SOC 13-1031.00: Claims Adjusters, Examiners, and Investigators — Occupation Classification & Job Zone

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.

Job Zone 4: Considerable preparation

Occupations in this zone typically require a four-year bachelor's degree and considerable work-related skill, knowledge, or experience. Employees usually need several years of work-related experience and training.

Related industries and commodity codes

Occupations are not industries, but these classifications often appear in the same hiring, procurement, or market research workflow.

Frequently asked questions

What is NAICS 13-1031.00?

NAICS 13-1031.00 is the North American Industry Classification System code for Claims Adjusters, Examiners, and Investigators. It classifies this business activity for statistical, regulatory, and government procurement purposes. Federal agencies use NAICS codes to collect and publish data about the US economy, determine SBA size standards, and set aside contracts for small businesses.

What licenses and permits does a Claims Adjusters, Examiners, and Investigators need?

A Claims Adjusters, Examiners, and Investigators typically needs a local business license, a federal EIN from the IRS, and industry-specific permits depending on the sector. Check with your city or county clerk for a general business license, your state's professional or industry licensing board for any required occupational licenses, and your state's tax authority for a sales tax permit if you sell taxable goods or services.

How do I register a Claims Adjusters, Examiners, and Investigators business in the United States?

To register a Claims Adjusters, Examiners, and Investigators business, first choose your legal structure: sole proprietorship (simplest, uses SSN), LLC (personal liability protection, files with your Secretary of State), or corporation (Form 1120 or 1120-S). Register your business name (DBA) with your county if operating under a trade name. Obtain an EIN from the IRS at irs.gov/ein. Register with your state revenue department for any applicable taxes.

What tax forms does a Claims Adjusters, Examiners, and Investigators file with the IRS?

Tax forms depend on your entity type. A sole proprietor files Schedule C with Form 1040 and Schedule SE for self-employment tax (15.3%). An LLC taxed as a partnership files Form 1065 with Schedule K-1s. A C-Corporation files Form 1120 (21% flat rate). An S-Corporation files Form 1120-S. All businesses paying employees file Form 940 (FUTA) annually and Form 941 quarterly. Estimated tax payments are made via Form 1040-ES four times per year.

Is Claims Adjusters, Examiners, and Investigators the right NAICS code for my business?

Your NAICS code should reflect your primary business activity — the one generating the most revenue or value. If Claims Adjusters, Examiners, and Investigators describes your main line of business, NAICS 13-1031.00 is likely correct. If you have multiple distinct activities, you may need separate codes for statistical reporting. For federal contracting, your SAM.gov registration should use the code that best matches the work you perform. Review the official NAICS 13-1031.00 description and exclusions to confirm it fits your operations.

Does a Claims Adjusters, Examiners, and Investigators need professional liability (E&O) insurance?

Most financial services professionals carry Errors & Omissions (E&O) insurance, which is often a regulatory or contractual requirement. State insurance producer licensing typically requires E&O. Broker-dealers must maintain fidelity bond coverage. Accountants and tax preparers should carry E&O to protect against client claims of negligence. Typical limits range from $1M-$5M depending on client type and exposure.

What continuing education does a Claims Adjusters, Examiners, and Investigators need to maintain licensing?

Continuing requirements vary by profession. FINRA registered representatives complete annual Regulatory Element training plus firm-specific Firm Element. Insurance producers complete 24 CE hours biennially in most states (including 3 hours ethics). CPAs meet state board CPE requirements (typically 80 hours over 2 years). Mortgage loan originators complete 8 hours NMLS-approved CE annually. Series 65/IARs meet state-specific CE. Failure to complete CE results in license suspension.

What privacy and data security rules does a Claims Adjusters, Examiners, and Investigators need to follow?

The Gramm-Leach-Bliley Act (GLBA) Safeguards Rule requires financial institutions to implement a written information security program, designate a qualified individual to oversee it, conduct risk assessments, encrypt customer information, and regularly test controls. SEC Regulation S-P requires broker-dealers and investment advisers to deliver annual privacy notices. State data breach notification laws (all 50 states) require notification within 30-90 days of discovering a breach involving personal information.

How does a Claims Adjusters, Examiners, and Investigators register as a tax return preparer with the IRS?

Anyone preparing federal tax returns for compensation must obtain a PTIN (Preparer Tax Identification Number) from the IRS, renewed annually. To e-file returns, you must apply for an EFIN (Electronic Filing Identification Number) and pass a suitability check (tax compliance, criminal background, credit check). CPAs, attorneys, and Enrolled Agents have unlimited representation rights before the IRS. Non-credentialed preparers are limited under IRS Circular 230.