Claims Adjuster, Appraiser, Examiner, and Investigator
Claims adjusters, appraisers, examiners, and investigators evaluate insurance claims and determine whether it is the insurance company's responsibility to pay a claim or not. They inspect the damage to the property to determine how much financial obligation belongs to the insurance company. They most often work outside of an office, inspecting damaged property, automobiles or buildings, and conducting surveillance for the insurance company.
How to become a Claims Adjuster, Appraiser, Examiner, and Investigator
Typically, claims adjusters, appraisers, examiners, and investigators need a high school diploma for entry-level claims adjuster, examiner, or investigator. For higher positions it would usually require a bachelor's degree or related insurance work experience.
An auto damage appraiser normally has either a postsecondary non-degree award or work experience in estimating and identifying the cost of automotive repair.
Job Description of a Claims Adjuster, Appraiser, Examiner, and Investigator
Claims adjusters, appraisers, examiners, and investigators have a variety of tasks depending on the type of insurance company they work for, but typically investigate, evaluate and settle insurance claims. They research the insurance policy to find out the amount the insurance company should pay. They conduct surveillance to ensure the claims are not fraudulent.
He or she would need to contact the doctors or employer of the claimant on questionable claims and may confer with legal counsel if necessary. Claims adjusters, appraisers, examiners, and investigators negotiate settlements and authorize payments on the insurance company's behalf. They must have a thorough knowledge about what their company insures.
For instance, they would need to understand housing and construction costs to evaluate fire or flood damage if their company carries property and casualty insurance. In the case of health insurance one must have the ability to determine what types of treatments are needed and which are questionable. An appraiser estimates the value or cost of an insured item and most work for insurance companies as auto damage appraisers.
Claims examiners review submitted claims to be sure adjuster and claimants follow proper guidelines and most work for life or health insurance companies. Insurance investigators deal with claims where the insurance company suspects criminal or fraudulent activity.