NOC 12201 保险理算员和索赔审查员 Insurance adjusters and claims examiners

目录

简介 Intro

保险理算员调查保险索赔和确定保单所涵盖的损失或损害的数额。他们受雇于保险公司的理赔部门,或作为独立的理算员。保险索赔审查员检查由保险理算员调查过的索赔,并授权付款。他们受雇于保险公司的总部或分支机构。

Insurance adjusters investigate insurance claims and determine the amount of loss or damages covered by insurance policies. They are employed in claims departments of insurance companies or as independent adjusters. Insurance claims examiners examine claims investigated by insurance adjusters and authorize payments. They are employed at head offices or branches of insurance companies.

完成加拿大保险协会的教育计划,或其省级同行赋予保险理算员和索赔审查员作为特许保险专业(CIP)的专业人士,作为特许保险专业研究员(FCIP),还需要学习更多的其他大学课程。

  • Completion of educational programs through the Insurance Institute of Canada or its provincial counterparts entitles insurance adjusters and claims examiners to professional recognition as a Chartered Insurance Professional (CIP), and with additional university courses, as a Fellow Chartered Insurance Professional (FCIP).

主要职责 Main Duties

保险理算员执行部分或全部下列职责:Insurance adjusters perform some or all of the following duties:

  • 调查保险理赔的情况,确定索赔的有效性
    Investigate circumstances surrounding insurance claims to determine validity of claim
  • 检查汽车,家庭或其他财产损失
    Inspect automobile, home or other property damage
  • 录取口,咨询索赔者,事故目击者,医生和其他有关人士,检查记录或报告
    Take statements and consult with claimants, accident witnesses, doctors and other relevant individuals and examine records or reports
  • 确定保单所涵盖的损失或损害赔偿金额
    Determine amount of loss or damages covered by insurance policies
  • 协商解决索赔
    Negotiate settlement of claims
  • 准备理算报告。
    Prepare adjustment reports.

保险索赔检查员执行部分或全部下列职责:Insurance claims examiners perform some or all of the following duties:

  • 审查,检查,计算,并授权由保险理算员调查的保险索赔
    Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
  • 检查理算员的报告和类似的保险索赔或先例,以确定保险保障程度
    Examine adjusters’ reports and similar insurance claims or precedents to determine extent of insurance coverage
  • 确保索赔的有效性,按照公司常规及程序进行结算
    Ensure claims are valid and settlements are made according to company practices and procedures
  • 咨询律师,医生或其他有关人士,讨论保险理赔
    Consult lawyers, doctors or other relevant individuals to discuss insurance claims
  • 批准汽车,消防,生活,残疾,牙科或其他保险索赔。
    Approve automobile, fire, life, disability, dental or other insurance claims.

任职要求 Employment Requirements

  • 必需完成中学学业。
    Completion of secondary school is required.
  • 大学本科学历,大专以上文凭或中学后教育
    A bachelor’s degree, college diploma or some post-secondary education
  • 或多年的理赔部门业务员经验,或其他一般保险经验。
    Several years of experience as a clerk in the claims department or other general insurance experience are required.
  • 必需具备多年的在职培训以及保险业课程和培训计划。
    Several years of on-the-job training and completion of insurance industry courses and training programs are required.
  • 独立理算员要求具备由就业省份或地区保险监督官颁发的省级许可证。
    Independent adjusters require a provincial licence issued by the Superintendent of Insurance in the province or territory of employment.

所有职称 All Titles

  • 理算员 – Adjuster
  • 理算员 – 保险 Adjuster – insurance
  • 理算员实习生 – 保险 Adjuster trainee – insurance
  • 汽车理赔技术理算员 Automobile claims technical adjuster
  • 伤亡保险理算员 Casualty insurance adjuster
  • 理赔员 – 保险 Claims adjuster – insurance
  • 索赔批准人 – 保险 Claims approver – insurance
  • 理赔顾问 Claims consultant
  • 索赔审查员 Claims examiner
  • 索赔审查员 – 保险 Claims examiner – insurance
  • 理赔调查员 Claims investigator
  • 索赔调查员 – 保险 Claims investigator – insurance
  • 理赔代表 Claims representative
  • 索赔代表 – 保险 Claims representative – insurance
  • 伤残索赔审查员 – 保险 Disability claims examiner – insurance
  • 救灾理赔员-保险 Disaster relief claims adjuster – insurance
  • 现场理算员-保险 Field adjuster – insurance
  • 火灾保险理赔员 Fire insurance adjuster
  • 运费理算员-保险 Freight adjuster – insurance
  • 团体人寿索赔审查员 – 保险 Group life claims examiner – insurance
  • 健康和牙科索赔审查员 – 保险 Health and dental claims examiner – insurance
  • 保险理算员 Insurance adjuster
  • 保险稽查员 Insurance inspector
  • 责任理算员 – 保险 Liability adjuster – insurance
  • 损失审查员 – 保险 Loss examiner – insurance
  • 海事理赔员 – 保险 Marine claims adjuster – insurance
  • 海上保险理算员 Marine insurance adjuster
  • 医疗索赔评估员 – 保险 Medical claims assessor – insurance
  • 机动车辆索赔理算员 – 保险 Motor vehicle claims adjuster – insurance
  • 生产检验员 Production examiner
  • 财产理算员 – 保险 Property adjuster – insurance
  • 公共理赔员 – 保险 Public adjuster – insurance
  • 铁路索赔理算员 – 保险 Railroad claims adjuster – insurance
  • 结算管理助理 Settlement management associate
  • 结算专员 Settlement specialist
  • 员工理算员 – 保险 Staff adjuster – insurance
  • 电话理算员 – 保险 Telephone adjuster – insurance
  • 实习理算员 – 保险 Trainee adjuster – insurance
  • 工伤赔偿理算员 – 保险 Workers’ compensation adjuster – insurance

不包括职称 Exclusions

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