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Insurance Adjuster, Examiner, or Investigator

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What is an Insurance Adjuster, Examiner, or Investigator?

Insurance Adjuster, Examiner, or Investigator Example 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.

What Do Insurance Adjusters, Examiners, and Investigators Do On a Daily Basis?

  • Examine claims forms and other records to determine insurance coverage.
  • Prepare report of findings of investigation.
  • Obtain credit information from banks and other credit services.
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement.
  • Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
  • Examine titles to property to determine validity and act as company agent in transactions with property owners.

What Skills Do You Need to Work as an Insurance Adjuster, Examiner, or Investigator?

Below is a list of the skills most Insurance Adjusters, Examiners, and Investigators say are important on the job.

Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

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.

Reading Comprehension: Understanding written sentences and paragraphs in work related documents.

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.

Other Insurance Adjuster, Examiner, or Investigator Job Titles

  • Insurance Inspector
  • Claim Agent
  • Disability Analyst
  • Claim Inspector
  • Workers Compensation Claims Adjuster

Insurance Adjuster, Examiner, or Investigator Employment Estimates

In 2016, there was an estimated number of 311,100 jobs in the United States for Insurance Adjuster, Examiner, or Investigator. There is little to no growth in job opportunities for Insurance Adjuster, Examiner, or Investigator. Due to new job openings and attrition, there will be an average of 24,500 job openings in this field each year.

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The states with the most job growth for Insurance Adjuster, Examiner, or Investigator are Utah, Arizona, and Colorado. Watch out if you plan on working in Maine, District of Columbia, or Mississippi. These states have the worst job growth for this type of profession.

Insurance Adjuster, Examiner, or Investigator Salary

Insurance Adjusters, Examiners, and Investigators make between $39,620 and $98,660 a year.

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Insurance Adjusters, Examiners, and Investigators who work in Connecticut, Massachusetts, or New Jersey, make the highest salaries.

How much do Insurance Adjusters, Examiners, and Investigators make in different U.S. states?

State Annual Mean Salary
Alabama $65,060
Alaska $73,370
Arizona $67,340
Arkansas $61,930
California $71,720
Colorado $72,460
Connecticut $78,590
Delaware $63,440
District of Columbia $74,210
Florida $62,840
Georgia $65,430
Hawaii $62,860
Idaho $63,020
Illinois $65,980
Indiana $63,480
Iowa $62,750
Kansas $67,570
Kentucky $55,820
Louisiana $66,440
Maine $60,980
Maryland $72,050
Massachusetts $76,150
Michigan $67,860
Minnesota $65,760
Mississippi $62,700
Missouri $66,340
Montana $55,970
Nebraska $61,050
Nevada $65,510
New Hampshire $71,190
New Jersey $74,260
New Mexico $63,890
New York $71,950
North Carolina $62,580
North Dakota $58,580
Ohio $65,890
Oklahoma $61,670
Oregon $67,750
Pennsylvania $67,730
Rhode Island $71,950
South Carolina $62,950
South Dakota $61,490
Tennessee $60,550
Texas $69,560
Utah $59,330
Vermont $66,240
Virginia $63,640
Washington $72,340
West Virginia $57,030
Wisconsin $63,420
Wyoming $65,300

Tools & Technologies Used by Insurance Adjusters, Examiners, and Investigators

Although they’re not necessarily needed for all jobs, the following technologies are used by many Insurance Adjusters, Examiners, and Investigators:

  • Microsoft Excel
  • Microsoft Word
  • Microsoft Office
  • Medical procedure coding software
  • Healthcare common procedure coding system HCPCS
  • Document management system software
  • CGI-AMS BureauLink Enterprise
  • Hyland OnBase Enterprise Content Management
  • Axonwave Fraud and Abuse Management System
  • ISO NetMap for Claims
  • LexisNexis RiskWise
  • StrataCare StrataWare eReview
  • ISO ClaimSearch
  • ADP software
  • CCC Pathways Appraisal Quality Solution
  • IBM Fraud and Abuse Management System
  • Hummingbird Legal Bill Review
  • Agency Management Systems AMS 360
  • Automatic Data Processing Autosource
  • Automatic Data Processing Claims Manager & Dispatch

How to Become an Insurance Adjuster, Examiner, or Investigator

What kind of Insurance Adjuster, Examiner, or Investigator requirements are there?

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How many years of work experience do I need?

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Where Insurance Adjusters, Examiners, and Investigators Work

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The table below shows the approximate number of Insurance Adjusters, Examiners, and Investigators employed by various industries.

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Other Jobs You May be Interested In

Those interested in being an Insurance Adjuster, Examiner, or Investigator may also be interested in:

Are you already one of the many Insurance Adjuster, Examiner, or Investigator in the United States? If you’re thinking about changing careers, these fields are worth exploring:

References:

Image Credit: Nick Youngson via Creative Commons 3 - CC BY-SA 3.0

More about our data sources and methodologies.

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