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.

Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

Conventional

Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

Enterprising

Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

Investigative

Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.

Realistic

Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

Social

Artistic occupations frequently involve working with forms, designs and patterns. They often require self-expression and the work can be done without following a clear set of rules.

Artistic

Job Zone Four: Considerable Preparation Needed

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.

Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.

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

Investigate and assess damage to property and create or review property damage estimates.

Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.

Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.

Microsoft Excel

Microsoft PowerPoint

Datanex ClaimTrac

Document management system software

Hyland OnBase Enterprise Content Management

InSystems Calligo Document Management System

Axonwave Fraud and Abuse Management System

Andrea Vanags

Claim Professional

Education

Career

Career Roadmap

My work combines:

My work combines:

Law

Business

Problem Solving

Recommended Education

Hurdles

The Noise I Shed

From Friends:

Interviewed By

Anonymous Student

Andrea Vanags

Claim Professional

Education

Career

Career Roadmap

My work combines:

My work combines:

Law

Business

Problem Solving

Recommended Education

My career is related to what I studied. I'd recommend the path I took:

Hurdles

The Noise I Shed

From Friends:

Interviewed By

Anonymous Student

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