12201
Insurance adjusters and claims examiners
- Express Entry skill level
- Yes
- Regulated in Québec
- Yes
- In demand in Manitoba
- No
Classification
Business, finance & administration
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Definition
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.
Main duties
- This group performs some or all of the following duties:
- Insurance adjusters
- Investigate circumstances surrounding insurance claims to determine validity of claim
- Inspect automobile, home or other property damage
- Take statements and consult with claimants, accident witnesses, doctors and other relevant individuals and examine records or reports
- Determine amount of loss or damages covered by insurance policies
- Negotiate settlement of claims
- Prepare adjustment reports.
- Insurance claims examiners
- Review, examine, calculate and authorize insurance claims investigated by insurance adjusters
- Examine adjusters' reports and similar insurance claims or precedents to determine extent of insurance coverage
- Ensure claims are valid and settlements are made according to company practices and procedures
- Consult lawyers, doctors or other relevant individuals to discuss insurance claims
- Approve automobile, fire, life, disability, dental or other insurance claims.
Example job titles
- •adjuster
- •claims examiner
- •claims representative
- •insurance adjuster
Overview
Under the National Occupational Classification (NOC) 2021 system, NOC 12201 classifies Insurance adjusters and claims examiners. This TEER 2 occupation includes professionals who investigate insurance claims, assess damage, determine liability, and negotiate settlements. Claims examiners review claims approved by adjusters, ensure company guidelines are met, and authorize payments. These specialists are employed by insurance companies, independent adjusting firms, or they may operate as self-employed individuals.
To qualify under NOC 12201, candidates typically require a bachelor's degree, a college diploma, or several years of experience as a clerk in claims departments or insurance offices. Additionally, provincial licensing is mandatory for independent adjusters in most Canadian provinces. Because this is classified as a TEER 2 occupation, individuals in this field may be eligible for Canadian immigration pathways, including the Express Entry Federal Skilled Worker Program (FSWP) and various Provincial Nominee Programs (PNP).
Disclaimer: This information is for educational and informational purposes only and does not constitute professional legal or immigration advice. For official and up-to-date guidance, please consult Immigration, Refugees and Citizenship Canada (IRCC) or a Regulated Canadian Immigration Consultant (RCIC).
Educational overview summarizing this occupation. Always confirm against the official NOC profile and IRCC before relying on it.
Occupation data: Statistics Canada / ESDC — National Occupational Classification (NOC) 2021.