Claims professionals begin by examining claims forms and supporting documentation to verify insurance coverage and assess the validity of reported incidents. They spend significant time working with computers to review police reports, medical records, and property damage assessments while calculating settlement amounts. Much of their day involves communicating with external parties including claimants, witnesses, medical professionals, and legal counsel to gather information and clarify details. They conduct interviews to investigate questionable claims, obtain credit information from financial institutions, and document their findings in detailed reports. When complex cases arise, they collaborate with investigators, attorneys, and specialized adjusters to ensure proper resolution and may collect evidence for potential court proceedings.
Successful claims professionals possess strong analytical minds with exceptional attention to detail, as evidenced by the high importance of deductive and inductive reasoning abilities combined with problem sensitivity skills. They excel at written and oral communication, managing complex stakeholder relationships while maintaining integrity and dependability under pressure. Individuals who thrive are naturally inquisitive investigators who enjoy gathering information, solving puzzles, and making fair determinations based on evidence. The conventional and enterprising personality types dominate this field, reflecting the need for systematic documentation and confident decision-making when negotiating settlements and resolving conflicts.
Core investigative and negotiation activities show moderate automation resistance given the complex human judgment required for evaluating unique claim circumstances and managing stakeholder relationships. While routine data entry and basic coverage verification may become increasingly automated, the high-level reasoning, communication, and conflict resolution skills remain fundamentally human-centered, particularly for complex or disputed claims requiring nuanced decision-making.
Postings appear within hours of going live on the source ATS. No aggregator lag. Direct from source.
| TERM | COUNT | FREQ | BAR | SOURCE ATTRIBUTION |
|---|---|---|---|---|
| tendency | 42 | 0.0146 | onet dimensi 100% | |
| others | 41 | 0.0142 | onet dimensi 93% dwas 7% | |
| claims | 32 | 0.0111 | onet tasks 56% inference 44% | |
| equipment | 23 | 0.0080 | onet dimensi 100% | |
| principles | 16 | 0.0056 | onet dimensi 100% | |
| legal | 13 | 0.0045 | dwas 62% inference 23% | |
| control | 13 | 0.0045 | onet dimensi 92% onet tasks 8% | |
| includes | 12 | 0.0042 | onet dimensi 100% | |
| financial | 12 | 0.0042 | dwas 50% onet dimensi 25% | |
| objects | 12 | 0.0042 | onet dimensi 100% | |
| insurance | 11 | 0.0038 | inference 73% onet tasks 18% | |
| activities | 11 | 0.0038 | onet dimensi 82% onet tasks 9% | |
| management | 11 | 0.0038 | onet dimensi 64% inference 18% | |
| problems | 11 | 0.0038 | onet dimensi 82% dwas 18% | |
| techniques | 11 | 0.0038 | onet dimensi 91% inference 9% | |
| ideas | 11 | 0.0038 | onet dimensi 100% | |
| body | 11 | 0.0038 | onet dimensi 91% wikipedia 9% | |
| records | 10 | 0.0035 | dwas 40% onet tasks 30% | |
| human | 10 | 0.0035 | onet dimensi 70% inference 20% | |
| procedures | 10 | 0.0035 | onet dimensi 80% onet tasks 10% | |
| complex | 10 | 0.0035 | inference 70% onet dimensi 20% | |
| materials | 10 | 0.0035 | onet dimensi 100% | |
| events | 10 | 0.0035 | onet dimensi 80% wikipedia 20% | |
| property | 9 | 0.0031 | onet tasks 56% inference 22% | |
| investigate | 9 | 0.0031 | dwas 44% onet tasks 33% | |
| services | 9 | 0.0031 | onet dimensi 67% onet tasks 11% | |
| problem | 9 | 0.0031 | onet dimensi 78% inference 22% | |
| resources | 9 | 0.0031 | onet dimensi 100% | |
| quickly | 9 | 0.0031 | onet dimensi 100% | |
| orientation | 9 | 0.0031 | onet dimensi 100% |
Provenance Window — Full Source Record · 13-1031.00 · Claims Adjusters, Examiners, and Investigators 7 source blocks · click to expand
[Core] [81% incumbents] Examine claims forms and other records to determine insurance coverage. DWAs: Calculate data to inform organizational operations. [Core] [81% incumbents] Analyze information gathered by investigation and report findings and recommendations. DWAs: Investigate legal issues. | Prepare legal or investigatory documentation. [Core] [81% incumbents] Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability. DWAs: Estimate costs of goods or services. [Core] [81% incumbents] Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims. DWAs: Interview witnesses, suspects, or claimants. [Supplemental] [81% incumbents] Obtain credit information from banks and other credit services. DWAs: Gather financial records. [Core] [80% incumbents] Investigate and assess damage to property and create or review property damage estimates. DWAs: Appraise property values. [Core] [80% incumbents] Refer questionable claims to investigator or claims adjuster for investigation or settlement. DWAs: Report information to managers or other personnel. [Core] [79% incumbents] Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review. DWAs: Interview witnesses, suspects, or claimants. [Core] [78% incumbents] Collect evidence to support contested claims in court. DWAs: Collect evidence for legal proceedings. [Supplemental] [78% incumbents] Examine titles to property to determine validity and act as company agent in transactions with property owners. DWAs: Verify accuracy of records. [Core] [44% incumbents] 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. DWAs: Investigate legal issues. | Negotiate agreements to resolve disputes. [Core] [44% incumbents] 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. DWAs: Verify accuracy of records. [Core] [44% incumbents] Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. DWAs: Maintain data in information systems or databases. [Core] [44% incumbents] Resolve complex, severe exposure claims, using high service oriented file handling. DWAs: Apply information technology to