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Claims Adjusters, Examiners, and Investigators

Business and Financial Operations · SOC 13-1031

8.2% AI Exposure — Medium
$78,000
Median Annual Salary
Average
O*NET Outlook
25,800
Proj. Annual Openings
324,230
Employment (OEWS 2025)
+2%/yr
Empl. growth (2019–2025)
92/100
AI Resiliency Score

AI exposure from the Anthropic Economic Index (2025); salary from BLS; skills from O*NET. See /sources.

Decision card

Career Evidence Passport

SOC 13-1031 evidence across exposure, wages, projections, postings, certified LCAs, skills, and transitions.

Proxy / seed data labeledDescriptive-only
SOC exposure
8.2%
Medium · Anthropic AEI
Automation friction
29/100
Low friction; broad SOC seed ORS job-requirements coverage.
Wages
$78,000
H-1B offered wage $85,785; LCAs are filings.
Projected openings
25,800
BLS EP 2024–2034; employment change -5.1%.
Observed/proxy demand
4
FY2025 certified LCAs; 26,758 postings in 2025.

Skill evidence

Reading ComprehensionActive ListeningCritical ThinkingSpeakingJudgment and Decision Making
  • H-1B values are certified Labor Condition Applications, not visa approvals.
  • Job postings are seed-static / seed-derived; treat as provider-ready proxy coverage until observed provider data is wired in.
  • Transition matches are directional skill-overlap context, not placement guarantees.
  • This release is a FutureGrid broad-SOC seed derived from public BLS ORS requirement concepts and categories, not direct occupation-level ORS survey estimates. It describes job requirements, not worker ability, AI capability, or displacement probability. Automation friction is a FutureGrid derived score and should be read alongside exposure, demand, wage, and projection signals.

Best transitions from here

Explore all pathways

Lower AI-exposure roles that reuse your skills, ranked by a transition score (skills that transfer, safety gain, pay and retraining effort).

AI Exposure Analysis

AI Exposure8.2%
AI Resiliency92/100
Exposure BandMedium
Sector Avg. Exposure29.0%

Across AI measures

Multiple exposure lenses for this occupation.

51.4%
Consensus
Actual adoption · Anthropic8.2%
AI capability · OpenAI52%
AI ability · AIOE94%
Automation baseline (2013) · Frey & Osborne98%

AI could do ~52% of this role but only ~8.2% is currently done with AI — a large capability-vs-adoption gap.

Top Skills

1.Reading Comprehension
2.Active Listening
3.Critical Thinking
4.Speaking
5.Judgment and Decision Making

H-1B Visa Sponsorship Demand

View full H-1B trends →

Certified H-1B Labor Condition Applications naming this occupation, FY2016–FY2025. A descriptive high-skill labor-demand signal — employer filings, not visa approvals or individual outcomes. Note: one LCA can cover multiple worker positions.

58
Decade Total (Certified LCAs)
4
FY2025 Volume
0% of all H-1B filings in FY2025
$85,785
Median Offered Wage (Latest Year)
#355 of 776
Rank by Total Volume
H-1B filing volume, FY2016–FY2025

O*NET occupation profile

What this work involves

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.

Common titles: Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative, Claims Specialist, Corporate Claims Examiner

Representative 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.

Detailed Work Activities

  • Calculate data to inform organizational operations.
  • Investigate legal issues.
  • Negotiate agreements to resolve disputes.
  • Pay charges, fees, or taxes.
  • Prepare legal or investigatory documentation.

Tools & Technologies

Microsoft Access · hotZoom · hotXactware Xactimate4n6xprt Systems StiffCalcsARSoftware WinSMACAxonwave Fraud and Abuse Management SystemCCC GuidePost Decision SupportClaims processing administration and management softwareDatanex ClaimTracDocument management system software

Employment Projections & AI Exposure

15
Occupations Shown
26.0%
Avg AI Exposure
9
Bright Outlook
Horizontal bar chart showing occupations with the highest projected annual openings. Each bar length represents annual projected openings. Color uses a gradient from violet (lower) to cyan (higher). Summary statistics are shown above the chart.

Employment & Wage Trend

BLS OEWS, 2019–2025


Occupation Employment & Wage TrendMulti-year BLS OEWS history for SOC 13-1031: 2019 — employment: 287,960, median wage: $66,790; 2020 — employment: 287,150, median wage: $68,270; 2021 — employment: 278,140, median wage: $65,080; 2022 — employment: 285,270, median wage: $72,230; 2023 — employment: 293,780, median wage: $75,050; 2025 — employment: 324,230, median wage: $78,000.

Source: U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS). See /sources.

Sector Comparison

MetricThis CareerSector Average
AI Exposure8.2%29.0%
OutlookAverage48% Bright
Median Salary$78,000N/A
AI Resiliency92/100N/A