Field investigator vs compensation adjuster

Differences between field investigator and compensation adjuster duties and responsibilities

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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Compensation adjuster example responsibilities.

• Manage litigation claims including mediation and arbitration from inception to close.
• Apply strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims.
• Compile and validate information relay to legal department for litigation arising from medical claims.
• Research and review delinquent mortgage cases, financial scenarios and individual homeowner situations to develop solutions compliant with investor policy.
• Close files once MMI and/or settlement reach
• Input new CPT codes into system as changed by HIPPA law regulations.
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