Key findings
GenAI is poised to revolutionize the role of claims adjusters, examiners, and investigators by automating routine tasks like data entry and system optimization.
It enhances decision-making by summarizing large volumes of information and streamlining processes.
GenAI’s ability to generate text and multimedia content, as well as provide user support, will greatly benefit professionals in this field.
While it may handle tasks like number crunching and market analysis, human skills such as critical thinking, judgment, and negotiation will remain essential for complex problem-solving and decision-making.
As GenAI continues to evolve, claims professionals must adapt by honing their abilities in reading comprehension, active listening, and systems analysis to effectively collaborate with AI technology and deliver superior service.
How could AI or automation replace or complement job activities?
Artificial intelligence and automation could potentially replace certain activities of the job of examining insurance claims.
Tasks such as digital data processing, information ordering, and data analysis could be automated.
For example, AI could efficiently review police reports and medical records to determine liability, input claim payments into the system, and analyze property damage estimates.
These technologies could enhance efficiency and accuracy in claims processing.
Job description
Checks resolved claims to ensure payments are made correctly. Consults with lawyers for claims needing legal action. Can also finalize insurance claims.
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