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Insurance claims examiners

OaSIS code 12201.02

Insurance claims examiners examine claims investigated by insurance adjusters and authorize payments.

Overview

Also known as

  • Claims examiner

Main duties

This group performs some or all of the following duties:

  • Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
  • Examine adjusters' reports and similar insurance claims or precedents to determine extent of insurance coverage
  • Ensure claims are valid and settlements are made according to company practices and procedures
  • Consult lawyers, doctors or other relevant individuals to discuss insurance claims
  • Approve automobile, fire, life, disability, dental or other insurance claims.

Additional information

No data has been provided for this section.

Similar occupations classified elsewhere

No data has been provided for this section.

NOC hierarchy breakdown

NOC version

NOC 2021 Version 1.0

Broad occupational category

1 – Business, finance and administration occupations

TEER

2 – Occupations usually require a college diploma or apprenticeship training of two or more years; or supervisory occupations

Major group

12 – Administrative and financial supervisors and specialized administrative occupations

Sub-major group

122 – Accounting, insurance and related business administrative occupations

Minor group

1220 – Accounting, insurance and related business administrative occupations

Unit group

12201 – Insurance adjusters and claims examiners

Occupational profile

12201.02 – Insurance claims examiners

Work characteristics

Work characteristics gathers the various components describing the work environment of each occupation, such as employers, work activities, and the work context. Each category displays up to 10 descriptors in descending order based, firstly, on their attributed ratings by the level of complexity (for Work Activities) or other measurement dimensions (for Work Context), and secondly, in alphabetical order. The whole list of descriptors and their ratings can be expanded at the bottom of each page.

Work Activities

Proficiency or complexity level
Evaluating Information to Determine Compliance
4 - High Level
Processing Information
4 - High Level
Resolving Conflicts and Negotiating with Others
4 - High Level
Clerical Activities
3 - Moderate Level
Communicating with Coworkers
3 - Moderate Level

Work Context

Structural Job Characteristics

Structured versus Unstructured Work
Degree of freedom to determine tasks and priorities
3 - Moderate amount of freedom
Work Week Duration
Worked hours in a typical week
2 - Between 35 to 40 hours

Physical Work Environment

Physical Proximity
Physical distance from others
3 - Somewhat close (e.g. share office)

Physical Demands

Sitting
Duration
4 - More than half the time
Standing
Duration
2 - Less than half the time
Bending or Twisting the Body
Duration
1 - Very little time

Interpersonal Relations

Contact with Others
Frequency
4 - Every day, a few times per day
Duration
4 - More than half the time
Work with Work Group or Team
Importance
3 - Important
Frequency
3 - Once a week or more but not every day

Workplaces/employers

  • Branches of insurance companies
  • Head offices of insurance companies

Skills and abilities

This section displays the various competencies required for an occupation. Each category displays up to 10 descriptors in descending order based, firstly, on their attributed ratings by the level of proficiency (for Skills and Abilities) or importance (for Personal Attributes) and secondly, in alphabetical order. The whole list of descriptors and their ratings can be expanded at the bottom of each page.

Abilities

Proficiency or complexity level
Inductive Reasoning
3 - Moderate Level
Information Ordering
3 - Moderate Level
Memorizing
3 - Moderate Level
Verbal Ability
3 - Moderate Level
Written Comprehension
3 - Moderate Level

Skills

Proficiency or complexity level
Coordinating
3 - Moderate Level
Critical Thinking
3 - Moderate Level
Decision Making
3 - Moderate Level
Digital Literacy
3 - Moderate Level
Evaluation
3 - Moderate Level

Personal Attributes

Importance
Attention to Detail
4 - Highly important
Independence
4 - Highly important
Adaptability
3 - Important
Analytical Thinking
3 - Important
Collaboration
3 - Important