The Facts Concerning An Insurance Claims Adjuster

By Pamela Dennis


An insurance claims adjuster, also known simply as a claims adjuster, is responsible for investigating various insurance claims. This is done through interviewing claimants and witnesses, consulting hospital records and police reports, and check the property damage in order to determine extent of company liability. In many other countries, the term loss adjuster is used to describe these professionals. Others under this title may represent the policyholders and aid in claim preparation.

Usually adjusters work with insurers. They might also be responsible for managing property or liability claims. Those who are known as multi-line are given this title because they handle both kinds of claims.

Public adjusters typically work for a policyholder. This match up guarantees no conflict in interest when it comes time to advocate to providers on behalf of the policyholder. Professional may also be independent, which is to say they are hired by self-insured clients or more than one insurance company. If they receive licensing from state authority, they are regarded as a top dog when it comes to knowledge of this field.

Often times adjuster verify that the coverage applies through a policy, investigates the liability for damages and offers compensation to injured persons based on physical or emotional damages. They may have many other duties. Some of the most common tasks associated with this profession: assessing damages, filing paperwork, notifying insurer of covered loss, promptly responding to reports, communicating with various policyholders, investigating liability, protecting interest of the provider an adjuster represents, negotiating with product or service providers on the cost and time of repairs, preparing reports, and researching every aspect of a claim.

People are highly encouraged to look at their local chapter that has licensed adjusters, or consult a state agency, so they can find a qualified professional to tackle their job. These individuals are expected to be licensed and in good standing to be effective. Most insurance companies only want to work with adjusters who have received a four-year degree, preferably related to business.

Likewise, many states require that state certification be received before a person practices as a professional in the field. Furthermore, they may have to earn a certain amount of education credits every year to keep their license. This type of continued education is possible only through attending seminars, online training and other such programs.

These professionals are known for working long hours, throughout the week and weekends. The work they do it is typically appointment based and should revolve around client needs. Staff adjusters typically work for a larger company and have an office to work in. Public and independent adjusters typically work from their home and receive assignments through email, designated websites or fax.

The job of an insurance claims adjuster will vary. Generally, the professionals are responsible for assessing the many different components of insurance claims. This is possible through many processes. Some professionals work for large entities, others are employed independently and some are considered public based on their clientele.




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