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What You Need to Know About Insurance Adjuster, Examiner, or Investigator

Insurance Adjuster, Examiner, or Investigator Job Description Investigate, analyze, and determine the extent of insurance company’s liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit.

A Day in the Life of an Insurance Adjuster, Examiner, or Investigator

  • Obtain credit information from banks and other credit services.
  • Analyze information gathered by investigation and report findings and recommendations.
  • Examine claims forms and other records to determine insurance coverage.
  • Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit.
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

Insurance Adjuster, Examiner, or Investigator Needed Skills

Below is a list of the skills most Insurance Adjusters, Examiners, and Investigators say are important on the job.

Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Reading Comprehension: Understanding written sentences and paragraphs in work related documents.

Speaking: Talking to others to convey information effectively.

Negotiation: Bringing others together and trying to reconcile differences.

Writing: Communicating effectively in writing as appropriate for the needs of the audience.

  • Disability Examiner
  • General Adjuster
  • Fire Adjuster
  • Medical Claims Examiner
  • Accident Investigator

Job Outlook for Insurance Adjusters, Examiners, and Investigators

In the United States, there were 311,100 jobs for Insurance Adjuster, Examiner, or Investigator in 2016. There is little to no growth in job opportunities for Insurance Adjuster, Examiner, or Investigator. There will be an estimated 24,500 positions for Insurance Adjuster, Examiner, or Investigator per year.

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The states with the most job growth for Insurance Adjuster, Examiner, or Investigator are Utah, Arizona, and Colorado. Watch out if you plan on working in Maine, District of Columbia, or Mississippi. These states have the worst job growth for this type of profession.

How Much Does an Insurance Adjuster, Examiner, or Investigator Make?

The average yearly salary of an Insurance Adjuster, Examiner, or Investigator ranges between $39,620 and $98,660.

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Insurance Adjusters, Examiners, and Investigators who work in Connecticut, Massachusetts, or New Jersey, make the highest salaries.

How much do Insurance Adjusters, Examiners, and Investigators make in each U.S. state?

State Annual Mean Salary
Alabama $65,060
Alaska $73,370
Arizona $67,340
Arkansas $61,930
California $71,720
Colorado $72,460
Connecticut $78,590
Delaware $63,440
District of Columbia $74,210
Florida $62,840
Georgia $65,430
Hawaii $62,860
Idaho $63,020
Illinois $65,980
Indiana $63,480
Iowa $62,750
Kansas $67,570
Kentucky $55,820
Louisiana $66,440
Maine $60,980
Maryland $72,050
Massachusetts $76,150
Michigan $67,860
Minnesota $65,760
Mississippi $62,700
Missouri $66,340
Montana $55,970
Nebraska $61,050
Nevada $65,510
New Hampshire $71,190
New Jersey $74,260
New Mexico $63,890
New York $71,950
North Carolina $62,580
North Dakota $58,580
Ohio $65,890
Oklahoma $61,670
Oregon $67,750
Pennsylvania $67,730
Rhode Island $71,950
South Carolina $62,950
South Dakota $61,490
Tennessee $60,550
Texas $69,560
Utah $59,330
Vermont $66,240
Virginia $63,640
Washington $72,340
West Virginia $57,030
Wisconsin $63,420
Wyoming $65,300

What Tools do Insurance Adjusters, Examiners, and Investigators Use?

Below is a list of the types of tools and technologies that Insurance Adjusters, Examiners, and Investigators may use on a daily basis:

  • Microsoft Excel
  • Microsoft Word
  • Microsoft Office
  • Medical procedure coding software
  • Healthcare common procedure coding system HCPCS
  • Document management system software
  • CGI-AMS BureauLink Enterprise
  • Hyland OnBase Enterprise Content Management
  • Axonwave Fraud and Abuse Management System
  • ISO NetMap for Claims
  • LexisNexis RiskWise
  • StrataCare StrataWare eReview
  • ISO ClaimSearch
  • ADP software
  • CCC Pathways Appraisal Quality Solution
  • IBM Fraud and Abuse Management System
  • Hummingbird Legal Bill Review
  • Agency Management Systems AMS 360
  • Automatic Data Processing Autosource
  • Automatic Data Processing Claims Manager & Dispatch

How do I Become an Insurance Adjuster, Examiner, or Investigator?

What education or degrees do I need to become an Insurance Adjuster, Examiner, or Investigator?

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What work experience do I need to become an Insurance Adjuster, Examiner, or Investigator?

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Where Insurance Adjusters, Examiners, and Investigators Are Employed

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The table below shows the approximate number of Insurance Adjusters, Examiners, and Investigators employed by various industries.

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You May Also Be Interested In…

Those thinking about becoming an Insurance Adjuster, Examiner, or Investigator might also be interested in the following careers:

Career changers with experience as an Insurance Adjuster, Examiner, or Investigator sometimes find work in one of the following fields:

References:

Image Credit: Nick Youngson via Creative Commons 3 - CC BY-SA 3.0

More about our data sources and methodologies.

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