Claims Adjusters, Examiners, and Investigators

01

Examine claims forms and other records to determine insurance coverage.

02

Analyze information gathered by investigation and report findings and recommendations.

03

Pay and process claims within designated authority level.

04

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.

05

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.

06

Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

07

Investigate and assess damage to property and create or review property damage estimates.

08

Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.

09

Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

10

Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.