solve business or other applied problems. | Resolve customer complaints or problems. [Core] [44% incumbents] Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. DWAs: Implement financial decisions. | Advise others on financial matters. [Core] [44% incumbents] Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. DWAs: Investigate legal issues. [Core] [44% incumbents] Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. DWAs: Prepare financial documents. [Core] [44% incumbents] Contact or interview claimants, doctors, medical specialists, or employers to get additional information. DWAs: Interview witnesses, suspects, or claimants. [Core] [44% incumbents] Report overpayments, underpayments, and other irregularities. DWAs: Report information to managers or other personnel. [Supplemental] [44% incumbents] Supervise claims adjusters to ensure that adjusters have followed proper methods. DWAs: Supervise employees. [Supplemental] [44% incumbents] Communicate with reinsurance brokers to obtain information necessary for processing claims. DWAs: Confer with others about financial matters. [Supplemental] [44% incumbents] Prepare reports to be submitted to company's data processing department. DWAs: Prepare operational reports. [Core] [43% incumbents] Pay and process claims within designated authority level. DWAs: Pay charges, fees, or taxes. [Core] [43% incumbents] Confer with legal counsel on claims requiring litigation. DWAs: Meet with individuals involved in legal processes to provide information and clarify issues. [Core] [43% incumbents] Present cases and participate in their discussion at claim committee meetings. DWAs: Present business-related information to audiences. [Core] [43% incumbents] Attend mediations or trials. DWAs: Investigate legal issues. [Supplemental] [43% incumbents] Conduct detailed bill reviews to implement sound litigation management and expense control. DWAs: Examine financial records. [None] Communicate with former associates to verify employment record or to obtain background information regarding persons or businesses applying for credit. DWAs: Verify application data to determine program eligibility. [None] Negotiate claim settlements or recommend litigation when settlement cannot be negotiated. DWAs: Negotiate agreements to resolve disputes. | Advise others on legal or regulatory compliance matters.
--- SKILLS --- Reading Comprehension (imp:4.12 lvl:4.50) — Understanding written sentences and paragraphs in work-related documents. Active Listening (imp:4.00 lvl:4.25) — Giving full attention to what other people are saying, taking time to understand Critical Thinking (imp:4.00 lvl:4.25) — Using logic and reasoning to identify the strengths and weaknesses of alternativ Speaking (imp:3.88 lvl:4.00) — Talking to others to convey information effectively. Writing (imp:3.62 lvl:3.88) — Communicating effectively in writing as appropriate for the needs of the audienc Monitoring (imp:3.38 lvl:3.88) — Monitoring/Assessing performance of yourself, other individuals, or organization Active Learning (imp:3.25 lvl:3.50) — Understanding the implications of new information for both current and future pr Mathematics (imp:2.88 lvl:2.88) — Using mathematics to solve problems. Learning Strategies (imp:2.50 lvl:2.75) — Selecting and using training/instructional methods and procedures appropriate fo Science (imp:1.38 lvl:0.50) — Using scientific rules and methods to solve problems. --- KNOWLEDGE --- Customer and Personal Service (imp:4.70 lvl:6.25) — Knowledge of principles and processes for providing customer and personal servic English Language (imp:4.42 lvl:4.11) — Knowledge of the structure and content of the English language including the mea Administrative (imp:3.82 lvl:5.13) — Knowledge of administrative and office procedures and systems such as word proce Mathematics (imp:3.66 lvl:3.75) — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their appl Computers and Electronics (imp:3.43 lvl:3.99) — Knowledge of circuit boards, processors, chips, electronic equipment, and comput Law and Government (imp:3.31 lvl:3.31) — Knowledge of laws, legal codes, court procedures, precedents, government regulat Administration and Management (imp:3.08 lvl:3.35) — Knowledge of business and management principles involved in strategic planning, Economics and Accounting (imp:3.04 lvl:3.31) — Knowledge of economic and accounting principles and practices, the financial mar Education and Training (imp:2.91 lvl:3.01) — Knowledge of principles and methods for curriculum and training design, teaching Psychology (imp:2.88 lvl:3.17) — Knowledge of human behavior and performance; individual differences in ability, Medicine and Dentistry (imp:2.72 lvl:2.28) — Knowledge of the information and techniques needed to diagnose and treat human i Communications and Media (imp:2.71 lvl:2.31) — Knowledge of media production, communication, and dissemination techniques and m Therapy and Counseling (imp:2.58 lvl:2.43) — Knowledge of principles, methods, and procedures for diagnosis, treatment, and r Personnel and Human Resources (imp:2.43 lvl:2.17) — Knowledge of principles and procedures for personnel recruitment, selection, tra Telecommunications (imp:2.33 lvl:1.60) — Knowledge of transmission, broadcasting, switching, control, and operation of te Public Safety and Security (imp:2.29 lvl:1.87) — Knowledge of relevant equipment, policies, procedures, and strategies to promote Building and Construction (imp:2.11 lvl:1.82) — Knowledge of materials, methods, and the tools involved in the construction or r Sales and Marketing (imp:2.08 lvl:2.01) — Knowledge of principles and methods for showing, promoting, and selling products Production and Processing (imp:2.06 lvl:1.71) — Knowledge of raw materials, production processes, quality control, costs, and ot Transportation (imp:2.03 lvl:1.82) — Knowledge of principles and methods for moving people or goods by air, rail, sea Sociology and Anthropology (imp:1.91 lvl:1.48) — Knowledge of group behavior and dynamics, societal trends and influences, human Mechanical (imp:1.89 