query software |
| Corporate Systems ClaimsPro | Data base reporting software |
| Fair Isaac Claims Advisor | Data base user interface and query software |
| Tropics Claims Reserve Management | Data base user interface and query software |
Relevant Certifications
Industry certifications that may be valuable for this career role:
| Certification | Issuing Organization | Practice Test |
|---|---|---|
| Accredited Financial Examiner - Financial Analyst | Society of Financial Examiners | Not Available |
| Accredited Insurance Examiner | Insurance Regulatory Examiners Society | Not Available |
| Accredited Marine Surveyor | Society of Accredited Marine Surveyors | Not Available |
| Associate Insurance Data Manager | Insurance Data Management Association | Not Available |
| Associate in Claims | The Institutes | Not Available |
| Associate in Claims - Management | The Institutes | Not Available |
| Associate in National Flood Insurance | The Institutes | Not Available |
| Associate in Regulation and Compliance | The Institutes | Not Available |
| Associate in Reinsurance | The Institutes | Not Available |
| Associate, Life and Health Claims | International Claim Association | Not Available |
| Associate, Reinsurance Administration | LOMA | Not Available |
| Automated Examination Specialists | Society of Financial Examiners | Not Available |
| Certified Financial Examiner | Society of Financial Examiners | Not Available |
| Certified Forensic Claims Consultant | AACE International, Inc. | Not Available |
| Certified Fraud Examiner | Association of Certified Fraud Examiners | Not Available |
| Certified Insurance Data Manager | Insurance Data Management Association | Not Available |
| Certified Insurance Examiner | Insurance Regulatory Examiners Society | Not Available |
| Certified Insurance Fraud Investigator | International Association of Special Investigation Units | Not Available |
| Fellow, Life and Health Claims | International Claim Association | Not Available |
| Senior Professional Public Adjuster | The Institutes | Not Available |