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Career and Education Opportunities for Claims Adjusters in Wilmington, Delaware

Claims adjusters can find many career and educational opportunities in the Wilmington, Delaware area. Currently, 820 people work as claims adjusters in Delaware. This is expected to grow 15% to about 950 people by 2016. This is better than the nation as a whole, where employment opportunities for claims adjusters are expected to grow by about 7.1%. In general, claims adjusters review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures.

The income of a claims adjuster is about $24 hourly or $51,320 per year on average in Delaware. In the U.S. as a whole, their income is about $26 hourly or $55,760 yearly on average. Earnings for claims adjusters are not quite as good as earnings in the general category of Adjustment and Analysis in Delaware and better than general Adjustment and Analysis category earnings nationally. Claims adjusters work in a variety of jobs, including: claims examiner, case manager, and claims representative.

The Wilmington area is home to 109 schools of higher education, including one within twenty-five miles of Wilmington where you can get a degree as a claims adjuster. Claims adjusters usually hold a Bachelor's degree, so you can expect to spend about four years training to become a claims adjuster if you already have a high school diploma.

CAREER DESCRIPTION: Claims Adjuster

Claims Adjuster video from the State of New Jersey Dept. of Labor and Workforce Development

In general, claims adjusters review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. They also report overpayments, underpayments, and other irregularities.

Claims adjusters 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. They also pay and process claims within designated authority level. Equally important, claims adjusters have to contact or interview claimants, doctors or employers to get additional data. They are often called upon to talk with legal counsel on claims requiring litigation. They are expected to report overpayments and other irregularities. Finally, claims adjusters maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.

Every day, claims adjusters are expected to be able to listen to and understand others in meetings. They need to articulate ideas and problems. It is also important that they think through problems and come up with general rules.

It is important for claims adjusters to enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. They are often called upon to resolve complex, severe exposure claims, using high service oriented file handling. They also adjust reserves or furnish reserve recommendations to insure that reserve efforts are consistent with corporate policies. They are sometimes expected to present cases and participate in their discussion at claim committee meetings. Somewhat less frequently, claims adjusters are also expected to conduct detailed bill reviews to execute sound litigation management and expense control.

Claims adjusters sometimes are asked to supervise claims adjusters to insure that adjusters have followed proper methods. They also have to be able to ready reports to be submitted to company's data processing department And finally, they sometimes have to talk with legal counsel on claims requiring litigation.

Like many other jobs, claims adjusters must be reliable and be thorough and dependable.

Similar jobs with educational opportunities in Wilmington include:

  • Assessor. Appraise real and personal property to determine its fair value. May assess taxes in accordance with prescribed schedules.
  • Business Management Analyst. Conduct organizational studies and evaluations, design systems and procedures, conduct work simplifications and measurement studies, and prepare operations and procedures manuals to assist management in operating more efficiently and effectively. Includes program analysts and management consultants.
  • Coroner. Direct activities such as autopsies, pathological and toxicological analyses, and inquests relating to the investigation of deaths occurring within a legal jurisdiction to determine cause of death or to fix responsibility for accidental, violent, or unexplained deaths.
  • Cost Analyst. Prepare cost estimates for product manufacturing, construction projects, or services to aid management in bidding on or determining price of product or service. May specialize according to particular service performed or type of product manufactured.
  • Emergency Management Coordinator. Coordinate disaster response or crisis management activities, provide disaster preparedness training, and prepare emergency plans and procedures for natural, wartime, or technological disasters or hostage situations.
  • Insurance Adjuster. Investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit.
  • Insurance Appraiser. Appraise automobile or other vehicle damage to determine cost of repair for insurance claim settlement and seek agreement with automotive repair shop on cost of repair. Prepare insurance forms to indicate repair cost or cost estimates and recommendations.
  • Insurance Underwriter. Review individual applications for insurance to evaluate degree of risk involved and determine acceptance of applications.
  • License Examiner. Examine, evaluate, and investigate eligibility for, conformity with, or liability under licenses or permits.
  • Real Estate Appraiser. Appraise real property to determine its value for purchase, sales, or loan purposes.

EDUCATIONAL OPPORTUNITIES: Claims Adjuster Training

Star Technical Institute-Philadelphia - Philadelphia, PA

Star Technical Institute-Philadelphia, 9121 Roosevelt Boulevard, Philadelphia, PA 19114. Star Technical Institute-Philadelphia is a small school located in Philadelphia, Pennsylvania. It is a private for-profit school with primarily less-than 2-year programs. Star Technical Institute-Philadelphia has a less than one year program in Health/Medical Claims Examiner which graduated twenty students in 2008.

CERTIFICATIONS

Associate in Insurance Services: The Associate in Insurance Services program is a nationally recognized educational program designed specifically for insurance personnel.

For more information, see the American Institute for CPCU and Insurance Institute of America website.

Certified Fraud Examiner: The ACFE established and administers the Certified Fraud Examiner (CFE) designation.

For more information, see the Association of Certified Fraud Examiners website.

Certified Forensic Interviewer: The objective of this certification program is to create comprehensive, universally accepted professional standards combined with an objective measure of an interviewer's knowledge of those standards.

For more information, see the Center for Interviewer Standards and Assessment Ltd. website.

Accredited Insurance Examiner: An Accredited Insurance Examiner (AIE) is awarded to insurance regulatory professionals who have been extensively trained in one of two primary fields of insurance regulation, Property and Casualty or Life and Health.

For more information, see the Insurance Regulatory Examiners Society website.

Accredited Marine Surveyor : Our Accredited Marine Surveyor® (AMS®) members must have a minimum of 5 years experience and must pass a written examination by our testing committee in order to earn his or her AMS® credential.

For more information, see the Society of Accredited Marine Surveyors website.

LOCATION INFORMATION: Wilmington, Delaware

Wilmington, Delaware
Wilmington, Delaware photo by Malepheasant

Wilmington is located in New Castle County, Delaware. It has a population of over 72,592, which has shrunk by 0.1% in the past ten years. The cost of living index in Wilmington, 102, is above the national average. New single-family homes in Wilmington are valued at $58,400 on average, which is far less than the state average. In 2008, twenty-eight new homes were built in Wilmington, down from forty-seven the previous year.

The three most popular industries for women in Wilmington are finance and insurance, health care, and educational services. For men, it is finance and insurance, construction, and professional, scientific, and technical services. The average travel time to work is about 23 minutes. More than 21.4% of Wilmington residents have a bachelor's degree, which is lower than the state average. The percentage of residents with a graduate degree, 8.6%, is lower than the state average.

The unemployment rate in Wilmington is 13.3%, which is greater than Delaware's average of 8.5%.

The percentage of Wilmington residents that are affiliated with a religious congregation, 45.7%, is less than the national average but more than the state average. Saint Andrews Church, Sacred Heart Catholic Church and Beth Shalom Congregation are among the churches located in Wilmington. The largest religious groups are the Catholic Church, the United Methodist Church and the Presbyterian Church (USA).

Wilmington is home to the Interchange 3 and the The Rocks as well as Rodney Square and Cool Spring Park. Visitors to Wilmington can choose from Howard Johnson Restaurants, Riverview Motel and Hotel Du Pont for temporary stays in the area.