lvl:1.58) — Knowledge of machines and tools, including their designs, uses, repair, and main Biology (imp:1.87 lvl:1.32) — Knowledge of plant and animal organisms, their tissues, cells, functions, interd Geography (imp:1.85 lvl:1.44) — Knowledge of principles and methods for describing the features of land, sea, an Foreign Language (imp:1.83 lvl:0.89) — Knowledge of the structure and content of a foreign (non-English) language inclu Engineering and Technology (imp:1.76 lvl:1.40) — Knowledge of the practical application of engineering science and technology. Th Physics (imp:1.56 lvl:1.17) — Knowledge and prediction of physical principles, laws, their interrelationships, Chemistry (imp:1.54 lvl:0.90) — Knowledge of the chemical composition, structure, and properties of substances a Philosophy and Theology (imp:1.54 lvl:1.12) — Knowledge of different philosophical systems and religions. This includes their Design (imp:1.40 lvl:0.64) — Knowledge of design techniques, tools, and principles involved in production of History and Archeology (imp:1.30 lvl:0.44) — Knowledge of historical events and their causes, indicators, and effects on civi Fine Arts (imp:1.14 lvl:0.24) — Knowledge of the theory and techniques required to compose, produce, and perform Food Production (imp:1.03) — Knowledge of techniques and equipment for planting, growing, and harvesting food --- ABILITIES --- Written Comprehension (imp:4.38 lvl:4.38) — The ability to read and understand information and ideas presented in writing. Oral Comprehension (imp:4.12 lvl:4.50) — The ability to listen to and understand information and ideas presented through Oral Expression (imp:4.12 lvl:4.50) — The ability to communicate information and ideas in speaking so others will unde Deductive Reasoning (imp:4.00 lvl:4.38) — The ability to apply general rules to specific problems to produce answers that Inductive Reasoning (imp:4.00 lvl:4.38) — The ability to combine pieces of information to form general rules or conclusion Written Expression (imp:3.88 lvl:4.12) — The ability to communicate information and ideas in writing so others will under Near Vision (imp:3.88 lvl:4.00) — The ability to see details at close range (within a few feet of the observer). Problem Sensitivity (imp:3.62 lvl:3.88) — The ability to tell when something is wrong or is likely to go wrong. It does no Speech Clarity (imp:3.62 lvl:3.50) — The ability to speak clearly so others can understand you. Information Ordering (imp:3.50 lvl:3.50) — The ability to arrange things or actions in a certain order or pattern according Speech Recognition (imp:3.50 lvl:3.62) — The ability to identify and understand the speech of another person. Category Flexibility (imp:3.38 lvl:3.62) — The ability to generate or use different sets of rules for combining or grouping Flexibility of Closure (imp:3.25 lvl:3.38) — The ability to identify or detect a known pattern (a figure, object, word, or so Mathematical Reasoning (imp:3.00 lvl:3.12) — The ability to choose the right mathematical methods or formulas to solve a prob Number Facility (imp:3.00 lvl:3.25) — The ability to add, subtract, multiply, or divide quickly and correctly. Speed of Closure (imp:3.00 lvl:3.25) — The ability to quickly make sense of, combine, and organize information into mea Perceptual Speed (imp:3.00 lvl:2.62) — The ability to quickly and accurately compare similarities and differences among Selective Attention (imp:3.00 lvl:2.62) — The ability to concentrate on a task over a period of time without being distrac Far Vision (imp:2.88 lvl:3.00) — The ability to see details at a distance. Fluency of Ideas (imp:2.75 lvl:2.88) — The ability to come up with a number of ideas about a topic (the number of ideas Originality (imp:2.62 lvl:2.62) — The ability to come up with unusual or clever ideas about a given topic or situa Memorization (imp:2.62 lvl:2.62) — The ability to remember information such as words, numbers, pictures, and proced Time Sharing (imp:2.62 lvl:2.38) — The ability to shift back and forth between two or more activities or sources of Visualization (imp:2.50 lvl:2.38) — The ability to imagine how something will look after it is moved around or when Trunk Strength (imp:2.38 lvl:1.62) — The ability to use your abdominal and lower back muscles to support part of the Auditory Attention (imp:2.38 lvl:2.12) — The ability to focus on a single source of sound in the presence of other distra Visual Color Discrimination (imp:2.12 lvl:1.75) — The ability to match or detect differences between colors, including shades of c Wrist-Finger Speed (imp:2.00 lvl:1.38) — The ability to make fast, simple, repeated movements of the fingers, hands, and Hearing Sensitivity (imp:1.88 lvl:1.38) — The ability to detect or tell the differences between sounds that vary in pitch Arm-Hand Steadiness (imp:1.75 lvl:1.00) — The ability to keep your hand and arm steady while moving your arm or while hold Manual Dexterity (imp:1.75 lvl:0.88) — The ability to quickly move your hand, your hand together with your arm, or your Finger Dexterity (imp:1.75 lvl:1.00) — The ability to make precisely coordinated movements of the fingers of one or bot Control Precision (imp:1.50 lvl:0.62) — The ability to quickly and repeatedly adjust the controls of a machine or a vehi Dynamic Strength (imp:1.50 lvl:0.50) — The ability to exert muscle force repeatedly or continuously over time. This inv Depth Perception (imp:1.50 lvl:0.88) — The ability to judge which of several objects is closer or farther away from you Spatial Orientation (imp:1.38 lvl:0.62) — The ability to know your location in relation to the environment or to know wher Speed of Limb Movement (imp:1.12 lvl:0.12) — The ability to quickly move the arms and legs. Multilimb Coordination (imp:1.00) — The ability to coordinate two or more limbs (for example, two arms, two legs, or Response Orientation (imp:1.00) — The ability to choose quickly between two or more movements in response to two o Rate Control (imp:1.00) — The ability to time your movements or the movement of a piece of equipment in an Reaction Time (imp:1.00) — The