{"v":"2026-11-02","dataVersion":"ONET-30.3+BLS-MAY25","code":"13-1031.00","slug":"claims-adjusters-examiners-and-investigators","title":"Claims Adjusters, Examiners, and Investigators","alt":["Claims Adjuster","Claims Examiner","Claims Specialist","Claims Investigator","Insurance Claims Adjuster","Claims Analyst","Claims Inspector","Claims Representative","Claims Agent","Claims Auditor","Field Liability Generalist","Claims Service Adjustor"],"employment":324230,"wage":{"median":78000,"p25":61160,"p75":98030},"growthPct":-5.1,"exposure":68.5,"taskCount":29,"highCount":26,"midCount":1,"lowCount":2,"aeiObserved":1,"fit":{"mix":{"none":0,"efficient":55,"standard":30.4,"frontier":14.6},"counts":{"none":0,"efficient":16,"standard":9,"frontier":4},"recommended":"standard","coveragePct":85.4,"addressablePct":100},"tasks":[{"t":"Examine claims forms and other records to determine insurance coverage.","imp":4.79,"exp":75,"src":"heuristic","tier":"standard","gwa":"Analyzing Data or Information"},{"t":"Analyze information gathered by investigation and report findings and recommendations.","imp":4.76,"exp":60,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Pay and process claims within designated authority level.","imp":4.75,"exp":50,"src":"heuristic","tier":"efficient","gwa":"Performing Administrative Activities"},{"t":"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.","imp":4.74,"exp":65,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"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.","imp":4.68,"exp":80,"src":"heuristic","tier":"efficient","gwa":"Processing Information"},{"t":"Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.","imp":4.67,"exp":65,"src":"heuristic","tier":"frontier","gwa":"Making Decisions and Solving Problems"},{"t":"Investigate and assess damage to property and create or review property damage estimates.","imp":4.63,"exp":65,"src":"heuristic","tier":"standard","gwa":"Judging the Qualities of Objects, Services, or People"},{"t":"Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.","imp":4.62,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.","imp":4.59,"exp":65,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.","imp":4.57,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Documenting/Recording Information"},{"t":"Resolve complex, severe exposure claims, using high service oriented file handling.","imp":4.49,"exp":75,"src":"heuristic","tier":"frontier","gwa":"Thinking Creatively"},{"t":"Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.","imp":4.43,"exp":60,"src":"heuristic","tier":"frontier","gwa":"Making Decisions and Solving Problems"},{"t":"Confer with legal counsel on claims requiring litigation.","imp":4.41,"exp":75,"src":"heuristic","tier":"standard","gwa":"Communicating with Supervisors, Peers, or Subordinates"},{"t":"Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.","imp":4.39,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Refer questionable claims to investigator or claims adjuster for investigation or settlement.","imp":4.29,"exp":75,"src":"heuristic","tier":"standard","gwa":"Communicating with Supervisors, Peers, or Subordinates"},{"t":"Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.","imp":4.29,"exp":20,"src":"heuristic","tier":"efficient","gwa":"Documenting/Recording Information"},{"t":"Collect evidence to support contested claims in court.","imp":4.26,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Supervise claims adjusters to ensure that adjusters have followed proper methods.","imp":4.17,"exp":75,"src":"heuristic","tier":"frontier","gwa":"Guiding, Directing, and Motivating Subordinates"},{"t":"Contact or interview claimants, doctors, medical specialists, or employers to get additional information.","imp":4.04,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Conduct detailed bill reviews to implement sound litigation management and expense control.","imp":4.01,"exp":65,"src":"heuristic","tier":"standard","gwa":"Evaluating Information to Determine Compliance with Standards"},{"t":"Communicate with reinsurance brokers to obtain information necessary for processing claims.","imp":3.95,"exp":75,"src":"heuristic","tier":"standard","gwa":"Communicating with Supervisors, Peers, or Subordinates"},{"t":"Present cases and participate in their discussion at claim committee meetings.","imp":3.94,"exp":75,"src":"heuristic","tier":"standard","gwa":"Communicating with People Outside the Organization"},{"t":"Report overpayments, underpayments, and other irregularities.","imp":3.81,"exp":75,"src":"heuristic","tier":"standard","gwa":"Communicating with Supervisors, Peers, or Subordinates"},{"t":"Attend mediations or trials.","imp":3.71,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Getting Information"},{"t":"Examine titles to property to determine validity and act as company agent in transactions with property owners.","imp":3.7,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Processing Information"},{"t":"Prepare reports to be submitted to company's data processing department.","imp":3.7,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Documenting/Recording Information"},{"t":"Communicate with former associates to verify employment record or to obtain background information regarding persons or businesses applying for credit.","imp":3,"exp":80,"src":"heuristic","tier":"efficient","gwa":"Processing Information"},{"t":"Negotiate claim settlements or recommend litigation when settlement cannot be negotiated.","imp":3,"exp":40,"src":"aei","tier":"standard","gwa":"Resolving Conflicts and Negotiating with Others","auto":0.4223,"aug":0.5777},{"t":"Obtain credit information from banks and other credit services.","imp":2.94,"exp":75,"src":"heuristic","tier":"efficient","gwa":"Getting Information"}],"adjacent":[{"code":"43-9041.00","slug":"insurance-claims-and-policy-processing-clerks","title":"Insurance Claims and Policy Processing Clerks","overlap":0.74,"months":9,"exposure":77.9,"strong":true},{"code":"13-1032.00","slug":"insurance-appraisers-auto-damage","title":"Insurance Appraisers, Auto Damage","overlap":0.69,"months":11,"exposure":55.4,"strong":true},{"code":"13-2053.00","slug":"insurance-underwriters","title":"Insurance Underwriters","overlap":0.66,"months":12,"exposure":72.2,"strong":true},{"code":"33-9021.00","slug":"private-detectives-and-investigators","title":"Private Detectives and Investigators","overlap":0.65,"months":13,"exposure":41.4,"strong":true},{"code":"23-2093.00","slug":"title-examiners-abstractors-and-searchers","title":"Title Examiners, Abstractors, and Searchers","overlap":0.63,"months":13,"exposure":70,"strong":false}]}