CompGeo Salary Survey Benchmark Job Summary and Competencies

Insurance Adjusters, Examiners, and Investigators

Insurance Adjusters, Examiners, and Investigators

The Benchmark Job Description below represents the specific Position Characteristics of the job used in the Salary Survey. Benchmark Job Descriptions should be inspected carefully to review the degree of matching between an organizations' Job and the Salary Survey Benchmark. Matching internal Jobs to Salary Survey Benchmark Jobs should not be done on Job Title alone. A thorough comparison of Salary Survey Benchmark to Internal Job Descriptions is recommended. A good overlap should exist on any comparisons used on critical Job Dimensions and Competencies.
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
Summary Job Description Tasks
Investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit. Claims adjusters, examiners, and investigators work primarily for property and casualty insurance companies, for whom they handle a wide variety of claims for property damage, liability, and bodily injury. Their main role is to investigate the claims, negotiate settlements, and authorize payments to claimants, but they must always be mindful not to violate the claimants rights under Federal and State privacy laws. They must determine whether the customers insurance policy covers the loss and how much of t he loss should be paid to the claimant. Although many adjusters, appraisers, examiners, and investigators have overlapping functions and may even perform the same job, the insurance industry generally assigns specific roles to each of these claims workers.
 
Examine claims forms and other records to determine insurance coverage.
 
Analyze information gathered by investigation, and report findings and recommendations.
 
Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
 
Prepare report of findings of investigation.
 
Collect evidence to support contested claims in court.
 
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
 
Refer questionable claims to investigator or claims adjuster for investigation or settlement.
 
Examine titles to property to determine validity and act as company agent in transactions with property owners.
 
Obtain credit information from banks and other credit services.
 
Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
 
Investigate and assess damage to property and create or review property damage estimates.
 
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
 
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
Important Knowledge Competencies Competency Description
English Language Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
 
Customer and Personal Service Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
 
Clerical Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
 
Law and Government Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
 
Mathematics Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
 
Building and Construction Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
Important Skill Competencies Competency Description
Reading Comprehension Understanding written sentences and paragraphs in work related documents.
 
Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
 
Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
 
Speaking Talking to others to convey information effectively.
 
Negotiation Bringing others together and trying to reconcile differences.
 
Writing Communicating effectively in writing as appropriate for the needs of the audience.
 
Active Learning Understanding the implications of new information for both current and future problem-solving and decision-making.
 
Social Perceptiveness Being aware of others' reactions and understanding why they react as they do.
 
Judgment and Decision Making Considering the relative costs and benefits of potential actions to choose the most appropriate one.
 
Complex Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
 
Time Management Managing one's own time and the time of others.
 
Mathematics Using mathematics to solve problems.
 
Coordination Adjusting actions in relation to others' actions.
 
Persuasion Persuading others to change their minds or behavior.
 
Service Orientation Actively looking for ways to help people.
 
Monitoring Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
 
Management of Financial Resources Determining how money will be spent to get the work done, and accounting for these expenditures.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
Important Ability Competencies Competency Description
Oral Comprehension The ability to listen to and understand information and ideas presented through spoken words and sentences.
 
Written Comprehension The ability to read and understand information and ideas presented in writing.
 
Oral Expression The ability to communicate information and ideas in speaking so others will understand.
 
Deductive Reasoning The ability to apply general rules to specific problems to produce answers that make sense.
 
Inductive Reasoning The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
 
Speech Clarity The ability to speak clearly so others can understand you.
 
Written Expression The ability to communicate information and ideas in writing so others will understand.
 
Problem Sensitivity The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
 
Near Vision The ability to see details at close range (within a few feet of the observer).
 
Information Ordering The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
 
Speech Recognition The ability to identify and understand the speech of another person.
 
Category Flexibility The ability to generate or use different sets of rules for combining or grouping things in different ways.
 
Number Facility The ability to add, subtract, multiply, or divide quickly and correctly.
 
Selective Attention The ability to concentrate on a task over a period of time without being distracted.
 
Mathematical Reasoning The ability to choose the right mathematical methods or formulas to solve a problem.
 
Speed of Closure The ability to quickly make sense of, combine, and organize information into meaningful patterns.
 
Perceptual Speed The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
 
Far Vision The ability to see details at a distance.
 
Flexibility of Closure The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
 
Fluency of Ideas The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
 
Visualization The ability to imagine how something will look after it is moved around or when its parts are moved or rearranged.
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
Prerequisite Qualification Category Education and Experience Level
Required Level of Education Bachelor's Degree
 
On-Site or In-Plant Training Up to and including 1 month
 
On-the-Job Training Over 1 month, up to and including 3 months
 
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
Alternate Job Title(s)
Accident Investigator
Adjuster
Adjustment Clerk
Appraiser
Arson Investigator
Auto Claims Adjuster
Benefit Authorizer
Bodily Injury Adjuster
Building Appraiser
Catastrophe Claims Supervisor
Claim Adjuster
Claim Agent
Claim Approver
Claim Examiner
Claim Inspector
Claim Investigator
Claim Processor
Claim Representative
Claim Specialist
Claims Adjuster
Claims Adjustor
Claims Analyst
Claims Analyst
Claims Examiner
Claims Manager
Claims Representative
Claims Specialist
Clerical Adjuster
Compensation Adjuster
Disability Examiner
Disability Specialist
Estimator
Examiner
Field Adjuster
Field Liability Generalist
Fire Adjuster
Fire Claims Adjuster
General Adjuster
Health Claims Examiner
Health Claims Examiner
Health Insurance Adjuster
Independent Insurance Adjuster
Independent Insurance Adjuster
Inspector
Insurance Adjuster
Insurance Appraiser
Insurance Claims Adjuster
Investigator
Job Estimator
Litigation Claim Representative
Material Damage Adjuster
Medical Claims Analyst
Medical Claims Analyst
Medical Claims Examiner
Medical Claims Examiner
Medical Claims Specialist
Multi-line Claims Adjuster
Property Adjuster
Property Claims Adjuster
Property Damage Claims Adjustor
Property and Casualty Insurance Claims Examiner
Reinsurance Claims Analyst
Salvage Determiner
Telephone Claims Representative
Workers Compensation Claims Adjuster
Workers Compensation Claims Adjuster
Workers Compensation Claims Examiner
 
CompGeo Occupation Group: Insurance
Job Family: Insurance Agent
Benchmark Title: Insurance Adjusters, Examiners, and Investigators
 
 
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