Claims Adjuster
Definition. A Claims Adjuster is the insurance professional who investigates a claim, evaluates the damages or loss, applies policy terms, and negotiates the settlement on behalf of the insurer (or the policyholder, depending on the type of adjuster).
Also known as: Claims Adjuster, Insurance Adjuster
Three types of adjusters:
- Staff Adjuster — employed directly by the insurance carrier.
- Independent Adjuster — contracted by the carrier for surge capacity (catastrophes, large losses).
- Public Adjuster — hired by the policyholder, paid a percentage of the recovery, advocates for the insured rather than the carrier.
Most states require adjusters to hold a state-issued license; requirements vary substantially by state.
Example
After a kitchen fire, a Staff Adjuster from the carrier inspects the property, photographs damage, gets contractor repair estimates, and applies the Commercial Property policy terms to calculate the settlement.
Sources cited
- Adjuster —
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Reviewed by California-licensed Property & Casualty insurance agent
Jason Wootton (CA License #0I94454). Not insurance advice, an individual recommendation, or a solicitation in any state. Insurance regulations vary by state. For specific coverage decisions, consult a licensed insurance agent in your state.
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