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.
Que fait un Claims Adjuster ?
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.
Responsabilités
Un Claims Adjuster doit être capable de remplir diverses fonctions et responsabilités. Voici quelques fonctions et responsabilités qu'un Claims Adjuster doit être capable d'exécuter :
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
Compétences requises
Un Claims Adjuster compétitif aura certaines compétences et qualifications, notamment :
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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