Roles · Insurance

AI home office claims specialist

Examines claims forms and records to determine insurance coverage and verify data used in settling claims.

Mele Zhang“I examine claims forms and records to determine insurance coverage.”An example character, not a real person.
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Home office claims specialist · What it does

Three tasks it takes off your hands

  1. Examine claims forms and other records to determine insurance coverage.
  2. Verify and analyse data used in settling claims to ensure validity.
  3. Review police reports and medical records to determine the extent of liability.
Where these come from

The tasks of “Claims Adjusters, Examiners, and Investigators” (O*NET 13-1031.00), as O*NET lists them:

  • Examine claims forms and other records to determine insurance coverage.
  • 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.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Home office claims specialist · Tools and industries

It works in the tools you already use

  • Microsoft Excel
  • Microsoft Office software
  • Microsoft Outlook
  • Apple Safari
  • Microsoft Access
  • Microsoft PowerPoint

Industries it fits

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Role facts from O*NET 31.0 Database (U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), CC BY 4.0), written in our words. Sources and credits

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