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Claims Adjusters, Examiners, and Investigators

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.

How does this connect to your interests? →

A look at the work

  • 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.
  • 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.

A selection of source-listed tasks; duties vary by role and employer.

Interests involved in this work

These source scores describe occupational work activities. They are separate from your personal test results.

Hands-on

2026-02 · Machine Learning/Expert

1.2 / 7

Investigative

2026-02 · Machine Learning/Expert

3.5 / 7

Creative

2026-02 · Machine Learning/Expert

1.0 / 7

Helping people

2026-02 · Machine Learning/Expert

2.6 / 7

Enterprising

2026-02 · Machine Learning/Expert

4.8 / 7

Organizing

2026-02 · Machine Learning/Expert

6.2 / 7

Skills to explore

Source-reported importance on a 1–5 scale. Try a course, project or conversation to learn what these skills involve.

Reading Comprehension

Understanding written sentences and paragraphs in work-related documents.

2022-08

4.1 / 5

Active Listening

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

2022-08

4.0 / 5

Critical Thinking

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

2022-08

4.0 / 5

Speaking

Talking to others to convey information effectively.

2022-08

3.9 / 5

Judgment and Decision Making

Considering the relative costs and benefits of potential actions to choose the most appropriate one.

2022-08

3.8 / 5

Writing

Communicating effectively in writing as appropriate for the needs of the audience.

2022-08

3.6 / 5

Complex Problem Solving

Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

2022-08

3.5 / 5

Monitoring

Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

2022-08

3.4 / 5

Social Perceptiveness

Being aware of others' reactions and understanding why they react as they do.

2022-08

3.4 / 5

Active Learning

Understanding the implications of new information for both current and future problem-solving and decision-making.

2022-08

3.3 / 5

Plan a small next step

Talk to someone doing this work, look for a supervised activity, and explore the subjects that interest you. Admission, licensing and current program requirements should be confirmed with the relevant institutions.

Source preparation category: Job Zone 4 of 5 · 2022-08. This category describes typical preparation, not your eligibility.

Related study fields

Source crosswalk connections are research leads, not required qualifications.

Health/Medical Claims Examiner →

Insurance →

Explore all related study fields →

Source & methodology

O*NET-SOC code 13-1031.00 · Database 31.0 · Retrieved Oct 14, 2026. Dates on individual observations describe their source periods.

How interest exploration matching works →

Data: O*NET® 31.0 Database, U.S. Department of Labor, Employment and Training Administration. Used under CC BY 4.0. StudyIndex normalizes the presentation and adds exploration features; USDOL/ETA has not approved, endorsed or tested these additions.