Insurance Claims Estimator Job Description [Updated for 2025]

insurance claims estimator job description

In an increasingly risk-aware society, the focus on insurance claims estimators has never been more prominent.

As uncertainties continue to unfold, the demand for proficient professionals who can assess, quantify, and manage these risks elevates.

But let’s delve deeper: What’s truly expected from an insurance claims estimator?

Whether you are:

  • A job seeker trying to understand the core responsibilities of this role,
  • A hiring manager shaping the profile of the perfect candidate,
  • Or simply intrigued by the intricacies of claims estimation,

You’re in the right place.

Today, we present a customizable insurance claims estimator job description template, designed for easy posting on job boards or career sites.

Let’s dive right into it.

Insurance Claims Estimator Duties and Responsibilities

Insurance Claims Estimators are responsible for determining the cost of repairs or replacement of insured items.

They evaluate the damage to the insured items, and estimate the financial amount that the insurance company should pay for the claim.

Their day-to-day duties and responsibilities include:

  • Evaluating insurance claims to determine the extent of the insurance company’s liability
  • Inspecting the damaged property to ascertain the extent of physical damage
  • Estimating parts and labor to repair damage, using standard auto estimating manuals and knowledge of automotive repair
  • Preparing insurance forms to indicate repair cost estimates and recommendations
  • Calculating and preparing estimates for other types of losses, such as property damage or loss of use
  • Conducting initial field investigations to validate that claims are legitimate
  • Communicating with claimants, insurance agents and adjusters, and other interested parties during the claims process
  • Negotiating with claimants or their representatives to settle claims
  • Keeping accurate records of all estimates, invoices, and correspondence relating to each claim

 

Insurance Claims Estimator Job Description Template

Job Brief

We are searching for a meticulous Insurance Claims Estimator to analyze and evaluate insurance claims.

Insurance Claims Estimator responsibilities include examining damaged properties, estimating repair costs, preparing necessary reports, and negotiating with claimants to settle claims.

Our ideal candidate is familiar with construction or repair costs, and has an understanding of insurance contracts and property evaluation.

Ultimately, the role of the Insurance Claims Estimator is to ensure a fair settlement of all claims in accordance with policy provisions and company guidelines.

 

Responsibilities

  • Analyze and evaluate insurance claims to determine extent of the company’s liability.
  • Examine damaged properties to estimate repair costs.
  • Negotiate with claimants to settle claims.
  • Prepare reports on each claim for company records.
  • Communicate with insurance agents and underwriters to update policies and decide on further actions.
  • Stay updated with the latest repair and construction costs and techniques.
  • Ensure claims are handled in a timely and efficient manner.
  • Adhere to all state regulations and company guidelines.

 

Qualifications

  • Proven work experience as an Insurance Claims Estimator or similar role in the insurance industry.
  • Knowledge of construction or repair costs.
  • Excellent negotiation and communication skills.
  • Strong analytical and problem-solving skills.
  • Familiarity with insurance contracts and claim handling.
  • Proficiency in insurance software tools.
  • Ability to work under pressure and meet tight deadlines.
  • Bachelor’s degree in Business, Finance or related field.

 

Benefits

  • 401(k)
  • Health insurance
  • Dental insurance
  • Retirement plan
  • Paid time off
  • Professional development opportunities

 

Additional Information

  • Job Title: Insurance Claims Estimator
  • Work Environment: Office setting with occasional visits to claim sites. Some travel may be required.
  • Reporting Structure: Reports to the Claims Supervisor or Claims Manager.
  • Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
  • Pay Range: $52,000 minimum to $85,000 maximum
  • Location: [City, State] (specify the location or indicate if remote)
  • Employment Type: Full-time
  • Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
  • Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does an Insurance Claims Estimator Do?

Insurance Claims Estimators, also known as Claims Adjusters, primarily work for insurance companies across various sectors, such as auto, home, life, and business insurance.

They can also work as independent contractors or for third-party adjusting companies.

Their primary task is to assess insurance claims filed by policyholders to determine the extent of the insurance company’s liability.

They inspect the property damage or review documents related to the claim, like medical records or police reports.

These professionals work closely with the claimants, insurance company representatives, and other experts such as medical professionals, lawyers, and contractors to collect and analyze all necessary information about the claim.

Insurance Claims Estimators then use this information to estimate the financial value of the claim.

They also determine whether the insurance policy covers the claim and evaluate if the claim is valid.

In some cases, they may negotiate settlements with the policyholder or their representative and ensure that all parties understand the settlement terms.

Additionally, they are responsible for maintaining detailed claim records and preparing reports for the insurance company.

They may also be involved in detecting fraudulent claims and providing expert testimonies in court cases if necessary.

