Claims technology can take care of a lot, so what is a claims technician there for?
Even though technology can do much of the claims processing work, a claims technician (or claims adjuster) is the human behind the scenes making sure claims doesn’t vanish into the void. They review claims, verify coverage, assess damages and fraud risks, communicate with customers when automation can’t handle the nuance, and ensure the outcomes of final decisions.
Their job has gotten a lot easier with the right tools, but some human oversight is still essential: especially when a complex situation calls for human empathy, not just machine-driven efficiency.
Further, different types of adjusters benefit differently from claims technology. Different “types” of adjusters could be named all day, depending on line of business and how different insurers run their claims operations. However, for the sake of example, what are 4 types of claims adjusters, and how do they benefit from claims technology?
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- Staff Adjusters – Employed by insurance companies directly. These adjusters benefit from deep integration into internal systems, meaning claims technology can automate routine tasks and instantly surface key data from across the organization.
- Independent Adjusters – Contractors hired for specific claims. These adjusters benefit from mobile-friendly tools and cloud-based platforms that allow them to plug into a carrier’s systems quickly and work efficiently from the field.
- Public Adjusters – Work for the policyholder, not the carrier. These adjusters rely on claims technology to access transparent claim histories and documentation, helping them advocate more effectively and thoroughly on behalf of insured individuals.
- Catastrophe Adjusters – Handle high volumes during disasters (hurricanes, wildfires, etc.). These adjusters uniquely benefit from automated triage and real-time analytics to prioritize claims, allocate resources, and speed up resolution under pressure.
No matter the type, adjusters are all under pressure to close claims quickly and accurately, which is why these tools are so advantageous for them.