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Claims Adjuster, Appraiser, Examiner, and Investigator

Minimum Education Required for this Career

Basic Certificate
Advanced Certificate
Associate's Degree
4+ year Degree
Basic Certificate
$38,926

City Colleges Program Options

Nature of the Work

Claims adjusters, appraisers, examiners, and investigators typically:

  • 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.
  • Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
  • Resolve complex, severe exposure claims, using high service oriented file handling.
  • Pay and process claims within designated authority level.
  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
  • 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.
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • Confer with legal counsel on claims requiring litigation.
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
  • Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Click here to learn more about 13-1031 Claims Adjusters, Appraisers, Examiners, and Investigators.

Training, Other Qualifications, and Advancement

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Career Disclaimer

Wage estimates are based on Occupational Employment Statistics and the American Community Survey. Wage estimates are also affected by county-level Economic Modeling Specialists Intl. (EMSI) earnings by industry. The Nature of the Work description is from O*Net Online, sponsored by the U.S. Department of Labor.