Claims Adjuster

Actuarial Analyst

What do they do?

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.

Click here to view the complete Claims Adjuster Career Pathway. 

Some typical job duties include:

  • Examine claims forms and other records to determine insurance coverage.
  • 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.

Most Important Occupational Skills:

Basic Skills

  • Reading Comprehension
  • Writing
  • Speaking

Technical Skills

  • Operations Monitoring 
  • Quality Control Analysis

Social Skills

  • Negotiation
  • Social Perceptiveness
  • Coordination

 Systems Skills

  • Judgment and Decision Making
  • Systems Analysis
  • Systems Evaluation

Problem Solving Skills

  • Complex Problem Solving 

Resource Management Skills

  • Time Management
  • Management of Personnel Resources
  • Management of Financial Resources

Just the Facts

  • Salary range: $20,000-$100,000
  • Education and Professional Requirements: Entry — High school degree/GED, short term OTJ training; Specialist — Associate's degree, moderate-term OTJ training; Managerial — Bachelor's degree, multiple years of work experience
  • Possible career path: Entry-Level Claims Associate > Claims Specialist > Claims Manager 

Click here to view the complete Claims Adjuster Career Pathway.

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