Property claims adjuster vs field investigator

Differences between property claims adjuster and field investigator duties and responsibilities

Property claims adjuster example responsibilities.

• Manage file inventory by utilizing CCC pathways diary system documenting claim file activities in accordance with establish procedures
• Offer diligent investigations and evaluation of commercial and third party liability claims, investigative and litigation management.
• Represent the insurance company in an arbitration settlement in NYC.
• Write denial letters, reservations of rights letters, and other complex correspondence.
• Recognize potentially fraudulent claims, utilizes SIU and other sources as needed, consults with management.
• Negotiate with attorneys, order police reports, assist with the SIU department for possible fraud claims.
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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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