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Workers' compensation claims adjuster vs claim investigator

The differences between workerss' compensation claims adjuster and claim investigators can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a workers' compensation claims adjuster and a claim investigator. Additionally, a workers' compensation claims adjuster has an average salary of $57,583, which is higher than the $49,415 average annual salary of a claim investigator.

The top three skills for a workers' compensation claims adjuster include customer service, claim process and compensation benefits. The most important skills for a claim investigator are scene investigations, insurance claims, and property damage.

Workers' compensation claims adjuster vs claim investigator overview

Workers' Compensation Claims AdjusterClaim Investigator
Yearly salary$57,583$49,415
Hourly rate$27.68$23.76
Growth rate-6%-6%
Number of jobs16,5068,738
Job satisfaction--
Most common degreeBachelor's Degree, 63%Bachelor's Degree, 61%
Average age4444
Years of experience44

What does a workers' compensation claims adjuster do?

A worker's compensation claims adjuster is responsible for analyzing and validating compensation claims, ensuring eligibility and accuracy to authorize payments. Their responsibilities also include coordinating with different departments to gather data, liaising with internal and external parties, determining the amount of compensation, and negotiating claims. Furthermore, a worker's compensation claims adjuster may also perform administrative support tasks such as preparing progress reports and other documentation, answering calls and inquiries, maintaining records of all transactions, and training new members of the workforce.

What does a claim investigator do?

Claim Investigators are professionals who are responsible for examining facts of insurance claims to determine their extent and validity to prevent any cases of fraud. These investigators must use a combination of tools such as cutting-edge software to help insurance companies to settle claims quickly by evaluating them. They are required to manage multiple cases by investigating defective products or events such as an oil spill. Claim Investigators must also prepare reports while keeping track of evidence trails.

Workers' compensation claims adjuster vs claim investigator salary

Workerss' compensation claims adjuster and claim investigators have different pay scales, as shown below.

Workers' Compensation Claims AdjusterClaim Investigator
Average salary$57,583$49,415
Salary rangeBetween $40,000 And $82,000Between $37,000 And $65,000
Highest paying CitySacramento, CASan Francisco, CA
Highest paying stateRhode IslandAlaska
Best paying companyThe Travelers CompaniesHealth Alliance
Best paying industryFinanceFinance

Differences between workers' compensation claims adjuster and claim investigator education

There are a few differences between a workers' compensation claims adjuster and a claim investigator in terms of educational background:

Workers' Compensation Claims AdjusterClaim Investigator
Most common degreeBachelor's Degree, 63%Bachelor's Degree, 61%
Most common majorBusinessCriminal Justice
Most common collegeStanford UniversityCalifornia State University - Bakersfield

Workers' compensation claims adjuster vs claim investigator demographics

Here are the differences between workerss' compensation claims adjuster' and claim investigators' demographics:

Workers' Compensation Claims AdjusterClaim Investigator
Average age4444
Gender ratioMale, 27.4% Female, 72.6%Male, 52.5% Female, 47.5%
Race ratioBlack or African American, 11.0% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.6% American Indian and Alaska Native, 0.5%Black or African American, 11.1% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.1% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between workers' compensation claims adjuster and claim investigator duties and responsibilities

Workers' compensation claims adjuster example responsibilities.

  • Manage OSHA logs and insure ongoing awareness for warehouse safety and risk management guidelines
  • Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
  • Adjust complex workers' compensation claims, which include litigation management, vocational rehabilitation, medical management, and reserving practices.
  • Coordinate all medical and vocational rehabilitation services.
  • Coordinate all provide medical and vocational rehabilitation services to the catastrophically injure worker.
  • Prepare claims for hearing process order DWC.
  • Show more

Claim investigator example responsibilities.

  • Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
  • Coordinate with SIU investigators in their investigations of the same claimant or insure.
  • Collaborate with SIU, fire, and police personnel in an effort to resolve investigations.
  • Conduct extensive field investigations and interact with staff attorneys on litigation matters.
  • Prepare and/or review property and content estimates for settlement using Xactimate and XactContents software programs.
  • Conduct complete assessment of interior and exterior damage to create a detail repair estimate within Xactimate software.
  • Show more

Workers' compensation claims adjuster vs claim investigator skills

Common workers' compensation claims adjuster skills
  • Customer Service, 28%
  • Claim Process, 16%
  • Compensation Benefits, 12%
  • Settlement Authority, 9%
  • Data Entry, 4%
  • Litigation, 4%
Common claim investigator skills
  • Scene Investigations, 11%
  • Insurance Claims, 7%
  • Property Damage, 5%
  • Fraud Claims, 5%
  • Background Checks, 5%
  • Litigation, 4%

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