According to people in this career, the main tasks are...
| Task | Importance |
|---|---|
| Examine claims forms and other records to determine insurance coverage. | 95% |
| Analyze information gathered by investigation and report findings and recommendations. | 95% |
| Pay and process claims within designated authority level. | 95% |
| 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. | 94% |
| 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. | 93% |
| Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability. | 93% |
| Investigate and assess damage to property and create or review property damage estimates. | 92% |
| Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims. | 92% |
| Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review. | 91% |
| Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. | 91% |
| Resolve complex, severe exposure claims, using high service oriented file handling. | 89% |
| Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. | 88% |
| Confer with legal counsel on claims requiring litigation. | 88% |
| Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. | 87% |
| Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. | 85% |
| Refer questionable claims to investigator or claims adjuster for investigation or settlement. | 85% |
| Collect evidence to support contested claims in court. | 85% |
| Supervise claims adjusters to ensure that adjusters have followed proper methods. | 83% |
| Contact or interview claimants, doctors, medical specialists, or employers to get additional information. | 80% |
| Conduct detailed bill reviews to implement sound litigation management and expense control. | 80% |
| Communicate with reinsurance brokers to obtain information necessary for processing claims. | 79% |
| Present cases and participate in their discussion at claim committee meetings. | 78% |
| Report overpayments, underpayments, and other irregularities. | 76% |
| Attend mediations or trials. | 74% |
| Examine titles to property to determine validity and act as company agent in transactions with property owners. | 74% |
| Prepare reports to be submitted to company's data processing department. | 74% |
| Obtain credit information from banks and other credit services. | 58% |
