Assessment Template For 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.
Claims Adjusters, Examiners, and Investigators

Tests

Qustom Questions

Hiring success rate

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69% hiring better

Test Used

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15065 times

Popular Job Roles
Claims AdjusterClaims AnalystClaims ExaminerClaims RepresentativeClaims SpecialistCorporate Claims ExaminerField Claims AdjusterGeneral AdjusterHome Office Claims SpecialistLitigation Claims Representative

Occupation-Specific

Technology Skills
Computer aided design CAD software
Questions30
Time Limit15 min

Tasks

  • Examine claims forms and other records to determine insurance coverage.
  • Analyze information gathered by investigation and report findings and recommendations.
  • Pay and process claims within designated authority level.
  • Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
  • Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.

Technology Skills

Computer aided design CAD software

4n6xprt Systems StiffCalcs, ARSoftware WinSMAC, PhotoModeler, Visual Statement Investigator Suite

Presentation software

Microsoft PowerPoint

Document management software

Datanex ClaimTrac, Document management system software, Hyland OnBase Enterprise Content Management, InSystems Calligo Document Management System

Expert system software

Axonwave Fraud and Abuse Management System, Bill review software, LexisNexis RiskWise, StrataCare StrataWare eReview

Financial analysis software

Automatic Data Processing Estimating, CSC Colossus, Simsol for Adjusters, Turtle Creek Software Goldenseal Architect

Worker Requirements

Technology Skills
Computer aided design CAD software
Questions30
Time Limit15 min
Skills
Reading Comprehension
Questions20
Time Limit25 min
Knowledge
Customer and Personal Service
Questions20
Time Limit25 min

Skills

Reading Comprehension

Understanding written sentences and paragraphs in work-related documents.

Active Listening

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Critical Thinking

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

Speaking

Talking to others to convey information effectively.

Judgment and Decision Making

Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Knowledge

Customer and Personal Service

Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

English Language

Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Administrative

Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.

Mathematics

Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Computers and Electronics

Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

Worker Characteristics

Technology Skills
Computer aided design CAD software
Questions30
Time Limit15 min
Skills
Reading Comprehension
Questions20
Time Limit25 min
Knowledge
Customer and Personal Service
Questions20
Time Limit25 min
Abilities
Written Comprehension
Questions20
Time Limit25 min
Interests
Conventional
Questions20
Time Limit20 min
Work Values
Support
Questions20
Time Limit25 min
Work Styles
Integrity
Questions20
Time Limit15 min

Abilities

Written Comprehension

The ability to read and understand information and ideas presented in writing.

Oral Comprehension

The ability to listen to and understand information and ideas presented through spoken words and sentences.

Oral Expression

The ability to communicate information and ideas in speaking so others will understand.

Deductive Reasoning

The ability to apply general rules to specific problems to produce answers that make sense.

Inductive Reasoning

The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Interests

Conventional

Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

Enterprising

Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

Investigative

Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

Work Values

Support

Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

Independence

Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.

Working Conditions

Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.

Work Styles

Integrity

Job requires being honest and ethical.

Stress Tolerance

Job requires accepting criticism and dealing calmly and effectively with high-stress situations.

Dependability

Job requires being reliable, responsible, and dependable, and fulfilling obligations.

Attention to Detail

Job requires being careful about detail and thorough in completing work tasks.

Initiative

Job requires a willingness to take on responsibilities and challenges.

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