Roles · Insurance

AI claims analyst

Examines claims forms and records to determine insurance coverage. Analyses investigation information and reports findings and recommendations. Verifies data used in settling claims.

Nils Ryan“I examine claims forms and analyse investigation information.”An example character, not a real person.
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Claims analyst · What it does

Three tasks it takes off your hands

  1. Examine claims forms and other records to determine insurance coverage.
  2. Analyse information gathered by investigation and report findings and recommendations.
  3. Verify and analyse data used in settling claims to ensure validity.
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.
  • Analyze information gathered by investigation and report findings and recommendations.
  • 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 analyst · 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

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