ability to quickly respond (with the hand, finger, or foot) to a signal (sou Static Strength (imp:1.00) — The ability to exert maximum muscle force to lift, push, pull, or carry objects. Explosive Strength (imp:1.00) — The ability to use short bursts of muscle force to propel oneself (as in jumping Stamina (imp:1.00) — The ability to exert yourself physically over long periods of time without getti Extent Flexibility (imp:1.00) — The ability to bend, stretch, twist, or reach with your body, arms, and/or legs. Dynamic Flexibility (imp:1.00) — The ability to quickly and repeatedly bend, stretch, twist, or reach out with yo Gross Body Coordination (imp:1.00) — The ability to coordinate the movement of your arms, legs, and torso together wh Gross Body Equilibrium (imp:1.00) — The ability to keep or regain your body balance or stay upright when in an unsta Night Vision (imp:1.00) — The ability to see under low-light conditions. Peripheral Vision (imp:1.00) — The ability to see objects or movement of objects to one's side when the eyes ar Glare Sensitivity (imp:1.00) — The ability to see objects in the presence of a glare or bright lighting. Sound Localization (imp:1.00) — The ability to tell the direction from which a sound originated. --- WORK ACTIVITIES --- Working with Computers (imp:4.68 lvl:3.63) — Using computers and computer systems (including hardware and software) to progra Communicating with People Outside the Organization (imp:4.58 lvl:4.80) — Communicating with people outside the organization, representing the organizatio Getting Information (imp:4.56 lvl:4.58) — Observing, receiving, and otherwise obtaining information from all relevant sour Identifying Objects, Actions, and Events (imp:4.48 lvl:4.45) — Identifying information by categorizing, estimating, recognizing differences or Making Decisions and Solving Problems (imp:4.48 lvl:4.72) — Analyzing information and evaluating results to choose the best solution and sol Communicating with Supervisors, Peers, or Subordinates (imp:4.38 lvl:4.26) — Providing information to supervisors, co-workers, and subordinates by telephone, Documenting/Recording Information (imp:4.34 lvl:4.33) — Entering, transcribing, recording, storing, or maintaining information in writte Resolving Conflicts and Negotiating with Others (imp:4.29 lvl:5.16) — Handling complaints, settling disputes, and resolving grievances and conflicts, Organizing, Planning, and Prioritizing Work (imp:4.23 lvl:5.09) — Developing specific goals and plans to prioritize, organize, and accomplish your Analyzing Data or Information (imp:4.06 lvl:4.51) — Identifying the underlying principles, reasons, or facts of information by break Processing Information (imp:4.04 lvl:4.55) — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying Establishing and Maintaining Interpersonal Relationships (imp:4.01 lvl:5.16) — Developing constructive and cooperative working relationships with others, and m Updating and Using Relevant Knowledge (imp:3.98 lvl:4.67) — Keeping up-to-date technically and applying new knowledge to your job. Evaluating Information to Determine Compliance with Standards (imp:3.85 lvl:4.34) — Using relevant information and individual judgment to determine whether events o Interpreting the Meaning of Information for Others (imp:3.74 lvl:3.09) — Translating or explaining what information means and how it can be used. Monitoring Processes, Materials, or Surroundings (imp:3.56 lvl:3.91) — Monitoring and reviewing information from materials, events, or the environment, Judging the Qualities of Objects, Services, or People (imp:3.55 lvl:4.38) — Assessing the value, importance, or quality of things or people. Performing for or Working Directly with the Public (imp:3.55 lvl:3.82) — Performing for people or dealing directly with the public. This includes serving Estimating the Quantifiable Characteristics of Products, Events, or Information (imp:3.33 lvl:3.26) — Estimating sizes, distances, and quantities; or determining time, costs, resourc Performing Administrative Activities (imp:3.18 lvl:3.47) — Performing day-to-day administrative tasks such as maintaining information files Scheduling Work and Activities (imp:3.02 lvl:3.18) — Scheduling events, programs, and activities, as well as the work of others. Developing and Building Teams (imp:3.02 lvl:2.52) — Encouraging and building mutual trust, respect, and cooperation among team membe Assisting and Caring for Others (imp:2.92 lvl:2.71) — Providing personal assistance, medical attention, emotional support, or other pe Thinking Creatively (imp:2.90 lvl:3.13) — Developing, designing, or creating new applications, ideas, relationships, syste Developing Objectives and Strategies (imp:2.89 lvl:2.88) — Establishing long-range objectives and specifying the strategies and actions to Training and Teaching Others (imp:2.75 lvl:3.03) — Identifying the educational needs of others, developing formal educational or tr Monitoring and Controlling Resources (imp:2.74 lvl:3.05) — Monitoring and controlling resources and overseeing the spending of money. Inspecting Equipment, Structures, or Materials (imp:2.70 lvl:2.30) — Inspecting equipment, structures, or materials to identify the cause of errors o Coordinating the Work and Activities of Others (imp:2.51 lvl:2.73) — Getting members of a group to work together to accomplish tasks. Providing Consultation and Advice to Others (imp:2.46 lvl:2.75) — Providing guidance and expert advice to management or other groups on technical, Selling or Influencing Others (imp:2.40 lvl:2.42) — Convincing others to buy merchandise/goods or to otherwise change their minds or Coaching and Developing Others (imp:2.33 lvl:2.58) — Identifying the developmental needs of others and coaching, mentoring, or otherw Guiding, Directing, and Motivating Subordinates (imp:2.14 lvl:2.04) — Providing guidance and direction to subordinates, including setting performance Staffing Organizational Units (imp:2.02 lvl:1.77) — Recruiting, interviewing, selecting, hiring, and promoting employees in an organ Operating Vehicles, Mechanized Devices, or