Tuesday, October 16, 2007

Know your Insurance Adjuster

"Insurance adjuster" is a term that we encounter quite a bit when shopping for insurance policies, but what exactly is an insurance adjuster? Insurance adjusters are agents who are either employed by insurance companies or work as independent agents who serve as a liaison between the insurance company and the claimant after a loss or even that potentially requires the insurance company to pay a claim.

When a catastrophic home or property loss occurs, the insurance adjuster is the one who examines the damage, interviews eye witnesses, and generally tries to provide a complete picture of how the damage occurred. In the case of fire or other potentially suspicious types of damage, the insurance adjuster will also speak with police and fire officials to determine the cause of the blaze. Once the details of the event have been worked out, the insurance adjuster will carefully go over the home owner's policy and determine to what extent the insurance company is required to cover. The insurance adjuster then files the claim with the insurance company where it will undergo verification and, if everything checks out, a payment will be issued to the policy holder.

For health care coverage, the insurance adjuster (also called the claims examiner when dealing with medical issues) carefully reviews all aspects of the claim and makes a determination on the extent of the insurance company's liability. Extremely large claims are typically handled by senior insurance adjusters.

Insurance adjusters provide a layer of buffering between the policy holder and the complexities of filing a claim. Since the time directly following a serious loss or health emergency is typically stressful enough on its own, the policy holder typically welcomes the adjuster's handling of the complex details of filing a claim. Since insurance adjusters are very familiar with the way the policy is structured, they are more likely to file an accurate claim request and get the money in the policy holder's hands as quickly as possible.

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