JobSOC 13-1031

Claims Adjusters, Examiners, and Investigators

Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims.

Definition from U.S. Department of Labor, Employment and Training Administration (USDOL/ETA) (O*NET 31.0 (August 2026)).

01.

Studied through

2 programs

Health/Medical Claims Examiner51.0715
Insurance52.1701

02.

Draws on

Customer and Personal Service4.7 of 5
English Language4.4 of 5
Administrative3.8 of 5
Mathematics3.7 of 5

Importance as rated in O*NET (1 to 5); areas rated 3.5 or more, up to eight.