Occupation information for Claims Adjusters, Examiners, and Investigators District Of Columbia

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Typical education needed for entry: High school diploma or equivalent

Typical work experience needed for a job in this occupation: No work experience

Typical on-the-job training once you have a job in this occupation: More than 1 year on-the-job training

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• 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.
• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
• Investigate and assess damage to property and create or review property damage estimates.
• 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.
• Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.

Tools:

• Automotive computer systems
• Desktop computers
• Measuring wheels for distance
• Notebook computers
• Portable data input terminals

Technology:

• Computer aided design CAD software
• Data base user interface and query software
• Document management software
• Expert system software
• Financial analysis software

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