Claims Adjuster

Are you analytical, investigative, and resourceful? Do you enjoy working with others in helping to resolve issues?

What do they do?

Adjusters investigate, negotiate and settle claims. They work on behalf of insurance carriers, helping to determine their liability in the event of a loss and assess the validity of a claim. Adjusters inspect damage, establish the cause of loss, and determine whether and to what extent the damage is covered by existing insurance. In addition to claimants, Adjusters may consult with witnesses, experts and others to get a complete picture before making a decision. They then prepare reports and recommend appropriate claims settlements. To do their job, Adjusters must understand the legal aspects of insurance policies.

Why is it important?

It is critical that policyholders are compensated appropriately for covered losses and, simultaneously, that insurance carriers’ liability be fairly assessed so they are neither over- nor underpaying on a claim. Finding the right balance can take some digging, which is why Claims Adjusters must be well informed, resourceful and thorough in their investigative process.

Typical Duties
  • Examine claims forms and other records to determine insurance coverage
  • Inspect and analyze the loss and create reasonable damage estimates
  • Consult with claimants, witnesses and/or other relevant parties to fully understand the loss
  • Recommend claim settlement or denial
Required Skills
  • Complex Problem Solving
  • Communication
  • Good Judgment and Decision Making
  • Time Management
  • Communication
  • Quality Control Analysis
Career Facts

Salary range:

Education and Professional Requirements:

  • Entry-level: Bachelor’s degree, on the job training
  • Advancement: Bachelor’s degree, multiple years of work experience

Possible career path: Entry-Level Claims Associate > Claims Specialist > Claims Manager

Additional Resources

References

Videos

Webinars

Designations/Certifications/Exams

UA-59112730-1