Claims Adjusters, Examiners, & Investigators

Also called: Claims Adjuster, Claims Analyst, Claims Examiner

Career Cluster: Finance
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

Engineering and Technology
  • computers and electronics
Math and Science
  • arithmetic, algebra, geometry, calculus, or statistics
Arts and Humanities
  • English language
Business
  • customer service
  • administrative services
SKILLS

Basic Skills
  • reading work related information
  • listening to others, not interrupting, and asking good questions
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
Problem Solving
  • noticing a problem and figuring out the best way to solve it
ABILITIES

Visual Understanding
  • see hidden patterns
  • quickly compare groups of letters, numbers, pictures, or other things
Math
  • add, subtract, multiply, or divide
Ideas and Logic
  • make general rules or come up with answers from lots of detailed information
  • use rules to solve problems
Verbal
  • read and understand what is written
  • communicate by speaking
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:

Video conferencing software
  • Zoom
Data base user interface and query software
  • Microsoft Access
  • Xactware Xactimate
Document management software
  • Document management system software
  • InSystems Calligo Document Management System
EDUCATION


bachelor's degree or high school diploma/GED
usually needed
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JOB OUTLOOK

New job opportunities are less likely in the future.

Salary:
High: $105,440.00
Median: $75,050.00
Low: $47,390.00
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