{
  "entityType": "role",
  "schemaVersion": "role.v1",
  "slug": "role-13-1031-00",
  "socCode": "13-1031.00",
  "title": "Claims Adjusters, Examiners, and Investigators",
  "summary": "Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims.",
  "aliases": [
    "Claims Adjuster",
    "Claims Analyst",
    "Claims Examiner",
    "Claims Representative",
    "Claims Specialist",
    "Corporate Claims Examiner",
    "Field Claims Adjuster",
    "General Adjuster",
    "Home Office Claims Specialist",
    "Litigation Claims Representative",
    "Accident Investigator",
    "Adjuster"
  ],
  "tasks": [
    {
      "text": "Examine claims forms and other records to determine insurance coverage.",
      "type": "Core",
      "iwa": "4.A.2.a.4.g"
    },
    {
      "text": "Analyze information gathered by investigation and report findings and recommendations.",
      "type": "Core",
      "iwa": "4.A.1.a.1.c"
    },
    {
      "text": "Pay and process claims within designated authority level.",
      "type": "Core",
      "iwa": "4.A.4.c.1.c"
    },
    {
      "text": "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.",
      "type": "Core",
      "iwa": "4.A.1.a.1.c"
    },
    {
      "text": "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.",
      "type": "Core",
      "iwa": "4.A.2.a.2.a"
    },
    {
      "text": "Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.",
      "type": "Core",
      "iwa": "4.A.2.b.1.a"
    },
    {
      "text": "Investigate and assess damage to property and create or review property damage estimates.",
      "type": "Core",
      "iwa": "4.A.2.a.1.i"
    },
    {
      "text": "Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.",
      "type": "Core",
      "iwa": "4.A.1.a.1.w"
    },
    {
      "text": "Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.",
      "type": "Core",
      "iwa": "4.A.1.a.1.w"
    },
    {
      "text": "Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.",
      "type": "Core",
      "iwa": "4.A.3.b.6.h"
    },
    {
      "text": "Resolve complex, severe exposure claims, using high service oriented file handling.",
      "type": "Core",
      "iwa": "4.A.2.b.2.b"
    },
    {
      "text": "Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.",
      "type": "Core",
      "iwa": "4.A.2.b.1.i"
    }
  ],
  "emergingTasks": [],
  "activities": [
    {
      "name": "Calculate data to inform organizational operations.",
      "iwa": "4.A.2.a.4.g"
    },
    {
      "name": "Investigate legal issues.",
      "iwa": "4.A.1.a.1.c"
    },
    {
      "name": "Prepare legal or investigatory documentation.",
      "iwa": "4.A.3.b.6.n"
    },
    {
      "name": "Estimate costs of goods or services.",
      "iwa": "4.A.2.b.1.a"
    },
    {
      "name": "Appraise property values.",
      "iwa": "4.A.2.a.1.i"
    },
    {
      "name": "Interview witnesses, suspects, or claimants.",
      "iwa": "4.A.1.a.1.w"
    },
    {
      "name": "Negotiate agreements to resolve disputes.",
      "iwa": "4.A.4.a.7.b"
    },
    {
      "name": "Implement financial decisions.",
      "iwa": "4.A.2.b.1.i"
    },
    {
      "name": "Advise others on financial matters.",
      "iwa": "4.A.4.b.6.k"
    },
    {
      "name": "Apply information technology to solve business or other applied problems.",
      "iwa": "4.A.2.b.2.b"
    },
    {
      "name": "Resolve customer complaints or problems.",
      "iwa": "4.A.4.a.8.c"
    },
    {
      "name": "Pay charges, fees, or taxes.",
      "iwa": "4.A.4.c.1.c"
    },
    {
      "name": "Verify accuracy of records.",
      "iwa": "4.A.2.a.2.a"
    },
    {
      "name": "Maintain data in information systems or databases.",
      "iwa": "4.A.3.b.6.h"
    },
    {
      "name": "Report information to managers or other personnel.",
      "iwa": "4.A.4.a.2.c"
    },
    {
      "name": "Collect evidence for legal proceedings.",
      "iwa": "4.A.1.a.1.c"
    },
    {
      "name": "Meet with individuals involved in legal processes to provide information and clarify issues.",
      "iwa": "4.A.4.a.2.i"
    },
    {
      "name": "Prepare financial documents.",
      "iwa": "4.A.3.b.6.a"
    },
    {
      "name": "Present business-related information to audiences.",
      "iwa": "4.A.4.a.3.c"
    },
    {
      "name": "Supervise employees.",
      "iwa": "4.A.4.b.4.a"
    },
    {
      "name": "Examine financial records.",
      "iwa": "4.A.2.a.3.c"
    },
    {
      "name": "Confer with others about financial matters.",
      "iwa": "4.A.4.b.1.c"
    },
    {
      "name": "Prepare operational reports.",
      "iwa": "4.A.3.b.6.o"
    },
    {
      "name": "Gather financial records.",
      "iwa": "4.A.1.a.1.d"
    },
    {
      "name": "Verify application data to determine program eligibility.",
      "iwa": "4.A.2.a.2.e"
    },
    {
      "name": "Advise others on legal or regulatory compliance matters.",
      "iwa": "4.A.4.b.6.h"
    }
  ],
  "capabilities": [
    {
      "name": "Customer and Personal Service",
