Roles · Insurance

AI claims adjuster

Examines claims forms and records to determine insurance coverage and verifies data used in settling claims.

Ezra Jones“I examine claims forms and verify data used in settling claims.”An example character, not a real person.
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Claims adjuster · What it does

Three tasks it takes off your hands

  1. Examine claims forms and other records to determine insurance coverage.
  2. Pay and process claims within designated authority level.
  3. Verify and analyse data used in settling claims.
Where these come from

The tasks of “Claims Adjusters, Examiners, and Investigators” (O*NET 13-1031.00), as O*NET lists them:

  • Examine claims forms and other records to determine insurance coverage.
  • Pay and process claims within designated authority level.
  • 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.

Claims adjuster · Tools and industries

It works in the tools you already use

  • Microsoft Excel
  • Microsoft Office software
  • Microsoft Outlook
  • Apple Safari
  • Microsoft Access
  • Microsoft PowerPoint

Industries it fits

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Role facts from O*NET 31.0 Database (U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), CC BY 4.0), written in our words. Sources and credits