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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.

What you’d do

  • Examine claims forms and other records to determine insurance coverage.
  • Analyze information gathered by investigation and report findings and recommendations.
  • Pay and process claims within designated authority level.
  • 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.
  • 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.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
  • Investigate and assess damage to property and create or review property damage estimates.
  • Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.

Skills that matter

  • Reading Comprehension
  • Active Listening
  • Critical Thinking
  • Speaking
  • Judgment and Decision Making
  • Writing

How to get there

Considerable preparation: most need a four-year bachelor's degree

Also called

  • Claims Adjuster
  • Claims Analyst
  • Claims Examiner
  • Claims Representative
  • Claims Specialist
  • Corporate Claims Examiner

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