Administración > Claims Adjuster
Claims Adjuster
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Claims Adjusters typically work for insurance companies or insurance adjuster firms to help claimants receive the correct amount of funds in response to personal injury or property damage. They use their knowledge of their employer’s coverage options to apply claim criteria to the policyholder’s situation. Their job is to analyze the events surrounding property damage or personal injury to determine whether there’s a viable claim for compensation from the insurance company.
A Claims Adjuster, or Insurance Adjuster, is responsible for surveying damages to property or investigating personal injuries to decide how much an insurance company should pay to a policyholder. Their duties include meeting with witnesses and the policyholder, reading police reports and traveling to site locations to look at damages up close.
Un Claims Adjuster debe ser capaz de cumplir con varias funciones y responsabilidades. Las siguientes son algunas funciones y responsabilidades que un Claims Adjuster debe ser capaz de ejecutar:
- Investigating, evaluating and settling insurance claims
- Determining whether the insured’s policy covers the claimed loss
- Deciding an appropriate amount the company should pay out
- Ensuring that claims are not fraudulent
- Contacting claimant’s employers or doctors for additional information if the claim is questionable
- Conferring with legal counsel when needed
Un Claims Adjuster competitivo tendrá ciertas habilidades y calificaciones, incluyendo:
- Analytical skills to evaluate if the insurance company is required to pay the claim. Claims Adjusters must consider multiple pieces of information to carefully make a decision.
- Communication skills to gather information from individuals, including medical experts, claimants and witnesses. They must know the correct questions to ask to get the information they need.
- Attention to detail to carefully review damaged property and documents.
- Interpersonal skills to meet with claimants and other relevant individuals who may be upset by a situation. Claims Adjusters must be able to be understanding, yet firm with the company’s policies.
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