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Claim Adjustors investigate, analyze, and determine the extent of an insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect a settlement with claimants. They correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. They calculate benefit payments and approve payment of claims within a certain monetary limit.
Claims adjustors and underwriters perform their work at different points in the insurance process. The underwriter, who determines the risk and cost of the policy, performs her job before insurance is approved and provided. The claims adjustor comes in when the insurance company must decide whether to pay a claim.
Duties & Responsibilities:
Analyze information gathered by investigation and report findings and recommendations.
Examine claim forms and other records to determine insurance coverage.
Interview or correspond with the insured, claimants’ witnesses or their representatives. Consult police reports and inspect property damage to determine an extent of liability.
Negotiate claims settlements and recommend appraisal, mediation or litigation when settlement cannot be negotiated.
Refer questionable claims to management for further investigation or settlement.
KEY SKILLS REQUIRED:
MAKING DECISIONS - Logical Reasoning
SOLVING PROBLEMS - Quantitative Aptitude, Abstract Reasoning
PLANNING, PRIORITIZING, AND ORGANIZING - Abstract Reasoning
EFFECTIVELY COMMUNICATING VERBALLY AND IN WRITING - Verbal Ability and Verbal Reasoning
CUSTOMER SERVICE
INITIATIVE AND ABILITY TO THINK LOGICALLY, ANALYTICALLY AND CRITICALLY - Logical Reasoning
VERBAL ABILITY
Verbal ability is essential because grammar and vocabulary is a prerequisite for good spoken and written English.
VERBAL REASONING
Reading comprehension indicates an ability to comprehend and reason with the concepts on a written page.
QUANTITATIVE APTITUDE
Quantitative ability will indicate analytical thinking and problem-solving ability.
LOGICAL REASONING
Logical Reasoning is assessed through
• Statement/Conclusion
• Cause /Effect and
• Statement/Fact questions
These questions will indicate the quality of deductive reasoning and inductive reasoning which contribute to Critical thinking ability.
ABSTRACT REASONING
Abstract reasoning will indicate the ability to think clearly, identify logical patterns, learn new skills and solve complex problems. It is an indicator of fluid intelligence and shows an ability to strategize.
Claims Adjustor Test Details: 46 Questions 60 minutes
Verbal Ability - 08 Questions 08 minutes
Verbal Reasoning - 08 Questions 13 minutes
Quantitative Aptitude - 10 Questions 10 minutes
Logical Reasoning - 12 Questions 15 minutes
Abstract Reasoning - 10 Questions 14 minutes
