Adjuster vs field investigator

Differences between adjuster and field investigator duties and responsibilities

Adjuster example responsibilities.

• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Review evidence obtain in liability investigations to evaluate a claim for success in recovery through litigation or arbitration.
• Document measurements and relevant data to author estimates and appraisals utilizing Xactimate 28software.
• Charge with answering and defending policy holders and company interests through independent and binding third-party arbitration proceedings.
• Review departmental reports and financial data; prepare reports of findings, negotiating settlement demands or recommending litigation.
• Prepare computerize estimates utilizing Xactimate and document all activity associate with the claim in clients web base claims management system.
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Field investigator example responsibilities.

• Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
• Conduct SIU investigations and activity checks/interviews.
• Complete advanced SIU training in arson investigation, forensics, interrogation and statistical analysis.
• Investigate and open cases on customers and non-customers who have potentially engage in activity which goes against federally mandate BSA/AML regulations.
• Work with lawyers, insurance investigators, medical providers, Medicaid clients, and co-workers to resolve issues.
• Complete additional training and implementation of health insurance billing, both commercial and government (Medicare and Medicaid).
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