Claims Adjusters, Examiners, and Investigators
Business & Financial OperationsAI exposure
- Data source: BLSPublished: 2026-08
Very high· relative
LowFour relative bandsVery highGroup-level value
Scale, basis and source
Four relative bands (Low / Moderate / High / Very high)
831 detailed occupations in the BLS Employment Projections table. Assigned per National Employment Matrix (NEM) code, so occupations sharing a NEM code carry the same band
- Data source: AnthropicPublished: 2026-03
0.082
0.000Range of values carried here0.745Scale, basis and source
- Data source: ILOPublished: 2025
0.45
0.09Range of values carried here0.70Group-level value
Scale, basis and source
Generative AI exposure index, 0–1 as published
ISCO-08 unit group — every occupation sharing the code gets this value
Computed by this site, not published by the ILO: of the 1,012 occupations this site links to the ILO dataset, 25% score at or above this value.
What kind of figure this source publishes
The BLS category is a relative rank, not an absolute level, and it is not a first-hand measurement: it groups an occupation's percentile ranks across several published studies into four bands. It is not an employment or wage forecast, not a probability of adoption, and it does not separate automation from augmentation.
Task-level exposure
Exposed tasks only| Task | Claude.aiRaw / share % |
|---|---|
Analyze information gathered by investigation and report findings and recommendations.13-1031 | 0.016366.1 |
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.13-1031 | 0.004418.0 |
Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.13-1031 | 0.003915.9 |
| Not observed on any surface — 26 task(s) — These tasks have no row in the source for this release. The 0 in the share row is a display-stage composition ratio; absence is what the — in the raw row states. | |
Pay and process claims within designated authority level. | —0 |
Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. | —0 |
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. | —0 |
Resolve complex, severe exposure claims, using high service oriented file handling. | —0 |
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. | —0 |
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. | —0 |
Present cases and participate in their discussion at claim committee meetings. | —0 |
Contact or interview claimants, doctors, medical specialists, or employers to get additional information. | —0 |
Confer with legal counsel on claims requiring litigation. | —0 |
Report overpayments, underpayments, and other irregularities. | —0 |
Communicate with reinsurance brokers to obtain information necessary for processing claims. | —0 |
Supervise claims adjusters to ensure that adjusters have followed proper methods. | —0 |
Conduct detailed bill reviews to implement sound litigation management and expense control. | —0 |
Prepare reports to be submitted to company's data processing department. | —0 |
Examine claims forms and other records to determine insurance coverage. | —0 |
Negotiate claim settlements and recommend litigation when settlement cannot be negotiated. | —0 |
Prepare report of findings of investigation. | —0 |
Collect evidence to support contested claims in court. | —0 |
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims. | —0 |
Refer questionable claims to investigator or claims adjuster for investigation or settlement. | —0 |
Investigate and assess damage to property and create or review property damage estimates. | —0 |
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review. | —0 |
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability. | —0 |
Examine titles to property to determine validity and act as company agent in transactions with property owners. | —0 |
Obtain credit information from banks and other credit services. | —0 |
Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit. | —0 |
Values in this tab are predicted labels, not observations. Eloundou et al. (2023) published two rating regimes — human raters and GPT-4 — and the β shown here is derived from the GPT-4 rater basis alone; the same task can take a different value under the other regime. The unit and the meaning differ from the observed shares (%) in the other tabs, so do not place them on the same axis.
| Task | βE1 + 0.5 × E2 |
|---|---|
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.O*NET Task ID 21429 | 1.0 |
Communicate with reinsurance brokers to obtain information necessary for processing claims.O*NET Task ID 21440 | 1.0 |
Prepare reports to be submitted to company's data processing department.O*NET Task ID 21441 | 1.0 |
Examine claims forms and other records to determine insurance coverage.O*NET Task ID 21417 | 0.5 |
Analyze information gathered by investigation and report findings and recommendations.O*NET Task ID 21418 | 0.5 |
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.O*NET Task ID 21419 | 0.5 |
Investigate and assess damage to property and create or review property damage estimates.O*NET Task ID 21420 | 0.5 |
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.O*NET Task ID 21421 | 0.5 |
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.O*NET Task ID 21422 | 0.5 |
Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.O*NET Task ID 21423 | 0.5 |
Attend mediations or trials.O*NET Task ID 21443 | 0.0 |
β = E1 + 0.5 × E2 · E1 = tasks where direct LLM access alone cuts time by at least 50%, E2 = tasks where software built on top of an LLM cuts time by at least 50%. Values take only 0 / 0.5 / 1.0.
Data sources & licenses — O*NET®, Anthropic Economic Index, Eloundou et al. (2023): see full notices on the Credits page