Description
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.
Interests
- Conventional
- Enterprising
- Investigative
Work Values
- Support
- Independence
- Working Conditions
Work Styles
- Integrity
- Stress Tolerance
- Dependability
- Attention to Detail
- Initiative
Tasks
- Examine claims forms and other records to determine insurance coverage.
- Analyze information gathered by investigation and report findings and recommendations.
- Pay and process claims within designated authority level.
- 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.
- 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.
Work Activities
- Working with Computers
- Communicating with People Outside the Organization
- Getting Information
- Identifying Objects, Actions, and Events
- Making Decisions and Solving Problems
Detailed Work Activities
- Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
- Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
- Observing, receiving, and otherwise obtaining information from all relevant sources.
- Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
- Analyzing information and evaluating results to choose the best solution and solve problems.
- Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
- Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
- Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
- Developing specific goals and plans to prioritize, organize, and accomplish your work.
- Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
Technology Skills
- Data base user interface and query software
- Video conferencing software
- Document management software
- Expert system software
- Computer aided design CAD software
Abilities
- Written Comprehension
- Oral Comprehension
- Oral Expression
- Deductive Reasoning
- Inductive Reasoning
Skills
- Reading Comprehension
- Active Listening
- Critical Thinking
- Speaking
- Judgment and Decision Making
Knowledge
- Customer and Personal Service
- English Language
- Administrative
- Mathematics
- Computers and Electronics
Most Common Education Level
The “Most Common Education Level” refers to the level of education held by the majority of workers in a given occupation. For example, if the highest percentage of workers in a role have an Associate’s Degree, that suggests this is the typical educational requirement. Knowing this helps you plan how many years of education you may need to pursue that career.
Certificates
Certificate name
Accredited Accident ReconstructionistCertifying Organization
The Accreditation Commission for Traffic Accident Reconstruction
Type
Advanced
Certificate name
Senior Professional Public AdjusterCertifying Organization
The Institutes
Type
Advanced
Certificate name
Certified Insurance Fraud InvestigatorCertifying Organization
International Association of Special Investigation Units
Type
Advanced
Income Percentile
The income percentiles show how earnings are distributed within a profession. The 10th percentile means that 10% of workers earned less than that amount. The median (50th percentile) indicates that half of workers earned more, and half earned less. The 90th percentile reflects what the top 10% of earners in the field make.
| Income Percentile | Annual Income |
|---|---|
| Low (10%) | $52,003 |
| Median (50%) | $76,614 |
| High (90%) | $110,424 |
Income by Experience
This table shows how income typically grows with experience—from entry level (0–2 years), to mid-level (3–5 years), to senior level (6–8 years), to expert level (8+ years).
| Experience | Income |
|---|---|
Entry Level  | $64,069 |
| Mid Level | $82,269 |
| Senior Level | $97,748 |
| Expert Level | $128,992 |
Employability
There are currently 345,200 jobs in this career path. Over the next 10 years, that number is expected to decrease to 330,000 positions, reflecting a projected decline of -4%.
The Projected Job Growth figure refers to the expected increase or decrease in employment within a specific career field over a certain period of time.
Projected Job Growth of -4%
Related Careers
The career information and data on this site incorporates information from O*NET Web Services, Lightcast, CareerOneStop, and the U.S. Bureau of Labor Statistics (BLS). For more details regarding the data sources and the specific information sourced, click here.
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