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: 67.0High
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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