How do they match: Claims Adjusters, Examiners, and Investigators

  • Insurance Adjuster
  • Insurance Appraiser
  • Insurance Auditor
  • Insurance Claims Adjuster
  • Insurance Examiner
  • Insurance Fraud Investigator
  • Insurance Inspector
  • Adjustment Clerk
  • Claims Processor
  • Commercial Insurance Inspector
  • Health Insurance Adjuster
  • Independent Insurance Adjuster
  • Property and Casualty Insurance Claims Examiner
  • Residential Insurance Inspector

  • 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.

  • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
  • Communicate with reinsurance brokers to obtain information necessary for processing claims.
  • Examine claims forms and other records to determine insurance coverage.
  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
  • Pay and process claims within designated authority level.
  • Prepare reports to be submitted to company's data processing department.

  • Collect evidence for legal proceedings.
  • Meet with individuals involved in legal processes to provide information and clarify issues.