Insurance Claims Adjuster
C1107
Future work distribution
Human only
Collaboration
AI only
This chart shows how the job's tasks split between humans and AI. "AI only" means a task AI can handle without a human — not a job removed: the role recomposes and the human refocuses on judgment, relationships and oversight.
AI Position of the Job
AI Impact on this job
As a Claims Handler, you will see AI take on routine and structured tasks to increase your efficiency. These tools free up time so that you can focus on professional judgement, managing complex files, and relationships with policyholders.
What will change
- Entering payments, recording reserves and opening new files in the system while documenting the file concisely but sufficiently, because these operations follow clear rules and standardized formats that AI can perform reliably.
- Drafting summary reports presenting investigation findings, because producing structured accounts based on factual elements and templates is well suited to automatic handling by AI.
- Keeping claims registers and the inventory of files requiring in-depth analysis up to date, as centralizing and updating structured information is a repetitive task that AI can sustain.
What AI will improve
- In-depth drafting of conclusions: AI proposes drafts and summaries that you enrich with your assessment of the file and your knowledge of the clauses, which speeds up production while maintaining legal quality.
- Reviewing forms and assessing coverage: AI identifies and highlights relevant elements or inconsistencies; you make the final decision and provide the necessary judgement for ambiguous situations.
- Prioritization and case tracking: AI flags files to monitor and suggests actions; you focus your time on managing complex cases, negotiation and contact with policyholders and partners.
This result describes the occupation — not your role yet
Adjust your tasks, seniority and context to uncover your real exposure to AI.
For Insurance Claims Adjuster, AI can already do 36% of tasks on its own — on average. What about you?
Your strengths against AI
Recommendations & outlook
Skills to develop
- Develop skills in data culture and AI supervision: master an LLM and specialized tools (OCR, claim systems), and know how to audit AI outputs.
- Strengthen your ability to interpret AI results and contextualize them for your clients.
- Acquire process management and compliance skills to ensure traceability and ethics of automated decisions.
3-year outlook
In 3 years, AI will take over more routine tasks and your workflows will be reconfigured around interpretation, coordination, and quality control; you will need to master AI tools and ensure the ethics of automated decisions.
AI tools used in this profession
Solutions deployed in production by professionals in this field
A general LLM assistant is already within reach
Before any specialized software, a latest-generation LLM assistant (Claude, ChatGPT, Mistral Le Chat, Gemini…) is available for this profession. Versatile, it helps draft, summarize, translate, structure or explore ideas. We treat it as a common baseline shared by almost every profession, distinct from specialized tools.
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Tasks most exposed to AI alone
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Frequently Asked Questions
AI and automation will automate some repetitive tasks in compensation, but this job will not disappear. You will retain a key role in analyzing complex cases and in relations with policyholders and insurers. To remain relevant, you will need to train in digital tools and develop your skills in dispute management and communication.
Staff numbers will be lower for routine tasks thanks to automation. However, there will still be strong demand for profiles capable of supervising complex cases and managing negotiations with insurers. Your role will evolve towards expertise and managing compensation projects rather than purely repetitive tasks.
To adapt, focus on upskilling in digital tools and data analysis applied to compensation. Develop your skills in dispute management, negotiation, and customer relations, and seek training on regulatory developments. By positioning yourself on complex cases and process improvement projects, you will enhance your added value.