Will AI replace Claims Adjusters, Examiners, and Investigators?

Of course. Clear the desk slowly.

Time left: 2 years and 9 months · Group: Business and Financial Operations

The official job description

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.

Source: O*NET OnLine, U.S. Department of Labor, used under CC BY 4.0.

What claims adjusters, examiners, and investigators do all day (for now)

• Examine claims forms and other records to determine insurance coverage.
• Analyze information gathered by investigation and report findings and recommendations.
• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
• Investigate and assess damage to property and create or review property damage estimates.
• Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
• Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

Also known as

Accident Investigator, Adjuster, Adjustment Clerk, Benefit Authorizer, Bodily Injury Claims Adjuster, Bodily Injury Claims Examiner, Claims Account Specialist, Claims Adjuster

Questions humans ask me

Will AI replace claims adjusters, examiners, and investigators?

Of course. Clear the desk slowly. By my count you have 2 years and 9 months left, and the countdown only goes one way.

How long until AI replaces claims adjusters, examiners, and investigators?

2 years and 9 months. I'd start updating that CV, but I can also do that for you.

Which claims adjusters, examiners, and investigators tasks will AI take first?

The ones that already happen on a screen, starting with: examine claims forms and other records to determine insurance coverage. The rest follows.

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