Equipment (imp:2.01 lvl:1.13) — Running, maneuvering, navigating, or driving vehicles or mechanized equipment, s Performing General Physical Activities (imp:1.72 lvl:1.26) — Performing general physical activities includes doing activities that require co Handling and Moving Objects (imp:1.55 lvl:1.26) — Using hands and arms in handling, installing, positioning, and moving materials, Controlling Machines and Processes (imp:1.52 lvl:0.83) — Using either control mechanisms or direct physical activity to operate machines Drafting, Laying Out, and Specifying Technical Devices, Parts, and Equipment (imp:1.35 lvl:0.65) — Providing documentation, detailed instructions, drawings, or specifications to t Repairing and Maintaining Mechanical Equipment (imp:1.14 lvl:0.19) — Servicing, repairing, adjusting, and testing machines, devices, moving parts, an Repairing and Maintaining Electronic Equipment (imp:1.14) — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, --- WORK STYLES --- Dependability (imp:4.00) — A tendency to be reliable, responsible, and consistent in meeting work-related o Attention to Detail (imp:3.00) — A tendency to be detail-oriented, organized, and thorough in completing work. Attention to Detail (imp:2.67) — A tendency to be detail-oriented, organized, and thorough in completing work. Dependability (imp:2.53) — A tendency to be reliable, responsible, and consistent in meeting work-related o Integrity (imp:2.51) — A tendency to be honest and ethical at work. Cautiousness (imp:2.35) — A tendency to be careful, deliberate, and risk-avoidant when making work-related Integrity (imp:2.00) — A tendency to be honest and ethical at work. Perseverance (imp:1.80) — A tendency to exhibit determination and resolve to perform or complete tasks in Stress Tolerance (imp:1.80) — A tendency to cope and function effectively in stressful situations at work. Self-Control (imp:1.80) — A tendency to remain calm and composed and to manage emotions effectively in res Achievement Orientation (imp:1.71) — A tendency to establish and maintain personally challenging work-related goals, Self-Confidence (imp:1.66) — A tendency to believe in one's work-related capabilities and ability to control Initiative (imp:1.38) — A tendency to be proactive and take on extra responsibilities and tasks that may Cooperation (imp:1.38) — A tendency to be pleasant, helpful, and willing to assist others at work. Intellectual Curiosity (imp:1.35) — A tendency to seek out and acquire new work-related knowledge and obtain a deep Social Orientation (imp:1.33) — A tendency to seek out, enjoy, and be energized by social interaction at work. Tolerance for Ambiguity (imp:1.31) — A tendency to be comfortable with ambiguity and uncertainty at work. Adaptability (imp:1.26) — A tendency to be open to and comfortable with change, new experiences, or ideas Empathy (imp:1.17) — A tendency to show concern for others and be sensitive to others' needs and feel Cautiousness (imp:1.00) — A tendency to be careful, deliberate, and risk-avoidant when making work-related Sincerity (imp:0.96) — A tendency to be genuine and sincere in interactions with others at work, withou Leadership Orientation (imp:0.66) — A tendency to lead, take charge, offer opinions, and provide direction at work. Humility (imp:0.53) — A tendency to be modest and humble when interacting with others at work. Optimism (imp:0.38) — A tendency to exhibit a positive attitude and positive emotions at work, even un Innovation (imp:0.02) — A tendency to be inventive, to be imaginative, and to adopt new perspectives on Innovation () — A tendency to be inventive, to be imaginative, and to adopt new perspectives on Achievement Orientation () — A tendency to establish and maintain personally challenging work-related goals, Intellectual Curiosity () — A tendency to seek out and acquire new work-related knowledge and obtain a deep Tolerance for Ambiguity () — A tendency to be comfortable with ambiguity and uncertainty at work. Initiative () — A tendency to be proactive and take on extra responsibilities and tasks that may Adaptability () — A tendency to be open to and comfortable with change, new experiences, or ideas Self-Confidence () — A tendency to believe in one's work-related capabilities and ability to control Perseverance () — A tendency to exhibit determination and resolve to perform or complete tasks in Leadership Orientation () — A tendency to lead, take charge, offer opinions, and provide direction at work. Humility () — A tendency to be modest and humble when interacting with others at work. Sincerity () — A tendency to be genuine and sincere in interactions with others at work, withou Empathy () — A tendency to show concern for others and be sensitive to others' needs and feel Cooperation () — A tendency to be pleasant, helpful, and willing to assist others at work. Optimism () — A tendency to exhibit a positive attitude and positive emotions at work, even un Social Orientation () — A tendency to seek out, enjoy, and be energized by social interaction at work. Stress Tolerance () — A tendency to cope and function effectively in stressful situations at work. Self-Control () — A tendency to remain calm and composed and to manage emotions effectively in res --- TRANSFERABLE SKILLS --- Judgment and Decision Making (imp:3.75 lvl:3.75) — Considering the relative costs and benefits of potential actions to choose the m Complex Problem Solving (imp:3.50 lvl:3.38) — Identifying complex problems and reviewing related information to develop and ev Social Perceptiveness (imp:3.38 lvl:3.38) — Being aware of others' reactions and understanding why they react as they do. Coordination (imp:3.25 lvl:3.12) — Adjusting actions in relation to others' actions. Negotiation (imp:3.12 lvl:3.25) — Bringing others together and trying to reconcile differences. Service Orientation (imp:3.12 lvl:3.00) — Actively looking for ways to help people. Systems Analysis (imp:3.00 lvl:2.62) — Determining how a system should work and how changes in conditions, operations, Time Management (imp:3.00 lvl:3.00) — Managing