Claims Adjusters, Examiners, and Investigators

SOC Code: 13-1031

Claims Adjusters, Examiners, and Investigatorss examine claims forms and other records to determine insurance coverage. This career typically requires considerable preparation (2-4 years). With an AI-proof score of 67.0/100, this role has moderate resilience to automation. Key skills include Reading Comprehension, Active Listening, Critical Thinking.

AI-Proof Score: 67.0 — High
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Median Salary

$76,790

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Job Growth

-5.1%

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Training Time

Considerable preparation (2-4 years)

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Job Zone

Zone 4 / 5

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Training Cost

~$40,000

Key Skills

  • •Reading Comprehension
  • •Active Listening
  • •Critical Thinking
  • •Speaking
  • •Writing
  • •Monitoring

Common Tasks

  • ✓Examine claims forms and other records to determine insurance coverage.
  • ✓Analyze information gathered by investigation and report findings and recommendations.
  • ✓Pay and process claims within designated authority level.
  • ✓Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • ✓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.

Why AI-Proof?

  • ✅Requires hands-on physical presence and dexterity
  • ✅Demands human empathy, judgment, and trust
  • ✅Operates in unpredictable, variable environments
  • ✅Social and regulatory barriers to full automation