Claims adjuster vs field investigator

Differences between claims adjuster and field investigator duties and responsibilities

Claims adjuster example responsibilities.

• Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
• Maintain a full caseload of WC files for a Louisiana customer, for six months, while managing this team.
• Manage California branch operations including supervision of 5 WC adjusting and support staff
• Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
• Manage strict confidentiality of documents and comply with HIPAA regulations stipulate by the facility and government.
• Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
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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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