 

Insurance Claims Estimator Qualifications and Skills

An Insurance Claims Estimator should possess a range of skills and qualifications that align with the specifications of the role, including:

  • Numerical skills to accurately calculate the cost of damage and loss.
  • Investigative skills to thoroughly review and analyze insurance claims.
  • Technical knowledge of insurance policies and industry practices to accurately interpret coverage and payouts.
  • Communication skills to effectively interface with clients, insurance adjusters, and other involved parties, explaining the estimation process and answering any inquiries.
  • Attention to detail to ensure all pertinent details of a claim are considered and accurately documented in the estimate.
  • Problem-solving skills to identify inconsistencies in a claim and make accurate adjustments to the estimate.
  • Knowledge of computer applications and software used in the insurance industry to effectively perform estimations and record keeping.
  • Customer service skills to handle client concerns or complaints in a professional and constructive manner.
  • Knowledge of construction, repair costs, and understanding of different types of property damage to provide an accurate and fair estimate.

 

Insurance Claims Estimator Experience Requirements

Entry-level Insurance Claims Estimators often need a minimum of 1 to 2 years of experience in the insurance industry, often gained through internships or part-time roles in areas such as claims processing, customer service, or sales.

They should have a firm understanding of insurance policies and claims procedures.

Candidates with more than 3 years of experience are usually well-versed in the claims estimation process, having developed their skills in evaluating insurance claims, estimating losses, and negotiating settlements.

They should have extensive knowledge of insurance law, policies, and regulations.

Those with over 5 years of experience may have held supervisory roles in insurance claims departments, where they gained leadership and management skills.

They might be ready to take on senior-level positions, possibly overseeing a team of insurance claims estimators or managing large and complex claims.

In addition to experience, many employers require Insurance Claims Estimators to hold a bachelor’s degree in fields like business or finance, and some even require professional certifications, such as those offered by the American Institute for Chartered Property Casualty Underwriters.

 

Insurance Claims Estimator Education and Training Requirements

Insurance Claims Estimators typically need a bachelor’s degree in business, finance, or a related field.

They also need a solid understanding of insurance law, policy analysis, and claims investigation.

Knowledge in construction and repair costs can also be beneficial as it helps in estimating damages.

Many employers prefer candidates with previous experience in the insurance industry.

A background in claims adjustment, underwriting or insurance appraisal can be particularly useful.

In addition to formal education, insurance claims estimators often need certification from a recognized professional organization, such as the National Institute for Automotive Service Excellence (ASE) or the American Society of Professional Estimators (ASPE).

To earn these certifications, candidates typically need to pass an exam and meet work experience requirements.

Some states require insurance claims estimators to be licensed.

The licensing process may involve completing pre-licensing courses or passing a state-administered exam.

Continuous training is crucial in this role due to the ever-changing nature of insurance laws and regulations.

Hence, many estimators participate in professional development courses, workshops, and seminars to stay updated in the field.

 

Insurance Claims Estimator Salary Expectations

An Insurance Claims Estimator can expect to earn an average salary of $64,690 (USD) per year.

However, the actual salary can vary significantly based on factors like the individual’s level of experience, the region in which they work, and the size of the company that employs them.

 

Insurance Claims Estimator Job Description FAQs

What skills does an Insurance Claims Estimator need?

Insurance Claims Estimators should have excellent analytical skills to evaluate the validity of an insurance claim and determine a fair estimate of the cost of repair or replacement.

They also need good communication skills to explain their findings to claimants and insurance adjusters.

Furthermore, they should be familiar with a variety of estimation software and have a good understanding of construction and repair processes.

 

Do Insurance Claims Estimators need a degree?

While a degree is not always required, many employers prefer Insurance Claims Estimators to have a bachelor’s degree in a field such as business, finance, or economics.

Alternatively, a background in construction, auto repair, or similar fields, coupled with relevant experience and certifications, can also be suitable.

 

What should you look for in an Insurance Claims Estimator resume?

When reviewing a resume, look for experiences in the insurance, auto repair, construction, or similar industries.

Any certifications related to claims estimation, such as those from the American Society of Professional Estimators or the National Institute for Automotive Service Excellence, can also be beneficial.

Proficiency in estimation software, attention to detail, and strong analytical skills are other desirable qualities.

 

What qualities make a good Insurance Claims Estimator?

A good Insurance Claims Estimator should be analytical, capable of thoroughly inspecting damages and accurately determining repair or replacement costs.

They should also have excellent communication skills to effectively explain their findings to claimants and insurance adjusters.

Integrity is another important quality, as estimators must provide unbiased assessments to ensure fair compensation.

 

Is it difficult to hire Insurance Claims Estimators?

Hiring Insurance Claims Estimators can be challenging as it requires candidates with a unique blend of skills, including knowledge of construction or auto repair, proficiency in estimation software, and excellent analytical and communication skills.

It is crucial to offer competitive remuneration packages and opportunities for career advancement to attract the best candidates.

 

Conclusion

So, there you have it.

Today, we’ve demystified what it truly means to be an insurance claims estimator.

And guess what?

It’s not just about crunching numbers.

It’s about constructing the framework of risk assessment and ensuring fair compensation, one claim at a time.

With our comprehensive insurance claims estimator job description template and practical examples, you’re ready to take the leap.

But why stop there?

Dig deeper with our job description generator. It’s your ticket to producing meticulously crafted job listings or refining your resume to perfection.

Remember:

Every claim is a piece of a larger puzzle.

Let’s navigate the world of insurance. Together.

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