Ajustadores y Examinadores de Reclamaciones
Negocios y FinanzasExposición a la IA
- Fuente de datos: BLSPublicado: 2026-08
Muy alto· relativa
BajoCuatro bandas relativasMuy altoValor por grupo ocupacional
Escala, base y fuente
Cuatro bandas relativas (Bajo / Moderado / Alto / Muy alto)
831 ocupaciones detalladas de la tabla de proyecciones de empleo de BLS. El valor se asigna por código de la National Employment Matrix (NEM), de modo que las ocupaciones que comparten un código NEM reciben la misma banda
- Fuente de datos: AnthropicPublicado: 2026-03
0.082
0.000Rango de los valores aquí recogidos0.745Escala, base y fuente
Índice de exposición observada, 0–1 tal como se publica
Mapeado sobre tareas de O*NET
- Fuente de datos: ILOPublicado: 2025
0.45
0.09Rango de los valores aquí recogidos0.70Valor por grupo ocupacional
Escala, base y fuente
Índice de exposición a la IA generativa, 0–1 tal como se publica
Grupo primario de la CIUO-08 — todas las ocupaciones con ese código reciben este valor
Calculado por este sitio, no publicado por la OIT: de las 1012 ocupaciones que este sitio vincula al conjunto de datos de la OIT, un 25% alcanza o supera este valor.
Qué tipo de cifra publica esta fuente
La categoría de BLS es un rango relativo, no un nivel absoluto, y tampoco es una medición de primera mano: agrupa en cuatro bandas los rangos percentiles de la ocupación en varios estudios publicados. No es una previsión de empleo ni de salarios, no es una probabilidad de adopción y no distingue entre automatización y aumento.
Task-level exposure
Solo tareas expuestas| Task | Claude.aiRaw / share % | APIRaw / share % |
|---|---|---|
Negotiate claim settlements or recommend litigation when settlement cannot be negotiated.13-1031 | 0.0100100.0 | 0.00000.0 |
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. | —0 | 0.0100100.0 |
Analyze information gathered by investigation and report findings and recommendations. | —0 | 0.00000.0 |
Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. | —0 | 0.00000.0 |
Report overpayments, underpayments, and other irregularities. | —0 | 0.00000.0 |
| Not observed on any surface — 24 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. | ||
Examine claims forms and other records to determine insurance coverage. | —0 | —0 |
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability. | —0 | —0 |
Investigate and assess damage to property and create or review property damage estimates. | —0 | —0 |
Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims. | —0 | —0 |
Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review. | —0 | —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. | —0 | —0 |
Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. | —0 | —0 |
Resolve complex, severe exposure claims, using high service oriented file handling. | —0 | —0 |
Pay and process claims within designated authority level. | —0 | —0 |
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. | —0 | —0 |
Refer questionable claims to investigator or claims adjuster for investigation or settlement. | —0 | —0 |
Collect evidence to support contested claims in court. | —0 | —0 |
Confer with legal counsel on claims requiring litigation. | —0 | —0 |
Contact or interview claimants, doctors, medical specialists, or employers to get additional information. | —0 | —0 |
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. | —0 | —0 |
Present cases and participate in their discussion at claim committee meetings. | —0 | —0 |
Attend mediations or trials. | —0 | —0 |
Supervise claims adjusters to ensure that adjusters have followed proper methods. | —0 | —0 |
Conduct detailed bill reviews to implement sound litigation management and expense control. | —0 | —0 |
Examine titles to property to determine validity and act as company agent in transactions with property owners. | —0 | —0 |
Communicate with reinsurance brokers to obtain information necessary for processing claims. | —0 | —0 |
Prepare reports to be submitted to company's data processing department. | —0 | —0 |
Obtain credit information from banks and other credit services. | —0 | —0 |
Communicate with former associates to verify employment record or to obtain background information regarding persons or businesses applying for credit. | —0 | —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