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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)
92/100
AI Resiliency Score
AI exposure from the Anthropic Economic Index (2025); salary from BLS; skills from O*NET. See /sources.
AI Exposure Analysis
AI Exposure8.2%
AI Resiliency92/100
Exposure BandMedium
Sector Avg. Exposure17.3%
Top Skills
1.Reading Comprehension
2.Active Listening
3.Critical Thinking
4.Speaking
5.Judgment and Decision Making
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
Sector Comparison
| Metric | This Career | Sector Average |
|---|---|---|
| AI Exposure | 8.2% | 17.3% |
| Outlook | Average | 50% Bright |
| Median Salary | $78,000 | N/A |
| AI Resiliency | 92/100 | N/A |