Insurance Adjusters, Examiners, and Investigators - 13-1031.02

O*NET-SOC Description

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.

DOT Titles Included in this O*NET-SOC Code

  • Claim Adjuster
  • Claim Agent
  • Claim Examiner

Sample of Occupations in this SOC Family

13-1011.00 Agents and Business Managers of Artists, Performers, and Athletes
13-1021.00 Purchasing Agents and Buyers, Farm Products
13-1022.00 Wholesale and Retail Buyers, Except Farm Products
13-1023.00 Purchasing Agents, Except Wholesale, Retail, and Farm Products
13-1031.00 Claims Adjusters, Examiners, and Investigators
13-1031.01 Claims Examiners, Property and Casualty Insurance
13-1031.02 Insurance Adjusters, Examiners, and Investigators
13-1032.00 Insurance Appraisers, Auto Damage
13-1041.00 Compliance Officers, Except Agriculture, Construction, Health and Safety, and Transportation
13-1041.01 Environmental Compliance Inspectors
13-1041.02 Licensing Examiners and Inspectors
13-1041.03 Equal Opportunity Representatives and Officers
13-1041.04 Government Property Inspectors and Investigators
13-1041.06 Coroners
13-1051.00 Cost Estimators
13-1061.00 Emergency Management Specialists
13-1071.00 Employment, Recruitment, and Placement Specialists
13-1071.01 Employment Interviewers
13-1071.02 Personnel Recruiters
13-1072.00 Compensation, Benefits, and Job Analysis Specialists
13-1073.00 Training and Development Specialists
13-1079.99 Human Resources, Training, and Labor Relations Specialists, All Other
13-1081.00 Logisticians

Related Occupations

Tasks

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

Detailed Work Activities

  • analyze credit information gathered by investigation
  • assess vehicle damage
  • assist with business or managerial research
  • calculate insurance premiums or awards
  • compile evidence for court actions
  • compile information for court cases
  • compile information through interviews
  • determine liability
  • estimate damage
  • evaluate customer records
  • examine evidence to determine if it will support charges
  • fill out business or government forms
  • fill out insurance forms
  • follow contract, property, or insurance laws
  • follow rules of evidence procedures in legal setting
  • gather physical evidence
  • inspect property
  • inspect property to determine damages
  • interview customers
  • investigate insurance claims
  • maintain insurance records
  • maintain records, reports, or files
  • make decisions
  • obtain information from individuals
  • prepare reports
  • recommend claim action
  • research property records
  • review data on insurance applications or policies
  • review insurance policies to determine appropriate coverage
  • search legal records
  • transcribe spoken or written information
  • understand property documents
  • use interviewing procedures
  • use knowledge of investigation techniques
  • use negotiation techniques
  • use oral or written communication techniques
  • verify information for credit investigations
  • verify investigative information
  • write business correspondence
  • write vehicle damage repair estimates