Claims Adjuster
What Does Claims Adjuster Mean?
A claims adjuster is an individual who investigates insurance claims to determine the amount for which an insurance company is liable. This process typically involves conducting interviews, performing inspections, and reviewing related documents, such as police reports and medical records.
Insuranceopedia Explains Claims Adjuster
A claims adjuster plays an integral role in the insurance industry. Their responsibilities include the following:
- Verifying the existence of an insurance contract between the insurance company and the claimant.
- Ensuring that a claim is not fraudulent.
- Interviewing the claimant and witnesses.
- Gathering evidence related to the damage.
- Inspecting the damaged property or the injured person.
- Evaluating the extent of coverage concerning the damage or injury.
- Preparing a report on the incident and recommending a fair settlement amount to the insurance company.
Additionally, some claims adjusters are tasked with negotiating settlements and authorizing payments. If the claimant contests the outcome of the claim, the claims adjuster collaborates with lawyers to defend their report and the insurer’s position.
Furthermore, some claims adjusters may be self-employed and work in the interests of policyholders who prefer not to rely on the insurance company’s claims adjuster. These professionals are known as public adjusters.