      "family": "knowledge",
      "value": 4.7
    },
    {
      "name": "English Language",
      "family": "knowledge",
      "value": 4.42
    },
    {
      "name": "Written Comprehension",
      "family": "ability",
      "value": 4.38
    },
    {
      "name": "Reading Comprehension",
      "family": "essential_skill",
      "value": 4.12
    },
    {
      "name": "Oral Comprehension",
      "family": "ability",
      "value": 4.12
    },
    {
      "name": "Oral Expression",
      "family": "ability",
      "value": 4.12
    },
    {
      "name": "Active Listening",
      "family": "essential_skill",
      "value": 4
    },
    {
      "name": "Critical Thinking",
      "family": "essential_skill",
      "value": 4
    },
    {
      "name": "Deductive Reasoning",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Inductive Reasoning",
      "family": "ability",
      "value": 4
    },
    {
      "name": "Speaking",
      "family": "essential_skill",
      "value": 3.88
    },
    {
      "name": "Written Expression",
      "family": "ability",
      "value": 3.88
    },
    {
      "name": "Near Vision",
      "family": "ability",
      "value": 3.88
    },
    {
      "name": "Administrative",
      "family": "knowledge",
      "value": 3.82
    },
    {
      "name": "Judgment and Decision Making",
      "family": "transferable_skill",
      "value": 3.75
    },
    {
      "name": "Mathematics",
      "family": "knowledge",
      "value": 3.66
    },
    {
      "name": "Writing",
      "family": "essential_skill",
      "value": 3.62
    },
    {
      "name": "Problem Sensitivity",
      "family": "ability",
      "value": 3.62
    },
    {
      "name": "Speech Clarity",
      "family": "ability",
      "value": 3.62
    },
    {
      "name": "Complex Problem Solving",
      "family": "transferable_skill",
      "value": 3.5
    },
    {
      "name": "Information Ordering",
      "family": "ability",
      "value": 3.5
    },
    {
      "name": "Speech Recognition",
      "family": "ability",
      "value": 3.5
    },
    {
      "name": "Computers and Electronics",
      "family": "knowledge",
      "value": 3.43
    },
    {
      "name": "Monitoring",
      "family": "essential_skill",
      "value": 3.38
    },
    {
      "name": "Social Perceptiveness",
      "family": "transferable_skill",
      "value": 3.38
    },
    {
      "name": "Category Flexibility",
      "family": "ability",
      "value": 3.38
    },
    {
      "name": "Law and Government",
      "family": "knowledge",
      "value": 3.31
    },
    {
      "name": "Active Learning",
      "family": "essential_skill",
      "value": 3.25
    },
    {
      "name": "Coordination",
      "family": "transferable_skill",
      "value": 3.25
    },
    {
      "name": "Flexibility of Closure",
      "family": "ability",
      "value": 3.25
    },
    {
      "name": "Negotiation",
      "family": "transferable_skill",
      "value": 3.12
    },
    {
      "name": "Service Orientation",
      "family": "transferable_skill",
      "value": 3.12
    },
    {
      "name": "Administration and Management",
      "family": "knowledge",
      "value": 3.08
    },
    {
      "name": "Economics and Accounting",
      "family": "knowledge",
      "value": 3.04
    },
    {
      "name": "Systems Analysis",
      "family": "transferable_skill",
      "value": 3
    },
    {
      "name": "Time Management",
      "family": "transferable_skill",
      "value": 3
    },
    {
      "name": "Mathematical Reasoning",
      "family": "ability",
      "value": 3
    },
    {
      "name": "Number Facility",
      "family": "ability",
      "value": 3
    },
    {
      "name": "Speed of Closure",
      "family": "ability",
      "value": 3
    },
    {
      "name": "Perceptual Speed",
      "family": "ability",
      "value": 3
    }
  ],
  "skills": [
    {
      "name": "English Language",
      "type": "Common Skill"
    },
    {
      "name": "Reading Comprehension",
      "type": "Common Skill"
    },
    {
      "name": "Inductive Reasoning",
      "type": "Common Skill"
    },
    {
      "name": "Deductive Reasoning",
      "type": "Common Skill"
    },
    {
      "name": "Critical Thinking",
      "type": "Common Skill"
    },
    {
      "name": "Active Listening",
      "type": "Common Skill"
    },
    {
      "name": "Mathematics",
      "type": "Common Skill"
    },
    {
      "name": "Writing",
      "type": "Common Skill"
    },
    {
      "name": "Speech Recognition",
      "type": "Specialized Skill"
    },
    {
      "name": "Microsoft Outlook",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft Excel",
      "type": "Common Skill"
    },
    {
      "name": "Information Ordering",
      "type": "Specialized Skill"
    },
    {
      "name": "Complex Problem Solving",
      "type": "Common Skill"
    },
    {
      "name": "Social Perceptiveness",
      "type": "Common Skill"
    },
    {
      "name": "Active Learning",
      "type": "Common Skill"
