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What does an Insurance Adjuster do?

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Talent.com talent.com
Answered April 07 2022
Career Expert at Talent.com
Insurance Adjusters investigate insurance claims to determine the amount of loss coverage the company is responsible for. They may work directly for the company or as a freelance adjuster hired to handle specific claims, sometimes involving visits to scenes of accidents.

Their work also involves inspecting damaged property to appraise losses, interviewing medical personnel and witnesses, and calculating the value of damages suffered by the claimant. They then analyze the insurance policy to determine the extent of coverage. Then, they submit all of the necessary information to the insurance company in a report that explains how much the insurer should pay to settle the claim. They are also responsible for investigating cases of suspected fraudulent claims and may be required to prepare documentation to be presented in a court of law as evidence. 

Insurance Adjusters should be able to communicate well with people, as part of their job includes negotiating settlements with claimants. Claimants may be distressed, and a good Insurance Adjuster will be able to navigate this situation deftly. 

Average day of an Insurance Adjuster
Here’s a non-exhaustive list of common tasks Insurance Adjusters are required to complete:
  • Examine claims to determine insurance coverage.
  • Determine the cause of the accident, analyzing all possible variables.
  • Interview claimants, witnesses, and other relevant parties (e.g., Police Officers, Physicians, or other experts).
  • Assess damages caused to property.
  • Review reports (e.g., medical records, medical bills, or property damage reports) related to the claim.
  • Authorize or deny a settlement payment based on findings.
  • Negotiate a settlement with the claimant.
  • Suggest a litigation process if negotiations prove futile.
  • Analyze records and evidence to validate the veracity of suspicious claims to determine if insurance fraud is at play.
  • Refer cases of fraud to the company and the corresponding legal authorities.
  • Write legal and investigatory documentation based on findings.
  • Present reports to the insurance company.
  • Collect information to be presented as evidence in a court of law if necessary.
  • Present testimony and reports as evidence in a court of law when necessary.