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Career and Education Opportunities for Claims Adjusters in Philadelphia, Pennsylvania

Many educational and employment opportunities exist for claims adjusters in the Philadelphia, Pennsylvania area. There are currently 16,950 jobs for claims adjusters in Pennsylvania and this is projected to shrink by 1% to about 16,800 jobs by 2016. This is not quite as good as the national trend for claims adjusters, which sees this job pool growing by about 7.1% over the next eight years. Claims adjusters generally review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures.

Claims adjusters earn about $26 per hour or $54,270 annually on average in Pennsylvania and about $26 hourly or $55,760 annually on average nationally. Compared with people working in the overall category of Adjustment and Analysis, people working as claims adjusters in Pennsylvania earn more. They earn more than people working in the overall category of Adjustment and Analysis nationally. Jobs in this field include: claims analyst, claims vice president, and case manager.

The Philadelphia area is home to 156 schools of higher education, including one within twenty-five miles of Philadelphia where you can get a degree as a claims adjuster. Given that the most common education level for claims adjusters is a Bachelor's degree, 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 Philadelphia 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: Philadelphia, Pennsylvania

Philadelphia, Pennsylvania
Philadelphia, Pennsylvania photo by Apollo1758

Philadelphia is located in Philadelphia County, Pennsylvania. It has a population of over 1,447,395, which has shrunk by 4.6% in the past ten years. The cost of living index in Philadelphia, 102, is near the national average. New single-family homes in Philadelphia cost $212,900 on average, which is far greater than the state average. In 2008, five hundred forty-five new homes were constructed in Philadelphia, down from five hundred ninety-one the previous year.

The top three industries for women in Philadelphia are health care, educational services, and professional, scientific, and technical services. For men, it is construction, educational services, and health care. The average travel time to work is about 32 minutes. More than 17.9% of Philadelphia residents have a bachelor's degree, which is lower than the state average. The percentage of residents with a graduate degree, 7.5%, is lower than the state average.

The percentage of Philadelphia residents that are affiliated with a religious congregation, 53.4%, is more than the national average but less than the state average. Boulevard Church, Mount Herman Church and Saint Michael Mission Center are all churches located in Philadelphia. The most prominent religious groups are the Catholic Church, the American Baptist Churches in the USA and the Muslim Estimate.

Philadelphia is home to the Five Points and the Academy Gardens as well as Durham Park and Cloverly Park. Shopping malls in the area include Roosevelt Mall, Andorra Shopping Center and Red Lion Shopping Center. Visitors to Philadelphia can choose from Comfort Inn, Concordia Worldwide Hotel Reservations and Embassy Suites for temporary stays in the area.