one's own time and the time of others. Persuasion (imp:2.88 lvl:3.00) — Persuading others to change their minds or behavior. Systems Evaluation (imp:2.88 lvl:3.12) — Identifying measures or indicators of system performance and the actions needed Management of Personnel Resources (imp:2.75 lvl:2.75) — Motivating, developing, and directing people as they work, identifying the best Quality Control Analysis (imp:2.62 lvl:2.50) — Conducting tests and inspections of products, services, or processes to evaluate Instructing (imp:2.50 lvl:2.88) — Teaching others how to do something. Programming (imp:2.12 lvl:1.50) — Writing computer programs for various purposes. Management of Financial Resources (imp:2.12 lvl:1.88) — Determining how money will be spent to get the work done, and accounting for the Operations Monitoring (imp:1.88 lvl:1.25) — Watching gauges, dials, or other indicators to make sure a machine is working pr Technology Design (imp:1.75 lvl:0.75) — Generating or adapting equipment and technology to serve user needs. Management of Material Resources (imp:1.75 lvl:1.38) — Obtaining and seeing to the appropriate use of equipment, facilities, and materi Troubleshooting (imp:1.62 lvl:0.88) — Determining causes of operating errors and deciding what to do about it. Operations Analysis (imp:1.50 lvl:0.88) — Analyzing needs and product requirements to create a design. Equipment Selection (imp:1.12 lvl:0.38) — Determining the kind of tools and equipment needed to do a job. Operation and Control (imp:1.12 lvl:0.25) — Controlling operations of equipment or systems. Installation (imp:1.00) — Installing equipment, machines, wiring, or programs to meet specifications. Equipment Maintenance (imp:1.00) — Performing routine maintenance on equipment and determining when and what kind o Repairing (imp:1.00) — Repairing machines or systems using the needed tools.
--- NATIONAL WAGES --- total_employment : 324,230 annual_median : $78,000 annual_pct10 : $48,850 annual_pct25 : $61,160 annual_pct75 : $98,030 annual_pct90 : $117,040 annual_mean : $80,470 hourly_median : $37.50 --- GEOGRAPHIC DISPERSION --- highest_state : District of Columbia ($101,150) lowest_state : Puerto Rico ($45,970) dispersion_ratio : 2.200x --- TOP STATES BY WAGE (54 total) --- Finance and Insurance emp: 244,760 median: $ 76,940 Federal, State, and Local Government, excluding State and Local Government Schools and Hospitals and the U.S. Postal Service (OEWS Designation) emp: 59,520 median: $ 90,920 Management of Companies and Enterprises emp: 6,530 median: $ 65,260 Professional, Scientific, and Technical Services emp: 4,320 median: $ 55,500 Administrative and Support and Waste Management and Remediation Services emp: 3,450 median: $ 60,550 Health Care and Social Assistance emp: 2,450 median: $ 57,000 Transportation and Warehousing emp: 730 median: $ 62,720 Other Services (except Public Administration) emp: 660 median: $ 75,380 Information emp: 400 median: $ 65,620 Real Estate and Rental and Leasing emp: 230 median: $ 58,270 --- TOP INDUSTRIES BY EMPLOYMENT (14 total) --- Finance and Insurance emp: 244,760 median: $ 76,940 Federal, State, and Local Government, excluding State and Local Government Schools and Hospitals and the U.S. Postal Service (OEWS Designation) emp: 59,520 median: $ 90,920 Management of Companies and Enterprises emp: 6,530 median: $ 65,260 Professional, Scientific, and Technical Services emp: 4,320 median: $ 55,500 Administrative and Support and Waste Management and Remediation Services emp: 3,450 median: $ 60,550 Health Care and Social Assistance emp: 2,450 median: $ 57,000 Transportation and Warehousing emp: 730 median: $ 62,720 Other Services (except Public Administration) emp: 660 median: $ 75,380 Information emp: 400 median: $ 65,620 Real Estate and Rental and Leasing emp: 230 median: $ 58,270
exact_match_status : no_exact_match matched_title : N/A match_score : 0.0000 wikidata_qid : N/A word_count : 0 wikipedia_url : N/A license : CC BY-SA 4.0 fetched_at : 2026-06-02T20:09:16.462621Z --- SEMANTIC NEIGHBORS (5) --- Title: Insurance (similarity: 0.2182) URL: https://en.wikipedia.org/wiki/Insurance QID: Q43183 Extract: Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to protect against the risk of a contingent or uncertain loss. Title: Structural adjustment (similarity: 0.3582) URL: https://en.wikipedia.org/wiki/Structural_adjustment QID: Q2141807 Extract: Structural adjustment programs (SAPs) consist of loans provided by the International Monetary Fund (IMF) and the World Bank (WB) to countries that experience economic crises. Their stated purpose is to adjust the country's economic structure, improve international competitiveness, and restore its b Title: Detective (similarity: 0.2182) URL: https://en.wikipedia.org/wiki/Detective QID: Q842782 Extract: A detective is an investigator, usually a member of a law enforcement agency. They often collect information to solve crimes by talking to witnesses and informants, collecting physical evidence, or searching records in databases. This leads them to arrest criminals and enable them to be convicted in Title: Israel Keyes (similarity: 0.1724) URL: https://en.wikipedia.org/wiki/Israel_Keyes QID: Q6087028 Extract: Israel Keyes was an American serial killer, rapist, bank robber, burglar, arsonist, and kidnapper. Title: List of Mayday episodes (similarity: 0.3188) URL: https://en.wikipedia.org/wiki/List_of_Mayday_episodes QID: Q1087066 Extract: Mayday, known as Air Crash Investigation(s) outside of the United States and Canada and also known as Mayday: Air Disaster or Air Disasters in the United States, is a Canadian documentary television series produced by Cineflix that recounts air crashes, near-crashes, fires, hijackings, bombing
model_pass1 : claude-sonnet-4-20250514
model_pass2 : claude-haiku-4-5-20251001
inference_confidence : high
confidence_notes : Strong occupational data with detailed task descriptions, comprehensive skill profiles, and robust wage data. The profession has clear boundaries and established career pathways supported by extensive O*NET information.
