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.
Claims Adjuster は、さまざまな職務と責任を果たすことができなければなりません。以下は、Claims Adjuster が実行できるいくつかの職務と責任です:
- 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
競争力のある Claims Adjuster には、次のような特定のスキルと資格があります:
- 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.