    },
    {
      "name": "Negotiation",
      "type": "Common Skill"
    },
    {
      "name": "Time Management",
      "type": "Common Skill"
    },
    {
      "name": "Systems Analysis",
      "type": "Specialized Skill"
    },
    {
      "name": "Microsoft Word",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft PowerPoint",
      "type": "Common Skill"
    },
    {
      "name": "Microsoft Access",
      "type": "Specialized Skill"
    },
    {
      "name": "Psychology",
      "type": "Specialized Skill"
    },
    {
      "name": "Visualization",
      "type": "Specialized Skill"
    },
    {
      "name": "Learning Strategies",
      "type": "Specialized Skill"
    },
    {
      "name": "Instructing",
      "type": "Specialized Skill"
    },
    {
      "name": "Telecommunications",
      "type": "Specialized Skill"
    },
    {
      "name": "Microsoft Publisher",
      "type": "Specialized Skill"
    },
    {
      "name": "Biology",
      "type": "Specialized Skill"
    },
    {
      "name": "Geography",
      "type": "Specialized Skill"
    },
    {
      "name": "Foreign Language",
      "type": "Common Skill"
    },
    {
      "name": "Finger Dexterity",
      "type": "Common Skill"
    },
    {
      "name": "Physics",
      "type": "Specialized Skill"
    },
    {
      "name": "Chemistry",
      "type": "Specialized Skill"
    },
    {
      "name": "Depth Perception",
      "type": "Common Skill"
    },
    {
      "name": "Equipment Selection",
      "type": "Specialized Skill"
    },
    {
      "name": "Presentation Software",
      "type": "Specialized Skill"
    },
    {
      "name": "Medical Software",
      "type": "Specialized Skill"
    },
    {
      "name": "Installation",
      "type": "Specialized Skill"
    },
    {
      "name": "Financial Analysis Software",
      "type": "Specialized Skill"
    },
    {
      "name": "Equipment Maintenance",
      "type": "Specialized Skill"
    }
  ],
  "tools": [
    {
      "example": "Microsoft Excel",
      "category": "Spreadsheet software",
      "hot": true,
      "inDemand": true
    },
    {
      "example": "Microsoft Office software",
      "category": "Office suite software",
      "hot": true,
      "inDemand": true
    },
    {
      "example": "Microsoft Outlook",
      "category": "Electronic mail software",
      "hot": true,
      "inDemand": true
    },
    {
      "example": "Apple Safari",
      "category": "Internet browser software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft Access",
      "category": "Data base user interface and query software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft PowerPoint",
      "category": "Presentation software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Microsoft Word",
      "category": "Word processing software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Mozilla Firefox",
      "category": "Internet browser software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Zoom",
      "category": "Video conferencing software",
      "hot": true,
      "inDemand": false
    },
    {
      "example": "Xactware Xactimate",
      "category": "Data base user interface and query software",
      "hot": false,
      "inDemand": true
    },
    {
      "example": "4n6xprt Systems StiffCalcs",
      "category": "Computer aided design CAD software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "ADP software",
      "category": "Enterprise resource planning ERP software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Agency Management Systems AMS 360",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "ARSoftware WinSMAC",
      "category": "Computer aided design CAD software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "AutoClaims Direct DirectLink",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Automatic Data Processing Autosource",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Automatic Data Processing Claims Manager & Dispatch",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Automatic Data Processing Estimating",
      "category": "Financial analysis software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Axonwave Fraud and Abuse Management System",
      "category": "Expert system software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "BCCORP Burkitt W5",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "BCCORP W5 for Adjusters",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Bill review software",
      "category": "Billing and invoicing software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Bramerhill ClaimsTech",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Bridium Claims 3",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Brightwork Alyce Claims Systems",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Business software applications",
      "category": "Office suite software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CAD Zone Insurance",
