What is a Claims Adjuster?
A claims adjuster is a key figure in the insurance industry who evaluates and processes claims made by policyholders. They investigate the circumstances surrounding the claim, verify its validity, and determine how much the insurance company should pay. This role is crucial in personal and business insurance, including property, car, and homeowners insurance.
When a policyholder files a claim, the claims adjuster conducts a detailed investigation. They may visit the site of a car accident or damaged property, interview witnesses, and review police reports or medical records. Their goal is to ensure the claim is legitimate and aligns with the terms of the policy.
Claims adjusters also negotiate settlements with the claimant and often work with contractors or repair services to determine repair costs. In situations where there are disagreements, the claims adjuster acts as a mediator between the insurance company and the policyholder.
For example, in homeowners insurance, if a fire damages a home, the claims adjuster assesses the extent of the damage, estimates repair costs, and ensures the policy covers the claim before determining a payout.