Careers > Claims Adjusters, Examiners, and Investigators

Claims Adjusters, Examiners, and Investigators

$72.23K Median Salary 24K Job Openings (Annual Projection) -2.7% Job Growth

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About This Career

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.

Reported Job Titles

Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative, Claims Specialist, Corporate Claims Examiner, Field Claims Adjuster, General Adjuster, Home Office Claims Specialist, Litigation Claims Representative

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Skills You'll Need

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Abilities

Written Comprehension

Oral Comprehension

Oral Expression

Deductive Reasoning

Inductive Reasoning

Near Vision

Written Expression

Problem Sensitivity

Speech Clarity

Information Ordering

Speech Recognition

Category Flexibility

Flexibility of Closure

Mathematical Reasoning

Number Facility

Perceptual Speed

Selective Attention

Speed of Closure

Knowledge

Customer and Personal Service

English Language

Administrative

Mathematics

Computers and Electronics

Law and Government

Administration and Management

Economics and Accounting

Skills

Reading Comprehension

Active Listening

Critical Thinking

Speaking

Judgment and Decision Making

Writing

Complex Problem Solving

Monitoring

Social Perceptiveness

Active Learning

Coordination

Negotiation

Service Orientation

Systems Analysis

Time Management

Technology Skills

Office suite software

Video conferencing software

Document management software

Expert system software

Computer aided design CAD software

Financial analysis software

Data base user interface and query software

Medical software

Analytical or scientific software

Access software

Enterprise resource planning ERP software

Internet browser software

Spreadsheet software

Electronic mail software

Desktop publishing software

Interactive voice response software

Word processing software

Data base reporting software

Presentation software

Information retrieval or search software

Tools

Portable data input terminals

Automotive computer systems

Theodolites

Personal digital assistant PDAs or organizers

Measuring wheels for distance

Scanners

Notebook computers

Desktop computers

Personal computers

Tablet computers

Abilities

Written Comprehension: The ability to read and understand information and ideas presented in writing.
Oral Comprehension: The ability to listen to and understand information and ideas presented through spoken words and sentences.
Oral Expression: The ability to communicate information and ideas in speaking so others will understand.
Deductive Reasoning: The ability to apply general rules to specific problems to produce answers that make sense.
Inductive Reasoning: The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
Near Vision: The ability to see details at close range (within a few feet of the observer).
Written Expression: The ability to communicate information and ideas in writing so others will understand.
Problem Sensitivity: The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.
Speech Clarity: The ability to speak clearly so others can understand you.
Information Ordering: The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
Speech Recognition: The ability to identify and understand the speech of another person.
Category Flexibility: The ability to generate or use different sets of rules for combining or grouping things in different ways.
Flexibility of Closure: The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
Mathematical Reasoning: The ability to choose the right mathematical methods or formulas to solve a problem.
Number Facility: The ability to add, subtract, multiply, or divide quickly and correctly.
Perceptual Speed: The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
Selective Attention: The ability to concentrate on a task over a period of time without being distracted.
Speed of Closure: The ability to quickly make sense of, combine, and organize information into meaningful patterns.

Knowledge

Customer and Personal Service: Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
English Language: Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Administrative: Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
Mathematics: Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Computers and Electronics: Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
Law and Government: Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
Administration and Management: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
Economics and Accounting: Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.

Skills

Reading Comprehension: Understanding written sentences and paragraphs in work-related documents.
Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
Speaking: Talking to others to convey information effectively.
Judgment and Decision Making: Considering the relative costs and benefits of potential actions to choose the most appropriate one.
Writing: Communicating effectively in writing as appropriate for the needs of the audience.
Complex Problem Solving: Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
Monitoring: Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
Social Perceptiveness: Being aware of others' reactions and understanding why they react as they do.
Active Learning: Understanding the implications of new information for both current and future problem-solving and decision-making.
Coordination: Adjusting actions in relation to others' actions.
Negotiation: Bringing others together and trying to reconcile differences.
Service Orientation: Actively looking for ways to help people.
Systems Analysis: Determining how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
Time Management: Managing one's own time and the time of others.

Technology Skills

Office suite software: Microsoft Office software
Video conferencing software: Teleconferencing software
Document management software: Adobe Systems Adobe Acrobat; Filing system software; Records management software; Transcription system software
Expert system software: MASterMind
Computer aided design CAD software: Autodesk AutoCAD; Autodesk Revit
Financial analysis software: Delphi Technology
Data base user interface and query software: Blackboard software; Database software; Microsoft Access; Yardi software
Medical software: Henry Schein Dentrix; Medical condition coding software; Medical procedure coding software; MEDITECH software
Analytical or scientific software: Statistical analysis software; TapRooT
Access software: Citrix cloud computing software
Enterprise resource planning ERP software: Oracle JD Edwards EnterpriseOne; Oracle PeopleSoft; Oracle PeopleSoft Financials; SAP software
Internet browser software: Web browser software
Spreadsheet software: Microsoft Excel
Electronic mail software: IBM Notes; Microsoft Exchange; Microsoft Outlook
Desktop publishing software: Adobe Systems Adobe InDesign; Microsoft Publisher
Interactive voice response software: Computerized voice stress analyzer CVSA software
Word processing software: 3M Post-it App; Evernote; Google Docs; Microsoft Word
Data base reporting software: SAP BusinessObjects Crystal Reports
Presentation software: Microsoft PowerPoint
Information retrieval or search software: LexisNexis