Claims Adjusters, Examiners, and Investigators
Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims.
Broad Category
Claims Adjusters, Examiners, and Investigators is a broad occupational category. Individual risk scores are calculated for each specialization below.
Specializations (2)
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Related News
Recent articles about AI affecting this occupation
AI Automation Shifts Insurance Jobs from Data Entry to Decisions
Insurers are rapidly adopting AI to convert raw documents into decision-ready data, bypassing traditional manual processing. This intelligent automation eliminates routine data entry roles while increasing demand for analytical staff who can act on AI outputs.
The Adjuster’s Year Ahead: What AI Will and Won’t Change About the Job
Insurance carriers are deploying AI to scan claim files for costly legal risks, shifting the daily workflow of claims adjusters. While routine document review is being automated, human oversight remains critical for complex litigation defense.
Duck Creek's New Agentic AI Targets Underwriting and Claims Jobs
The insurance tech provider released an AI platform capable of making autonomous decisions across property and casualty workflows. This directly targets the daily tasks of underwriters and claims adjusters.
Insurance Claims Adjusters Lag Behind in AI Adoption by 1.8x
Only 42% of insurance claims professionals currently use AI tools, compared to a 78% adoption rate across all other industries. This massive gap highlights a sector ripe for technological disruption and workforce upskilling.
AI supports coverage decisions, but humans hold the line
Despite the integration of AI in healthcare insurance workflows, human oversight remains mandatory for final coverage approvals and denials. This ensures medical coding and billing professionals retain critical roles as reviewers rather than being fully replaced.