LOSS ADJUSTER JOBS
LOSS ADJUSTER JOBS
Blog Article
Loss adjuster jobs: What do insurance adjusters seek?
The job profile of an insurance loss adjuster is to investigate complex and difficult insurance claims on behalf of the insurance companies. They should work on an impartial basis when deciding the amount of a claim between the company and the policyholder. However, they try to minimise the payout by working in the interest of the insurance agency without being partial.
Key Responsibilities of loss adjuster jobs
A loss adjuster can work for multiple insurance companies simultaneously. The job of the one is to investigate claims that are generally large and complex related to fire damage, flood, theft and robbery in addition to train, road, air and water ways accidents. One has to inspect the accident by visiting the site to arrange repairs and damage to get the evidence related to the case.
They serve as a link between the insurance company and the policy holder who has filed a claim. The policy holder can be a company or an individual person. Although they are appointed by insurance companies but they don’t work partially. They determine if the damage is covered by the policy to recommend an appropriate payout based on what they found during their investigation.
They work with other adjusters or professionals like engineers or accountants.
Things that a loss adjuster looks for!
To understand what loss adjuster looks for during their investigation period, it is important to prepare your claim providing all the evidence and documentation. The client should be responsive, attentive, cooperative and transparent throughout the process for accurate evaluation to navigate a fair settlement. They visit the site and seek for the following things:
Damage extent
The loss adjuster examines the damage caused by the incident. They check the severity and loss extent to check whether the details match with the details provided by the claimant.
Loss cause
The loss adjuster investigates the real and hidden cause of the damage. They gather all the information and evidences that are involved in the accident. They get the statements from all the involved parties to identify the circumstances. The investigation is done to check whether the loss is covered in the insurance policy or not.
Confirm the provided information
One of the reasons why insurance claims are rejected is because of the lack of information that was given by the client side. This is when an insurance adjuster might look for false or inaccurate information to invalidate the insurance claim before it goes further.
The information that the adjuster checks are:
- Who owns the property?
- Number of occupants living there to check if tenants are present or not
- Any case related to bankruptcies or insolvencies
- Details of the previous insurer and addresses to check background
- Number of years at the address to determine the damage
- Whether the property is used for business purposes or has been closed for many years
Pre-existing conditions
The loss adjuster determines whether there are pre-conditions that have caused the accident or damage. One will check maintenance reports and historical records to see whether there is an ongoing issue that has caused the accident. They also assess the negligence made by anyone who has contributed to the damage. One investigates the property status before and after the loss to differentiate between the both. Report this page