Details Report for:
13-1031.00 - Claims Adjusters, Examiners, and Investigators
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.
The occupation code you requested, 13-1031.01 (Claims Examiners, Property and Casualty Insurance), is no longer in use. In the future, please use 13-1031.00 (Claims Adjusters, Examiners, and Investigators) instead.
Sample of reported job titles: Claim Representative, Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative, Claims Specialist, Corporate Claims Examiner, General Adjuster, Home Office Claim Specialist, Litigation Claim Representative
Tasks | Technology Skills | Tools Used | Knowledge | Skills | Abilities | Work Activities | Detailed Work Activities | Work Context | Job Zone | Credentials | Interests | Work Styles | Work Values | Related Occupations | Wages & Employment | Job Openings | Additional Information
|Not available||Not available|
|Not available||Not available|
|Not available||Not available|
- Access software — CCC EZNet electronic communications network; CSC Automated Work Distributor AWD
- Analytical or scientific software — Injury Sciences EDR InSight; Insurance claims fraud detection software; Magnify Predictive Targeting System
- Computer aided design CAD software — 4n6xprt Systems StiffCalcs; ARSoftware WinSMAC; PhotoModeler; Visual Statement Investigator Suite (see all 7 examples)
- Data base reporting software — Corporate Systems ClaimsPro
- Data base user interface and query software — Claims processing administration and management software; Fair Isaac Claims Advisor; Tropics Claims Reserve Management
- Desktop publishing software — Microsoft Publisher
- Document management software — Datanex ClaimTrac; Document management system software; Hyland OnBase Enterprise Content Management; InSystems Calligo Document Management System (see all 20 examples)
- Enterprise resource planning ERP software — ADP software; CCC Pathways Appraisal Quality Solution
- Expert system software — Axonwave Fraud and Abuse Management System; Bill review software; LexisNexis RiskWise; StrataCare StrataWare eReview (see all 12 examples)
- Financial analysis software — Automatic Data Processing Estimating; CSC Colossus; Simsol for Adjusters; Turtle Creek Software Goldenseal Architect (see all 6 examples)
- Information retrieval or search software — CGI-AMS BureauLink Enterprise
- Interactive voice response software — Computerized voice stress analyzer CVSA software
- Medical software — Healthcare common procedure coding system HCPCS ; Medical condition coding software ; Medical procedure coding software
- Office suite software — Microsoft Office
- Presentation software — Microsoft PowerPoint
- Spreadsheet software — Microsoft Excel
- Word processing software — Microsoft Word
Hot Technology — a technology requirement frequently included in employer job postings.
- Automotive computer systems — Event data recorders
- Desktop computers
- Measuring wheels for distance — Measure markers
- Notebook computers
- Personal computers
- Personal digital assistant PDAs or organizers — Personal digital assistants PDA
- Portable data input terminals — Data collectors; Field computers; Handheld computers; Mobile wireless handheld communication devices
- Tablet computers
- Theodolites — Total stations
- Calculate data to inform organizational operations.
- Investigate legal issues.
- Prepare legal or investigatory documentation.
- Estimate costs of goods or services.
- Interview witnesses, suspects, or claimants.
- Appraise property values.
- Negotiate agreements to resolve disputes.
- Supervise employees.
- Advise others on financial matters.
- Implement financial decisions.
- Pay charges, fees, or taxes.
- Verify accuracy of records.
- Maintain data in information systems or databases.
- Report information to managers or other personnel.
- Collect evidence for legal proceedings.
- Meet with individuals involved in legal processes to provide information and clarify issues.
- Examine financial records.
- Prepare financial documents.
- Present business-related information to audiences.
- Confer with others about financial matters.
- Prepare operational reports.
- Gather financial records.
- Advise others on legal or regulatory compliance matters.
- Verify application data to determine program eligibility.
|Title||Job Zone Four: Considerable Preparation Needed|
|Education||Most of these occupations require a four-year bachelor's degree, but some do not.|
|Related Experience||A considerable amount of work-related skill, knowledge, or experience is needed for these occupations. For example, an accountant must complete four years of college and work for several years in accounting to be considered qualified.|
|Job Training||Employees in these occupations usually need several years of work-related experience, on-the-job training, and/or vocational training.|
|Job Zone Examples||Many of these occupations involve coordinating, supervising, managing, or training others. Examples include real estate brokers, sales managers, database administrators, graphic designers, chemists, art directors, and cost estimators.|
|SVP Range||(7.0 to < 8.0)|
|13-1041.03||Equal Opportunity Representatives and Officers|
|13-1071.00||Human Resources Specialists|
|13-2023.00||Appraisers and Assessors of Real Estate|
|13-2081.00||Tax Examiners and Collectors, and Revenue Agents|
|13-2099.04||Fraud Examiners, Investigators and Analysts Bright Outlook|
|43-4131.00||Loan Interviewers and Clerks|
Wages & Employment Trends
|Median wages (2020)||$32.82 hourly, $68,270 annual|
|Employment (2019)||332,900 employees|
|Projected growth (2019-2029)||Decline (-1% or lower)|
|Projected job openings (2019-2029)||21,000|
|Top industries (2019)||
Finance and Insurance (73% employed in this sector)
Source: Bureau of Labor Statistics 2020 wage data and 2019-2029 employment projections . "Projected growth" represents the estimated change in total employment over the projections period (2019-2029). "Projected job openings" represent openings due to growth and replacement.
Job Openings on the Web
Sources of Additional Information
Disclaimer: Sources are listed to provide additional information on related jobs, specialties, and/or industries. Links to non-DOL Internet sites are provided for your convenience and do not constitute an endorsement.
- American Insurance Association
- International Claim Association
- Loss Executives Association
- National Association of Independent Insurance Adjusters
- National Association of Public Insurance Adjusters
- National Society of Professional Insurance Investigators
- Occupational Outlook Handbook: Claims adjusters, appraisers, examiners, and investigators
- Society of Chartered Property and Casualty Underwriters
- Society of Claim Law Associates
- Society of Registered Professional Adjusters
- The Institutes
- Workers' Compensation Claims Professionals