Career Details for Claims Examiners, Property & Casualty Insurance

Claims Examiners, Property & Casualty Insurance

Also called:

Claims Adjuster, Claims Examiner, Claims Representative, Claims Specialist

What they do:

Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. Confer with legal counsel on claims requiring litigation.

On the job, you would:

  • 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.

lightbulb KNOWLEDGE

Business

  • customer service
  • management

Arts and Humanities

  • English language

Safety and Government

  • law and government

pencil SKILLS

Basic Skills

  • reading work related information
  • writing things for co-workers or customers

Problem Solving

  • noticing a problem and figuring out the best way to solve it

Social

  • bringing people together to solve differences
  • understanding people's reactions

trophy ABILITIES

Verbal

  • listen and understand what people say
  • read and understand what is written

Ideas and Logic

  • use rules to solve problems
  • notice when problems happen

user PERSONALITY

People interested in this work like activities that include data, detail, and regular routines.

  • Integrity
  • Dependability
  • Attention to Detail
  • Stress Tolerance
  • Self Control
  • Cooperation

computer TECHNOLOGY

You might use software like this on the job:

Document management software

  • Agency Management Systems AMS 360
  • BCCORP W5 for Adjusters

Expert system software

  • Axonwave Fraud and Abuse Management System
  • Bill review software

Data base user interface and query software

  • Claims processing administration and management software
  • Fair Isaac Claims Advisor

book EDUCATION

1 cap out of 52 cap out of 53 cap out of 54 cap out of 5 blank cap


bachelor's degree or
high school diploma/GED usually needed

suitcase JOB OUTLOOK

outlook
BELOW AVERAGE

New job opportunities are less likely in the future.

SALARY
$63,680


per year, on average
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