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

  • Medical Claims Specialist
  • Medical Claims Analyst
  • Medical Claims Examiner
  • Insurance Adjuster
  • Insurance Appraiser
  • Insurance Auditor
  • Insurance Claims Adjuster
  • Insurance Examiner
  • Insurance Fraud Investigator
  • Insurance Inspector
  • Claims Specialist
  • Claims Account Specialist
  • Claims Service Specialist
  • Commercial Insurance Inspector
  • Customer Care Specialist
  • Disability Specialist
  • Health Insurance Adjuster
  • Home Office Claims Specialist
  • 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.

  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • 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.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.