Claims Adjusters, Examiners, and Investigators

Does not pass

• Examine claims forms and other records to determine insurance coverage.

  reason given most often: no existing check settles it · 6.2% of the role's time · $1.5B

• 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.

  reason given most often: no existing check settles it · 5.7% of the role's time · $1.4B

• Analyze information gathered by investigation and report findings and recommendations.

  reason given most often: no existing check settles it · 5.6% of the role's time · $1.3B

• 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.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it, and a failure is too expensive · 5.6% of the role's time · $1.3B

• Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it · 5.5% of the role's time · $1.3B

• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

  reason given most often: no existing check settles it · 5.3% of the role's time · $1.3B

• Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.

  reason given most often: no existing check settles it · 5.1% of the role's time · $1.2B · passed by Claude Sonnet · the models disagreed · waiting on a check

• Investigate and assess damage to property and create or review property damage estimates.

  physical work, outside the screen · 4.8% of the role's time · $1.2B

• Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it · 4.6% of the role's time · $1.1B

• Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it · 4.3% of the role's time · $1.0B

• Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.

  an accountable sign-off — stays with a person · 4.2% of the role's time · $995M

• Contact or interview claimants, doctors, medical specialists, or employers to get additional information.

  reason given most often: no existing check settles it · 3.5% of the role's time · $834M

• Communicate with former associates to verify employment record or to obtain background information regarding persons or businesses applying for credit.

  reason given most often: no existing check settles it · 3.5% of the role's time · $834M

• Negotiate claim settlements or recommend litigation when settlement cannot be negotiated.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it, and a failure is too expensive · 3.5% of the role's time · $834M

• Resolve complex, severe exposure claims, using high service oriented file handling.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it, and a failure is too expensive · 3.1% of the role's time · $741M

• Refer questionable claims to investigator or claims adjuster for investigation or settlement.

  reason given most often: no existing check settles it · 2.9% of the role's time · $684M · waiting on a check

• Confer with legal counsel on claims requiring litigation.

  reason given most often: no existing check settles it, and a failure is too expensive · 2.7% of the role's time · $644M

• Present cases and participate in their discussion at claim committee meetings.

  reason given most often: no existing check settles it · 2.3% of the role's time · $561M

• Supervise claims adjusters to ensure that adjusters have followed proper methods.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it · 2.3% of the role's time · $556M

• Collect evidence to support contested claims in court.

  reason given most often: nobody can tell quickly whether it worked, and no existing check settles it, and a failure is too expensive · 2.2% of the role's time · $524M

• Attend mediations or trials.

  physical work, outside the screen · 1.5% of the role's time · $356M

• Conduct detailed bill reviews to implement sound litigation management and expense control.

  reason given most often: no existing check settles it · 1.4% of the role's time · $345M

• Report overpayments, underpayments, and other irregularities.

  reason given most often: no existing check settles it · 1.4% of the role's time · $340M · passed by Claude Sonnet · the models disagreed

• Communicate with reinsurance brokers to obtain information necessary for processing claims.

  reason given most often: no existing check settles it · 0.8% of the role's time · $187M

• Examine titles to property to determine validity and act as company agent in transactions with property owners.

  reason given most often: nobody can tell quickly whether it worked, and a failure is too expensive · 0.8% of the role's time · $180M