Insurance Adjusters, Examiners, and Investigators

Bookmark Print History Journal
x

Journal


    • Please sign in to view journal entries
x

Your Employment History in this Occupation

Please sign in to view Employment History
x
Rating
x

Please fill out the fields below to e-mail someone a link to this page

x
Please sign in to bookmark occupations

About the Job

Investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit.

It is also Called

  • Workers Compensation Claims Adjuster
  • Telephone Claims Representative
  • Salvage Determiner
  • Residential Insurance Inspector
  • Property Claims Adjuster
  • Property Adjuster
  • Multi-line Claims Adjuster
  • Medical Claims Specialist
  • Medical Claims Examiner
  • Medical Claims Analyst
View All

What They Do

  • Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
  • Examine titles to property to determine validity and act as company agent in transactions with property owners.
  • Obtain credit information from banks and other credit services.
  • Collect evidence to support contested claims in court.
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement.
  • Prepare report of findings of investigation.
  • Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
  • Analyze information gathered by investigation and report findings and recommendations.
  • Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Interests

People who work in this occupation generally have the interest code: CE.

This means people who work in this occupation generally have Conventional interests, but also prefer Enterprising environments.

Work Values

People who work in this occupation generally prize Support, but also value Working Conditions and Relationships in their jobs.

Things They Need to Know

  • English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • 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.
  • Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  • Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
  • Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Things They Need to Be Able to Do

  • 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.
  • Negotiation - Bringing others together and trying to reconcile differences.
  • Writing - Communicating effectively in writing as appropriate for the needs of the audience.
  • Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.

Education Required

Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

Wages

In 2016, the average annual wage in Pennsylvania was $62,360 with most people making between $37,030 and $91,590

Outlook

0.25%
avg. annual growth

During 2014, this occupation employed approximately 14,130 people in Pennsylvania. It is projected that there will be 14,480 employed in 2024.

This occupation will have about 35 openings due to growth and about 345 replacement openings for approximately 380 total annual openings.



Pennsylvania Department of Education