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How do they match:
Claims Adjusters, Examiners, and Investigators
1
O*NET-SOC Title
Claims
Adjusters, Examiners, and Investigators
49
Alternate Occupation Titles
Claims
Processor
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
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
1
O*NET-SOC Description
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.
19
Tasks
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.
Prepare reports to be submitted to company's data
processing
department.
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.
3
Detailed Work Activities
Collect evidence for legal
proceedings.
Interview witnesses, suspects, or
claimants.
Meet with individuals involved in legal
processes
to provide information and clarify issues.
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Search for keyword results
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Crosswalks
Military
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DOT
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ESCO
Sites
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Related Sites
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License
How do they match: 13-1031.00 - Claims Adjusters, Examiners, and Investigators
by
U.S. Department of Labor, Employment and Training Administration
is licensed under a
Creative Commons Attribution 4.0 International License
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