Claims adjuster

Claims Adjuster

A claims adjuster (also known as a claims handler, claims inspector, or loss adjuster) is a professional charged with investigating, negotiating, and settling insurance claims. These individuals play a crucial role in the insurance industry, ensuring that claims are handled efficiently and fairly.

Role and Responsibilities

The primary role of a claims adjuster is to investigate insurance claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the company's liability. In the United States, claims adjusters are typically employed by insurance companies, independent adjusting firms, or self-insured entities.

Claims adjusters must have a thorough understanding of the insurance policy in question and the coverage it provides. They must also be familiar with the laws and regulations that govern insurance claims in their jurisdiction.

Types of Claims Adjusters

There are several types of claims adjusters, each with their own area of expertise:

• Staff Adjusters are employed directly by an insurance company.
• Independent Adjusters are independent contractors who provide claims adjusting services for insurance companies.
• Public Adjusters are hired by the insured to assist in preparing, filing, and adjusting insurance claims.

Education and Training

Most claims adjuster positions require a bachelor's degree, although some companies may hire individuals with a high school diploma and relevant work experience. Many states also require claims adjusters to be licensed, which typically involves passing an exam and completing continuing education courses.

See Also

• Insurance
• Insurance policy
• Insurance law