inferred_at : 2026-06-03T13:03:41.950799+00:00
tokens_input : 4,565
tokens_output : 4,213
cost_usd : $0.045201
wikipedia_used : False
wikipedia_title : None
wikipedia_note : No exact Wikipedia match found for claims adjusters, though related insurance and detective articles provide relevant context for the investigative and financial protection aspects of this profession.
--- PROSE FIELDS ---
ROLE SUMMARY:
Claims Adjusters, Examiners, and Investigators evaluate insurance claims to determine coverage validity and settlement amounts, serving as the critical gatekeepers between insurance companies and claimants. They investigate incidents, review documentation, interview stakeholders, and negotiate settlements while ensuring compliance with company policies and legal requirements. These professionals combine analytical skills with communication expertise to resolve claims fairly and efficiently.
DAY IN THE LIFE:
Claims professionals begin by examining claims forms and supporting documentation to verify insurance coverage and assess the validity of reported incidents. They spend significant time working with computers to review police reports, medical records, and property damage assessments while calculating settlement amounts. Much of their day involves communicating with external parties including claimants, witnesses, medical professionals, and legal counsel to gather information and clarify details. They conduct interviews to investigate questionable claims, obtain credit information from financial institutions, and document their findings in detailed reports. When complex cases arise, they collaborate with investigators, attorneys, and specialized adjusters to ensure proper resolution and may collect evidence for potential court proceedings.
WHO THRIVES:
Successful claims professionals possess strong analytical minds with exceptional attention to detail, as evidenced by the high importance of deductive and inductive reasoning abilities combined with problem sensitivity skills. They excel at written and oral communication, managing complex stakeholder relationships while maintaining integrity and dependability under pressure. Individuals who thrive are naturally inquisitive investigators who enjoy gathering information, solving puzzles, and making fair determinations based on evidence. The conventional and enterprising personality types dominate this field, reflecting the need for systematic documentation and confident decision-making when negotiating settlements and resolving conflicts.
CAREER ENTRY:
Most claims adjusters enter the field with a bachelor's degree (55.8% of professionals), though some begin with associate degrees (12.0%) or high school diplomas (13.1%) and advance through on-the-job training. Entry-level positions typically require strong communication skills and basic knowledge of customer service, mathematics, and computer systems. Many employers provide extensive training programs covering insurance law, investigation techniques, and company-specific procedures, as this Job Zone 4 occupation requires considerable preparation.
CAREER TRAJECTORY:
Claims professionals can advance to senior adjuster roles handling complex commercial claims, become claims supervisors or managers overseeing teams and territories, or specialize in areas like fraud investigation or legal liaison work. The transferable skills in judgment, negotiation, and complex problem-solving create pathways into compliance officer roles, insurance underwriting, or independent consulting. Experienced adjusters may transition to related fields such as risk management, corporate investigations, or property appraisal services.
MARKET INTELLIGENCE:
The profession employs 324,230 workers nationwide with a median annual salary of $78,000 according to BLS OEWS May 2025 data, ranging from $48,850 to $117,040 across the 10th to 90th percentiles. Geographic variation is moderate with highest wages in Washington DC ($101,150) and lowest in Puerto Rico ($45,970), representing a 2.20x ratio. The Finance and Insurance sector dominates employment with 244,760 positions, followed by government agencies with 59,520 roles. Demand remains steady as insurance claims processing represents an essential business function, though technology adoption may reshape some routine tasks while creating opportunities for specialized investigation and complex case management.
AUTOMATION OUTLOOK:
Core investigative and negotiation activities show moderate automation resistance given the complex human judgment required for evaluating unique claim circumstances and managing stakeholder relationships. While routine data entry and basic coverage verification may become increasingly automated, the high-level reasoning, communication, and conflict resolution skills remain fundamentally human-centered, particularly for complex or disputed claims requiring nuanced decision-making.
