Insurance Claims Assessor

Job Description

Insurance Claims Assessors inspect and evaluate property to decide if the person is owed a payment under an insurance policy. They may specialise in a particular area such as medical, automotive or property claims. They may need to examine numerous documents such as police reports, court records and medical records or interview people including the claimant or witnesses to confirm the validity of the claim and determine the payment amount.

Careers Ladder

Qualifications

To become an Insurance Claims Assessor, you’re not required to hold a formal qualification, although it may be an advantage. You may start out as an Insurance Claims Assessor working under the supervision of a Chartered Loss Adjustor or Claims Assessor.

Find an entry level role as a Claims Assessor and learn as much as you can while in your role.

Consider undertaking additional study with a registered training organisation or TAFE to formalise and strengthen your knowledge and skills. This may be a Certificate IV in General Insurance (FNS41415), Certificate IV in Life Insurance (Claims Stream) (FNS41515), or Diploma of General Insurance (FNS51115).

Consider applying for membership or accreditation as a Charter Loss Adjustor or Insurance Claims Assessor with the Australian and New Zealand Institute of Insurance and Finance (ANZIIF) or the Australian Institute of Chartered Loss Adjustors (AICLA).

Attributes

  • Communicator
  • Customer-orientated
  • Discerning
  • Honest
  • Initiative
  • Interpersonal
  • Organised
  • Procedural
  • Resourceful
  • Thorough

Key Skills

  • Claims Assessment
  • Liaising
  • Empathy
  • Customer Service
  • Investigation and Interview
  • Estimating
  • Reviewing

Future Prospects

Internal promotion is a more common way to move forward in your career. Progression can lead to becoming a Senior Claims Assessor, Team Manager or Supervisor.