What You'll Do

  • Examine claims forms and other records to determine insurance coverage.
  • Analyze information gathered by investigation and report findings and recommendations.
  • 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.
  • 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.
  • Pay and process claims within designated authority level.

Essential Skills

Reading Comprehension 4.12/5
Active Listening 4.0/5
Critical Thinking 4.0/5
Speaking 3.88/5
Judgment and Decision Making 3.75/5
Writing 3.62/5
Complex Problem Solving 3.5/5
Monitoring 3.38/5
Social Perceptiveness 3.38/5
Active Learning 3.25/5
Coordination 3.25/5
Negotiation 3.12/5

Career Fit Overview

Use this summary to understand the kind of profile this role rewards. It helps you judge whether this career looks like a stronger match than your current role, a nearby move worth exploring, or a broader path to compare more seriously.

Top passions

  • Organizer: Bringing order to data and processes satisfies you.
  • Leader: Taking charge and moving ideas forward motivates you.
  • Analyst: Investigating problems and finding patterns keeps you engaged.

Common styles

Attention to Detail, Dependability, Integrity, Cautiousness, Perseverance

Want a personal read on fit? Take the free assessment and compare this career to your current role, nearby alternatives, and broader stronger-fit options.

Key Abilities

This career demands strong capabilities in the following areas:

Written Comprehension 4.38/5
Oral Comprehension 4.12/5
Oral Expression 4.12/5
Deductive Reasoning 4.0/5
Inductive Reasoning 4.0/5
Written Expression 3.88/5
Near Vision 3.88/5
Problem Sensitivity 3.62/5

Technologies & Tools

CCC EZNet electronic communications network CSC Automated Work Distributor AWD Injury Sciences EDR InSight Insurance claims fraud detection software Magnify Predictive Targeting System Bill review software 4n6xprt Systems StiffCalcs ARSoftware WinSMAC CAD Zone Insurance MapScenes Evidence Recorder MapScenes Pro PhotoModeler Visual Statement Investigator Suite Corporate Systems ClaimsPro Claims processing administration and management software Fair Isaac Claims Advisor Microsoft Access Tropics Claims Reserve Management Xactware Xactimate Microsoft Publisher

Work Environment & Strengths

Common Strengths for This Career

  • Attention to Detail (High importance: 4.78/5)
  • Dependability (High importance: 4.69/5)
  • Integrity (High importance: 4.67/5)
  • Cautiousness (High importance: 4.57/5)
  • Perseverance (High importance: 4.2/5)

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How to Become One

Most employers require a bachelor's degree in a relevant field. Some positions may also require experience through internships, co-ops, or entry-level work to strengthen your candidacy.

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Also Known As

This career is known by many different job titles across industries. Here are all the variations:

Accident Investigator Adjuster Adjustment Clerk Benefit Authorizer Bodily Injury Claims Adjuster Bodily Injury Claims Examiner Claims Account Specialist Claims Adjuster Claims Adjustor Claims Agent Claims Analyst Claims Approver Claims Auditor Claims Consultant Claims Examiner Claims Inspector Claims Investigator Claims Processor Claims Representative Claims Service Adjustor Claims Service Specialist Claims Specialist Clerical Adjuster Commercial Insurance Inspector Compensation Adjuster Corporate Claims Examiner Disability Analyst Disability Examiner Disability Specialist Field Claims Adjuster Field Investigator Field Liability Generalist Field Property Claims Adjuster Field Property Claims Specialist Fire Adjuster Fire Claims Adjuster General Adjuster Health Claims Examiner Health Insurance Adjuster Home Office Claims Examiner Home Office Claims Specialist Independent Insurance Adjuster Insurance Adjuster Insurance Appraiser Insurance Auditor Insurance Claims Adjuster Insurance Examiner Insurance Fraud Investigator Insurance Inspector Investigator Liability Claims Examiner Liability Claims Representative Litigation Claims Representative Litigation Examiner Medical Claims Analyst Medical Claims Examiner Medical Claims Specialist Property Adjuster Property Claims Adjuster Property Damage Claims Adjustor Property and Casualty Insurance Claims Examiner Reinsurance Claims Analyst Residential Insurance Inspector Salvage Determiner Workers' Compensation Claims Adjuster Workers' Compensation Claims Examiner Workers' Compensation Claims Representative Workers' Compensation Examiner

Career Fit FAQs

Is this career a good fit for me

This page shows the role itself. To see personal fit, use the assessment to compare your interests, motivations, and strengths against this career and against the role you are in now.

Can this help if I want to stay in my field

Yes. Many people use career pages like this to compare nearby roles in the same field and see whether they need a full switch or a better-fit version of the work they already know.

What should I compare first

Start with the daily tasks, the preparation level, and the work-style signals on this page. Then use the assessment to see whether this role looks like a stronger fit than your current role or just a different title.