Claims Adjusters, Examiners, and Investigators
The routine layer of this job is compressing.
A substantial share of this occupation's activities overlaps with what AI already does well. Expect the routine layer to compress first, and the human-anchored layer to gain weight and value.
Where this occupation sits among all 785 measured. Bands are quintiles of the real distribution. Applicability measures task overlap with observed AI usage. It is not a probability of job loss.
What this job involves
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.
Where AI overlaps this work, activity by activity
The occupation's most important work activities (O*NET weights, normalized to this set), each with its measured AI performance across 200,000 real conversations: how often AI is used for it, how well it completes it, and how much of the activity it covers.
| Work activity | Share of role | AI performance |
|---|---|---|
| Investigate criminal or legal matters. | 22.8% | Moderate 0.42 |
| Interview people to obtain information. | 15.3% | Not observed 0.00 |
| Communicate with others about operational plans or activities. | 7.2% | High overlap 0.61 |
| Evaluate the quality or accuracy of data. | 7.2% | Moderate 0.45 |
| Analyze data to improve operations. | 6.8% | Not observed 0.00 |
| Prepare legal or regulatory documents. | 6.6% | Not observed 0.00 |
| Determine values or prices of goods or services. | 6.2% | Moderate 0.59 |
| Negotiate contracts or agreements. | 6.0% | Not observed 0.00 |
| Execute financial transactions. | 5.9% | Moderate 0.52 |
| Maintain operational records. | 5.5% | Not observed 0.00 |
| Implement procedures or processes. | 5.2% | High overlap 0.78 |
| Advise others on financial matters. | 5.2% | High overlap 0.65 |
"Not observed" is a measurement, not missing data: that activity does not meaningfully appear in the usage sample. AI performance = completion × scope × coverage (user-goal view), 0–1.
What drives this score: the biggest AI-overlapped activity in this role is investigate criminal or legal matters; the most important activity AI is not observed doing is interview people to obtain information. The plan below is built around exactly that split.
Move first: compress the routine before it compresses you.
Next 30 days
- Take the exposed layer yourself. Your most AI-overlapped activity, Investigate criminal or legal matters, is exactly what a well-tooled colleague will accelerate. Be that colleague first.
- Time-box the routine. Measure how long your repeatable tasks actually take; that's the budget AI adoption will compete against, and the time you will reinvest.
Next 90 days
- Double down where humans hold. Grow the share of your week spent on work like Interview people to obtain information, measured as outside AI's current reach, and take on more of it explicitly.
- Build one AI-assisted workflow end-to-end for your team and own its quality. Being the local standard-setter compounds.
The longer game
- Position at the boundary. The valuable seat in partially-exposed occupations is the translator: someone fluent in both the domain and the tools. Certifications matter less than a demonstrated workflow portfolio.
- Recheck yearly. Elevated-band occupations move: new tools shift specific activities fast. The data vintage is printed at the top of this page.
- AI applicability score and per-activity metrics: Tomlinson, Jaffe, Wang, Counts & Suri, Working with AI: Measuring the Applicability of Generative AI to Occupations, Microsoft Research 2025 (arXiv:2507.07935), data CC BY 4.0.
- Occupation description and activity structure: O*NET 30.0 Database, USDOL/ETA, CC BY 4.0.
- Bands, personalization weights and action plans are JobRiskAI editorial layers; method and limitations on the methodology page.