Insurance Adjusters, Examiners, and Investigators

Course Advisor, Inc.; United States; On-site; USD 39,620 - 98,660; Full time

Job summary

Course Advisor is looking for an Insurance Adjuster, Examiner, or Investigator to investigate insurance claims, analyze liability, and communicate with various stakeholders. The ideal candidate will exhibit strong critical thinking, active listening, and negotiation skills. The role requires effective writing abilities to convey information clearly and concisely. Compensation ranges from $39,620 to $98,660 annually, depending on experience and qualifications.

Qualifications

• Proven critical thinking and analytical skills.
• Ability to communicate effectively with various stakeholders.
• Strong negotiation and writing abilities.

Responsibilities

• Investigate and determine insurance company liability.
• Communicate with specialists and claimants for information.
• Calculate benefit payments and approve claims.

Skills

Critical Thinking

Active Listening

Reading Comprehension

Speaking

Negotiation

Writing

Tools

Microsoft Excel

Microsoft Word

Medical procedure coding software

CLAIMS management software

Job description

Insurance Adjuster, Examiner, or Investigator

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.

A Day in the Life of an Insurance Adjuster, Examiner, or Investigator

• Obtain credit information from banks and other credit services.
• Analyze information gathered by investigation and report findings and recommendations.
• Examine claims forms and other records to determine insurance coverage.
• Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
• 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.

Insurance Adjuster, Examiner, or Investigator Needed Skills

• Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• 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.
• Reading Comprehension: Understanding written sentences and paragraphs in work related documents.
• 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.

Related Job Titles for this Occupation

• Disability Examiner
• General Adjuster
• Fire Adjuster
• Medical Claims Examiner
• Accident Investigator

Job Outlook for Insurance Adjusters, Examiners, and Investigators

In the United States, there were 311,100 jobs for Insurance Adjuster, Examiner, or Investigator in 2016. There is little to no growth in job opportunities for Insurance Adjuster, Examiner, or Investigator. There will be an estimated 24,500 positions for Insurance Adjuster, Examiner, or Investigator per year.

The states with the most job growth for Insurance Adjuster, Examiner, or Investigator are Utah, Arizona, and Colorado. Watch out if you plan on working in Maine, District of Columbia, or Mississippi. These states have the worst job growth for this type of profession.

How Much Does an Insurance Adjuster, Examiner, or Investigator Make?

The average yearly salary of an Insurance Adjuster, Examiner, or Investigator ranges between $39,620 and $98,660.

Insurance Adjusters, Examiners, and Investigators who work in Connecticut, Massachusetts, or New Jersey, make the highest salaries.

What Tools do Insurance Adjusters, Examiners, and Investigators Use?

• Microsoft Excel
• Microsoft Word
• Microsoft Office
• Medical procedure coding software
• Healthcare common procedure coding system HCPCS
• Document management system software
• CGI-AMS BureauLink Enterprise
• Hyland OnBase Enterprise Content Management
• Axonwave Fraud and Abuse Management System
• ISO NetMap for Claims
• LexisNexis RiskWise
• StrataCare StrataWare eReview
• ISO ClaimSearch
• ADP software
• CCC Pathways Appraisal Quality Solution
• IBM Fraud and Abuse Management System
• Hummingbird Legal Bill Review
• Agency Management Systems AMS 360
• Automatic Data Processing Autosource
• Automatic Data Processing Claims Manager & Dispatch

References

• Bureau of Labor Statistics
• College Factual
• O*NET Online