Insurance adjusters and claims examiners (NOC 1312)

High demand occupation

About this job

Insurance adjusters and claims examiners:

  • investigate insurance claims and determine the amount of loss or damages covered by insurance policies
  • work in claims departments of insurance companies or as independent adjusters
  • examine claims investigated by insurance adjusters and authorize payments
  • work at head offices or branches of insurance companies
Common job titles
  • adjuster, disability / workers' comp.
  • adjuster, disaster relief / fire
  • adjuster, freight / liability / public
  • assessor, medical claims - insurance
  • associate, settlement management
  • claims adjuster / examiner
  • adjuster, disability / workers' comp.
  • adjuster, disaster relief / fire
  • adjuster, freight / liability / public
  • adjuster, marine / auto / railroad
  • adjustor
  • assessor, medical claims - insurance

Duties

Insurance adjusters:

  • investigate circumstances surrounding insurance claims to determine truthfulness of claim
  • inspect automobile, home or other property damage
  • take statements and consult with claimants, accident witnesses, doctors and other relevant individuals and examine records or reports
  • determine amount of loss or damages covered by insurance policies
  • negotiate settlement of claims
  • prepare adjustment reports

Insurance claims examiners:

  • review, examine, calculate and authorize insurance claims investigated by insurance adjusters
  • examine adjusters' reports and similar insurance claims to determine extent of insurance coverage
  • ensure claims are accurate 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

Work environment

Work in this occupation is typically performed in a structured environment, such as an office.

Career paths and resources

Career paths

Completion of educational programs through the Insurance Institute of Canada or its provincial counterparts entitles insurance adjusters and claims examiners to professional recognition as an Associate of the Insurance Institute of Canada (A.I.I.C.) and with additional university courses, as a Fellow of the Insurance Institute of Canada (F.I.I.C.).

Additional resources