Claims Adjusters, Examiners, and Investigators
Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims.
324,230 people do this job in the US. $78,000 a year.
of the working time. Estimate.
- 63%
- 20%
- 17%
Measured, from Anthropic's usage data (2025). Counts help on part of a task.
On the chosen pace and reliability. Estimate.
Share of the working time within reach, now to 2030
What each choice means: , , , , . Every pace starts from .
At this date and pace, models finish tasks up to 4.4 h long four times in five.
How far this has come
With GPT-4, measured in March 2023, 0% of this job's working time was within reach at . With Claude 3.7 Sonnet, measured in February 2025, 0%. With Claude Mythos Preview (early), measured in April 2026, 30%. Today's estimate: 37%.
A backcast: today's task data with the best model METR had measured by each date. It shows how fast the models have moved, not what anyone forecast at the time.
The tasks
Sorted by . 29 tasks from .
| Task | Kind | |||
|---|---|---|---|---|
| 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.Done daily by most who do it. | 12% | 4.2 h1.7 h to 1 work day | 30%Half by Dec 2026 | |
| Resolve complex, severe exposure claims, using high service oriented file handling.Done daily by most who do it. | 12% | 6.7 h2.5 h to 2.5 work days | 9%Half by Jul 2027 | |
| Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.Done daily by most who do it. | 9% | 2.5 h50 min to 5 h | 55%Half by now | |
| Investigate and assess damage to property and create or review property damage estimates.Done several times a day by most who do it. | 9% | 2.1 h50 min to 4.2 h | Stays with people | |
| Analyze information gathered by investigation and report findings and recommendations.Done daily by most who do it. | 7% | 1.7 h50 min to 3.3 h | 90%Half by now | |
| Negotiate claim settlements or recommend litigation when settlement cannot be negotiated. | 6% | 4.2 h1.7 h to 1 work day | Stays with people | |
| Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.Done several times a day by most who do it. | 5% | 1.3 h25 min to 2.5 h | 87%Half by now | |
| Collect evidence to support contested claims in court.Done more than yearly by most who do it. | 5% | 4.2 h1.7 h to 2.1 work days | Stays with people | |
| Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.Done several times a day by most who do it. | 5% | 1.1 h25 min to 2.5 h | Stays with people | |
| 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.Done daily by most who do it. | 4% | 50 min25 min to 1.7 h | 99%Half by now | |
| Attend mediations or trials.Done yearly or less by most who do it. | 4% | 6.7 h2.5 h to 2.5 work days | Stays with people | |
| Supervise claims adjusters to ensure that adjusters have followed proper methods.Done daily by most who do it. | 2% | 1.3 h25 min to 2.5 h | Stays with people |
Within reach, per task: the share of the task's time whose instances are short enough for a model to finish at the chosen date, pace and reliability. Half by: the date half of that time comes within reach.
Jobs that share skills with this one
From O*NET's related occupations. Within reach now and by the end of 2028, long-run pace, four in five.
- Insurance Claims and Policy Processing Clerks98% now, 98% by 2028
- Eligibility Interviewers, Government Programs72% now, 74% by 2028
- Customer Service Representatives67% now, 67% by 2028
- Insurance Underwriters85% now, 100% by 2028
- Tax Examiners and Collectors, and Revenue Agents62% now, 90% by 2028
- Compliance Officers36% now, 82% by 2028
Where this job works
The industry groups that employ the most of it (BLS, May 2025).
Where the most of these jobs are
The metro areas with the most people in it (BLS, May 2025).