      "category": "Computer aided design CAD software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Captiva InputAccel",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Castek Insure3 Claims",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CCC EZNet electronic communications network",
      "category": "Access software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CCC GuidePost Decision Support",
      "category": "Expert system software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CCC Pathways Appraisal Quality Solution",
      "category": "Enterprise resource planning ERP software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CCC Pathways Image Management Solution",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CCC TL2000 Solution",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CGI INSideOUT",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "CGI-AMS BureauLink Enterprise",
      "category": "Information retrieval or search software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Claims processing administration and management software",
      "category": "Data base user interface and query software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Clear Technology Tranzax",
      "category": "Document management software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Computerized voice stress analyzer CVSA software",
      "category": "Interactive voice response software",
      "hot": false,
      "inDemand": false
    },
    {
      "example": "Corporate Systems ClaimsPro",
      "category": "Data base reporting software",
      "hot": false,
      "inDemand": false
    }
  ],
  "workContext": [
    {
      "name": "Telephone Conversations",
      "value": 5
    },
    {
      "name": "E-Mail",
      "value": 5
    },
    {
      "name": "Written Letters and Memos",
      "value": 4.93
    },
    {
      "name": "Frequency of Decision Making",
      "value": 4.86
    },
    {
      "name": "Contact With Others",
      "value": 4.67
    },
    {
      "name": "Spend Time Sitting",
      "value": 4.62
    },
    {
      "name": "Importance of Being Exact or Accurate",
      "value": 4.61
    },
    {
      "name": "Impact of Decisions on Co-workers or Company Results",
      "value": 4.52
    },
    {
      "name": "Freedom to Make Decisions",
      "value": 4.51
    },
    {
      "name": "Importance of Repeating Same Tasks",
      "value": 4.51
    },
    {
      "name": "Deal With External Customers or the Public in General",
      "value": 4.43
    },
    {
      "name": "Time Pressure",
      "value": 4.39
    },
    {
      "name": "Indoors, Environmentally Controlled",
      "value": 4.31
    },
    {
      "name": "Determine Tasks, Priorities and Goals",
      "value": 4.3
    },
    {
      "name": "Face-to-Face Discussions with Individuals and Within Teams",
      "value": 4.29
    },
    {
      "name": "Dealing With Unpleasant, Angry, or Discourteous People",
      "value": 4.13
    },
    {
      "name": "Conflict Situations",
      "value": 4.03
    },
    {
      "name": "Work With or Contribute to a Work Group or Team",
      "value": 3.87
    },
    {
      "name": "Spend Time Making Repetitive Motions",
      "value": 3.3
    },
    {
      "name": "Exposed to Sounds, Noise Levels that are Distracting or Uncomfortable",
      "value": 3.23
    },
    {
      "name": "Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls",
      "value": 3.2
    },
    {
      "name": "Coordinate or Lead Others in Accomplishing Work Activities",
      "value": 3.18
    },
    {
      "name": "Level of Competition",
      "value": 3.16
    },
    {
      "name": "Degree of Automation",
      "value": 2.98
    },
    {
      "name": "Physical Proximity",
      "value": 2.79
    },
    {
      "name": "Consequence of Error",
      "value": 2.71
    },
    {
      "name": "Work Outcomes and Results of Other Workers",
      "value": 2.34
    },
    {
      "name": "In an Enclosed Vehicle or Operate Enclosed Equipment",
      "value": 2.07
    },
    {
      "name": "Health and Safety of Other Workers",
      "value": 1.92
    },
    {
      "name": "Pace Determined by Speed of Equipment",
      "value": 1.83
    },
    {
      "name": "Public Speaking",
      "value": 1.76
    },
    {
      "name": "Spend Time Standing",
      "value": 1.71
    },
    {
      "name": "Outdoors, Exposed to All Weather Conditions",
      "value": 1.67
    },
    {
      "name": "Spend Time Walking or Running",
      "value": 1.58
    },
    {
      "name": "Exposed to Very Hot or Cold Temperatures",
      "value": 1.52
    },
    {
      "name": "Exposed to Contaminants",
      "value": 1.52
    },
    {
      "name": "Exposed to Extremely Bright or Inadequate Lighting Conditions",
      "value": 1.48
    },
    {
      "name": "Spend Time Bending or Twisting Your Body",
      "value": 1.45
    },
    {
      "name": "Exposed to High Places",
      "value": 1.43
    },
    {
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