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

  • Adjustment Clerk
  • Claims Account Specialist

  • 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.

  • Pay and process claims within designated authority level.
  • Conduct detailed bill reviews to implement sound litigation management and expense control.
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • 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.

  • Pay charges, fees, or taxes.