Occupation information for Claims Adjusters, Examiners, and Investigators Washington

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.

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details

Currently Employed: 5,960

Projected Annual Job Openings: 410

Typical Hourly Wage: $30.72 - $45.79

Typical Annual Salary: $63,910 - $95,230

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typical training

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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typical job duties
  • 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 & technology
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