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

  • Claims Adjusters, Examiners, and Investigators

  • Claims Account Specialist
  • Claims Adjuster
  • Claims Adjustor
  • Claims Agent
  • Claims Analyst
  • Claims Approver
  • Claims Auditor
  • Claims Consultant
  • Claims Examiner
  • Claims Inspector
  • Claims Investigator
  • Claims Manager
  • Claims Processor
  • Claims Representative
  • Claims Service Adjustor
  • Claims Service Specialist
  • Claims Specialist
  • Insurance Claims Adjuster
  • Insurance Adjuster
  • Insurance Appraiser
  • Insurance Auditor
  • Insurance Examiner
  • Insurance Fraud Investigator
  • Insurance Inspector
  • Bodily Injury Claims Adjuster
  • Commercial Insurance Inspector
  • Corporate Claims Examiner
  • Field Claims Adjuster
  • Field Property Claims Adjuster
  • Fire Claims Adjuster
  • Health Claims Examiner
  • Health Insurance Adjuster
  • Home Office Claims Examiner
  • Home Office Claims Specialist
  • Independent Insurance Adjuster
  • Liability Claims Examiner
  • Liability Claims Representative
  • Litigation Claims Representative
  • Medical Claims Analyst
  • Medical Claims Examiner
  • Medical Claims Specialist
  • Property Claims Adjuster
  • Property Damage Claims Adjustor
  • Property and Casualty Insurance Claims Examiner
  • Reinsurance Claims Analyst
  • Residential Insurance Inspector
  • Workers' Compensation Claims Adjuster
  • Workers' Compensation Claims Examiner
  • Workers' Compensation Claims Representative

  • 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.

  • Collect evidence to support contested claims in court.
  • Communicate with reinsurance brokers to obtain information necessary for processing claims.
  • Confer with legal counsel on claims requiring litigation.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • 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.
  • Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
  • Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
  • 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.
  • Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.
  • Negotiate claim settlements or recommend litigation when settlement cannot be negotiated.
  • Pay and process claims within designated authority level.
  • Present cases and participate in their discussion at claim committee meetings.
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement.
  • Resolve complex, severe exposure claims, using high service oriented file handling.
  • Supervise claims adjusters to ensure that adjusters have followed proper methods.
  • 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.

  • Interview witnesses, suspects, or claimants.