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You Are Here: Vermont Department of Labor ELMIOccupation ProfileClaims Adjusters, Examiners, and Investigators |
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ELMI Occupation Profile - Claims Adjusters, Examiners, and Investigators |
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| Claims Adjusters, Examiners, and Investigators |
| (O*NET 13-1031.00, SOC 13-1031) |
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What they do
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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.
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| Also called: |
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Claims Adjuster, Claims Analyst, Claims Examiner, Claims Representative, Claims Specialist, Corporate Claims Examiner, Field Claims Adjuster, General Adjuster, Home Office Claims Specialist, Litigation Claims Representative
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Wages
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| Vermont - 2023 |
| Percentile1 | Hourly | Yearly |
| 10% |
$ 23.84 |
$49,590 |
| 25% |
$ 28.67 |
$59,620 |
| Median |
$ 37.21 |
$77,400 |
| 75% |
$ 43.49 |
$90,460 |
| 90% |
$ 50.42 |
$104,860 |
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| Average |
$ 36.58 |
$76,080 |
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| More at CareerOneStop |
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Industries of Employment
| United States - 2020 |
| Industry | Percent of total |
- Insurance carriers and related activities
| 72% |
- Federal government, excluding postal service
| 15% |
- State government, excluding education and hospitals
| 3% |
- Management of companies and enterprises
| 2% |
| 2% |
| More at BLS |
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Knowledge
| People in this career often know a lot about: |
- 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.
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- English Language
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
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- 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.
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- Mathematics
Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
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- Computers and Electronics
Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
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| More at O*NET |
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Skills
| People in this career often have these skills: |
- Reading Comprehension
Understanding written sentences and paragraphs in work-related documents.
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- 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.
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- Critical Thinking
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
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- Speaking
Talking to others to convey information effectively.
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- Judgment and Decision Making
Considering the relative costs and benefits of potential actions to choose the most appropriate one.
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| More at O*NET |
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Interests
| People in this career often prefer these work environments: |
- Conventional
Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.
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- Enterprising
Work involves managing, negotiating, marketing, or selling, typically in a business setting, or leading or advising people in political and legal situations. Enterprising occupations are often associated with business initiatives, sales, marketing/advertising, finance, management/administration, professional advising, public speaking, politics, or law.
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- Investigative
Work involves studying and researching non-living objects, living organisms, disease or other forms of impairment, or human behavior. Investigative occupations are often associated with physical, life, medical, or social sciences, and can be found in the fields of humanities, mathematics/statistics, information technology, or health care service.
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| What are your interests? Take the O*NET Interest Profiler |
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Work Styles
| People in this career will do well at jobs that need: |
- Stress Tolerance
Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
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- Integrity
Job requires being honest and ethical.
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- Dependability
Job requires being reliable, responsible, and dependable, and fulfilling obligations.
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- Attention to Detail
Job requires being careful about detail and thorough in completing work tasks.
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- Initiative
Job requires a willingness to take on responsibilities and challenges.
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| More at O*NET |
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Tasks
| On the job, you would: |
- Examine claims forms and other records to determine insurance coverage.
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- Analyze information gathered by investigation and report findings and recommendations.
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- Pay and process claims within designated authority level.
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- 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.
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- 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.
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| More at O*NET |
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| Related Occupations
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| Career Video
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Projected Employment
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| Vermont |
| 2020 employment |
312 |
| 2030 employment |
296 |
Annual percent change
(compounded) |
-0.5% |
Annual projected job openings
(due to change and separations) |
21 |
| More at Occupational Projections |
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Education and Experience:
- Typical education needed for entry
High school diploma or equivalent
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- Work experience in a related occupation
None
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- Typical on-the-job training needed to attain competency
Long-term on-the-job training
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| Based on BLS Education and Training Classifications |
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Physical Work Activity
Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
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- Physical activity is Somewhat Important
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| Low |  | High |
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| Compare Occupations at O*NET |
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Job Zone
| Considerable Preparation Needed |
- Specific Vocational Preparation Range
(7.0 to < 8.0) - A typical worker will require
over 2 years up to and including 4 years
of training to achieve average performance in this occupation.
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| Based on O*Net Job Zones and SVP |
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Education Level
| How much education do most people in this career have? |
| Education level |  | Percent of
U.S. Workers |
Doctoral or professional degree
or post-MA certificate | | 4% |
Master's degree or
post-BA certificate | | 1% |
| Bachelor's degree | | 56% |
| Associate's degree | | 12% |
Certificate or some college,
no degree | | 15% |
High school diploma
or equivalent | | 13% |
| Less than high school diploma | | 0% |
| More at O*NET |
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Licensing
| Vermont may require an occupational license: |
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| Select a license for details |
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Abilities
| People in this career often have talent in: |
- Written Comprehension
The ability to read and understand information and ideas presented in writing.
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- Oral Comprehension
The ability to listen to and understand information and ideas presented through spoken words and sentences.
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- Oral Expression
The ability to communicate information and ideas in speaking so others will understand.
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- Deductive Reasoning
The ability to apply general rules to specific problems to produce answers that make sense.
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- Inductive Reasoning
The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
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| More at O*NET |
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Work Activities
| In general, what you might do: |
- Working with Computers
Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
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- Communicating with People Outside the Organization
Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
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- Getting Information
Observing, receiving, and otherwise obtaining information from all relevant sources.
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- Identifying Objects, Actions, and Events
Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
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- Making Decisions and Solving Problems
Analyzing information and evaluating results to choose the best solution and solve problems.
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| More at O*NET |
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Detailed Work Activities
| What you might do in a day: |
- Calculate data to inform organizational operations.
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- Investigate legal issues.
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- Prepare legal or investigatory documentation.
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- Pay charges, fees, or taxes.
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- Negotiate agreements to resolve disputes.
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| More at O*NET |
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Other Resources
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- CareerOneStop
resource for job seekers, students, businessess and career professionals
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- O*NET Online
nation's primary source of occupational information
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