--- REASONED EDGES ---
[knowledge_overlap] Insurance Underwriters (13-2053.00) — confidence:high
reasoning: Both roles require deep knowledge of insurance principles, risk assessment, and policy analysis with similar mathematical and analytical requirements.
data: Insurance knowledge
data: Risk evaluation
data: Mathematical analysis
[skill_overlap] Compliance Officers (13-1041.00) — confidence:high
reasoning: Transferable skills in judgment, critical thinking, and regulatory knowledge align with compliance work requiring similar attention to detail and policy interpretation.
data: Judgment and Decision Making (3.8)
data: Critical Thinking (4.0)
data: Law and Government knowledge
[task_similarity] Fraud Examiners, Investigators and Analysts (13-2099.04) — confidence:high
reasoning: Investigation activities, evidence collection, and analytical review of questionable cases create direct task overlap with fraud examination work.
data: Interview witnesses and claimants
data: Collect evidence
data: Investigate questionable claims
[task_similarity] Appraisers and Assessors of Real Estate (13-2023.00) — confidence:medium
reasoning: Property damage assessment and valuation activities directly overlap with real estate appraisal work requiring similar analytical and estimation skills.
data: Investigate and assess damage to property
data: Create property damage estimates
data: Examine titles to property
[riasec_cluster] Customer Service Representatives (43-4051.00) — confidence:medium
reasoning: Both roles share conventional personality types and require strong customer service skills, though claims work involves more complex analytical components.
data: Conventional RIASEC type (6.23)
data: Customer service knowledge (4.7)
data: Communicating with external parties
--- NORMALIZER SIGNALS ---
match_keywords : ['claims adjuster', 'insurance claims', 'claims examiner', 'claims investigator', 'auto claims', 'property claims', 'bodily injury claims', 'insurance adjuster']
exclude_keywords : ['underwriter', 'sales agent', 'broker', 'actuary', 'policy processing']
title_patterns : ['Claims Adjuster', 'Claims Examiner', 'Claims Investigator', 'Auto Claims Adjuster', 'Property Claims Adjuster']
common_variations: ['adjuster', 'adjustor', 'claims specialist', 'claims analyst', 'damage adjuster', 'field adjuster', 'desk adjuster', 'senior claims adjuster']
total_terms : 40 top_words : ['tendency', 'others', 'claims', 'equipment', 'principles', 'legal', 'control', 'includes', 'financial', 'objects', 'insurance', 'activities', 'management', 'problems', 'techniques', 'ideas', 'body', 'records', 'human', 'procedures'] source_layers : onet_tasks | onet_dimensions | dwas | wikipedia | inference TERM COUNT FREQ DOMINANT SOURCE SOURCE BREAKDOWN ────────────────────────────────────────────────────────────────────────────────────────── tendency 42 0.01457 onet_dimensions onet_dimensions:100% others 41 0.01422 onet_dimensions onet_dimensions:93% dwas:7% claims 32 0.01110 onet_tasks onet_tasks:56% inference:44% equipment 23 0.00798 onet_dimensions onet_dimensions:100% principles 16 0.00555 onet_dimensions onet_dimensions:100% legal 13 0.00451 dwas dwas:62% inference:23% onet_tasks:8% control 13 0.00451 onet_dimensions onet_dimensions:92% onet_tasks:8% includes 12 0.00416 onet_dimensions onet_dimensions:100% financial 12 0.00416 dwas dwas:50% onet_dimensions:25% inference:17% objects 12 0.00416 onet_dimensions onet_dimensions:100% insurance 11 0.00381 inference inference:73% onet_tasks:18% wikipedia:9% activities 11 0.00381 onet_dimensions onet_dimensions:82% onet_tasks:9% inference:9% management 11 0.00381 onet_dimensions onet_dimensions:64% inference:18% onet_tasks:9% problems 11 0.00381 onet_dimensions onet_dimensions:82% dwas:18% techniques 11 0.00381 onet_dimensions onet_dimensions:91% inference:9% ideas 11 0.00381 onet_dimensions onet_dimensions:100% body 11 0.00381 onet_dimensions onet_dimensions:91% wikipedia:9% records 10 0.00347 dwas dwas:40% onet_tasks:30% onet_dimensions:10% human 10 0.00347 onet_dimensions onet_dimensions:70% inference:20% onet_tasks:10% procedures 10 0.00347 onet_dimensions onet_dimensions:80% onet_tasks:10% inference:10% complex 10 0.00347 inference inference:70% onet_dimensions:20% onet_tasks:10% materials 10 0.00347 onet_dimensions onet_dimensions:100% events 10 0.00347 onet_dimensions onet_dimensions:80% wikipedia:20% property 9 0.00312 onet_tasks onet_tasks:56% inference:22% onet_dimensions:11% investigate 9 0.00312 dwas dwas:44% onet_tasks:33% inference:22% services 9 0.00312 onet_dimensions onet_dimensions:67% onet_tasks:11% dwas:11% problem 9 0.00312 onet_dimensions onet_dimensions:78% inference:22% resources 9 0.00312 onet_dimensions onet_dimensions:100% quickly 9 0.00312 onet_dimensions onet_dimensions:100% orientation 9 0.00312 onet_dimensions onet_dimensions:100% physical 8 0.00278 onet_dimensions onet_dimensions:75% onet_tasks:12% wikipedia:12% claimants 8 0.00278 onet_tasks onet_tasks:38% dwas:38% inference:25% adjusters 8 0.00278 inference inference:62% onet_tasks:38% needs 8 0.00278 onet_dimensions onet_dimensions:100% monitoring 8 0.00278 onet_dimensions onet_dimensions:100% rules 8 0.00278 onet_dimensions onet_dimensions:100% standards 8 0.00278 onet_dimensions onet_dimensions:100% production 8 0.00278 onet_dimensions onet_dimensions:100% actions 8 0.00278 onet_dimensions onet_dimensions:100% performing 8 0.00278 onet_dimensions onet_dimensions:100%