LOSS ADJUSTER

What do Loss Adjusters do?

Loss adjusters investigate insurance claims arising out of losses such as fires, car accidents and burglaries. They determine the amount of damage or loss covered by the insurance policy. Adjusters make recommendations regarding payment of benefits, based on the coverage noted on the insurance policy and negotiate payment and settlement. Loss adjusters also:

• Ensure that those who have suffered a loss receive all of the benefits and assistance to which they are entitled.
• In disputed claims, may also be required to investigate the cause of the loss - how a fire started, why a plane went down, etc.
• Investigate, negotiate and settle a variety of claims in an efficient manner and in compliance with a variety or requirements.
  conduct witness interviews, take statements and consult with police reports.
• Report in a variety of ways - in writing, through e-mail or on-line, and must present or report on these findings, propose solutions and negotiate settlements and agreements with third parties, clients or other concerned parties.
• Inspect and/or evaluate damages when required, estimate costs or commercial value, examine reports or other documents, evaluate losses, establish claims guidelines and quantifying settlement amounts.
• Participate in private and/or mandatory mediation, settlement meetings, settlement conferences, pre-trails, court proceedings and other dispute resolution methods as required.

Loss adjusters are often hired by insurance companies, government services or independent adjusting firms.

Some examples of roles within this field are: bodily injury (BI) claims representative, accident benefits (AB) claims adjuster, field claims representative, claims examiner, marine insurance coordinator, catastrophe adjusters, claims assistant, physical damage (PD) claims representative, claims specialist, telephone adjuster, road adjuster, property or liability adjuster, technical service representative and call centre agent.