What You'll Do

  • Examine claims forms and other records to determine insurance coverage.
  • Analyze information gathered by investigation and report findings and recommendations.
  • 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.
  • Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
  • 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.
  • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
  • Resolve complex, severe exposure claims, using high service oriented file handling.
  • Pay and process claims within designated authority level.

Essential Skills

Reading Comprehension 4.12/5
Active Listening 4.0/5
Critical Thinking 4.0/5
Speaking 3.88/5
Judgment and Decision Making 3.75/5
Writing 3.62/5
Complex Problem Solving 3.5/5
Monitoring 3.38/5
Social Perceptiveness 3.38/5
Active Learning 3.25/5
Coordination 3.25/5
Negotiation 3.12/5

Career Fit Overview

Use this summary to sense whether the day to day rhythm and focus of this path line up with what energizes you.

Top passions

  • Organizer: Bringing order to data and processes satisfies you.
  • Leader: Taking charge and moving ideas forward motivates you.
  • Analyst: Investigating problems and finding patterns keeps you engaged.

Common styles

Stress Tolerance, Integrity, Dependability, Attention to Detail, Initiative

Want a personal read on fit. Take the free assessment and see your exact compatibility with this career and many related roles.

Key Abilities

This career demands strong capabilities in the following areas:

Written Comprehension 4.38/5
Oral Comprehension 4.12/5
Oral Expression 4.12/5
Deductive Reasoning 4.0/5
Inductive Reasoning 4.0/5
Written Expression 3.88/5
Near Vision 3.88/5
Problem Sensitivity 3.62/5

Technologies & Tools

4n6xprt Systems StiffCalcs ADP software Agency Management Systems AMS 360 Apple Safari ARSoftware WinSMAC AutoClaims Direct DirectLink Automatic Data Processing Autosource Automatic Data Processing Claims Manager & Dispatch Automatic Data Processing Estimating Axonwave Fraud and Abuse Management System BCCORP Burkitt W5 BCCORP W5 for Adjusters Bill review software Bramerhill ClaimsTech Bridium Claims 3 Brightwork Alyce Claims Systems Business software applications CAD Zone Insurance Captiva InputAccel Castek Insure3 Claims

Work Environment & Style

Common Styles for This Career

  • Stress Tolerance (High importance: 4.65/5)
  • Integrity (High importance: 4.63/5)
  • Dependability (High importance: 4.61/5)
  • Attention to Detail (High importance: 4.57/5)
  • Initiative (High importance: 4.53/5)

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How to Become One

Most employers require a bachelor's degree in a relevant field. Some positions may also require experience through internships, co-ops, or entry-level work to strengthen your candidacy.

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Also Known As

This career is known by many different job titles across industries. Here are all the variations:

Accident Investigator Adjuster Adjustment Clerk Benefit Authorizer Bodily Injury Claims Adjuster Bodily Injury Claims Examiner Claims Account Specialist Claims Adjuster Claims Adjustor Claims Agent Claims Analyst Claims Approver Claims Auditor Claims Consultant Claims Examiner Claims Inspector Claims Investigator Claims Processor Claims Representative Claims Service Adjustor Claims Service Specialist Claims Specialist Clerical Adjuster Commercial Insurance Inspector Compensation Adjuster Corporate Claims Examiner Disability Analyst Disability Examiner Disability Specialist Field Claims Adjuster Field Investigator Field Liability Generalist Field Property Claims Adjuster Field Property Claims Specialist Fire Adjuster Fire Claims Adjuster General Adjuster Health Claims Examiner Health Insurance Adjuster Home Office Claims Examiner Home Office Claims Specialist Independent Insurance Adjuster Insurance Adjuster Insurance Appraiser Insurance Auditor Insurance Claims Adjuster Insurance Examiner Insurance Fraud Investigator Insurance Inspector Investigator Liability Claims Examiner Liability Claims Representative Litigation Claims Representative Litigation Examiner Medical Claims Analyst Medical Claims Examiner Medical Claims Specialist Property Adjuster Property and Casualty Insurance Claims Examiner Property Claims Adjuster Property Damage Claims Adjustor Reinsurance Claims Analyst Residential Insurance Inspector Salvage Determiner Workers' Compensation Claims Adjuster Workers' Compensation Claims Examiner Workers' Compensation Claims Representative Workers' Compensation Examiner