Skip navigation

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.

Sample of Reported Job Titles

  • Claim Representative
  • Claims Adjuster
  • Claims Analyst
  • Claims Examiner
  • Claims Representative
  • Claims Specialist
  • Field Liability Generalist
  • General Adjuster
  • Independent Insurance Adjuster
  • Litigation Claim Representative

SOC Occupation Groups

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 claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
  • Investigate and assess damage to property and create or review property damage estimates.
  • 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.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Detailed Work Activities

  • Advise others on legal or regulatory compliance matters.
  • Appraise property values.
  • Calculate data to inform organizational operations.
  • Collect evidence for legal proceedings.
  • Estimate costs of goods or services.
  • Gather financial records.
  • Interview witnesses, suspects, or claimants.
  • Investigate legal issues.
  • Negotiate agreements to resolve disputes.
  • Prepare legal or investigatory documentation.
  • Report information to managers or other personnel.
  • Verify accuracy of records.
  • Verify application data to determine program eligibility.

Military Crosswalk Titles

  • LDO - Judge Advocate General Corps (Navy - Commissioned Officer only)
  • SC - Judge Advocate General Corps (Navy - Commissioned Officer only)

Apprenticeship Crosswalk Titles

No information available.

DOT Crosswalk Titles

  • Claim Adjuster
  • Claim Agent
  • Claim Examiner