An insurance adjuster, also known as a claims adjuster, is a person who investigates an insurance claim to determine if the insurer should pay for damage or injuries, and if so, how much they should pay.
Insurance adjusters assess many types of claims, including insurance claims resulting from car accidents, house fires, and burglaries. They interview the claimant and witnesses, inspect the property, and do additional research, such as looking at police reports. They may also consult with other workers, such as accountants, architects, construction workers, engineers, lawyers, and physicians, who can offer a more expert evaluation of a claim.
The three main types of insurance claims adjusters are public adjusters, independent adjusters, and staff adjusters. Public adjusters work on behalf of the claimant (the policyholder making the claim) and advocate for them to ensure they receive what they are entitled to within their policy. Independent adjusters represent the insurance carrier as a third-party consultant and are often brought in if the insurance company is overloaded with claims. Staff adjusters, also called company adjusters, work exclusively for one insurance company and often specialize in one line of insurance, such as condo or auto claim adjusting.
The median annual salary for an insurance claims adjuster is around $65,000 in the United States, although this can vary depending on experience and location.
Characteristics | Values |
---|---|
Role | Investigates and settles insurance claims |
Types | Public adjuster, company adjuster, independent adjuster, staff adjuster |
Priorities | Prevent insurance fraud, settle claims quickly, settle claims for a low amount |
Work | Investigative, full-time, outside the office, irregular hours |
Salary | $65,000 to $75,050 |
Education | High school diploma or equivalent, bachelor's degree, insurance-related work experience |
Licensing | Required in some states, not required for staff adjusters |
What You'll Learn
- Insurance adjusters investigate claims to determine if the insurer should pay
- They assess damage and decide on a fair settlement price
- Adjusters may work for the insurer or the claimant
- The US median salary for adjusters is $65,000, ranging up to $75,000
- The role can be stressful, especially during natural disasters
Insurance adjusters investigate claims to determine if the insurer should pay
An insurance adjuster, also known as a claims adjuster, is a person who investigates an insurance claim to determine if the insurer should pay for damage or injuries, and if so, how much they should pay. For example, if you're in a car accident and file a claim with your insurer for the damage to your vehicle, they'll assign a claims adjuster to your case to verify you have the applicable coverages and the damage is covered.
The insurance adjuster will be your contact throughout the claim process. The amount of contact you have with the adjuster will depend on the claim; for a minor claim, you may only speak over the phone, while serious claims might involve more frequent and in-person contact.
The adjuster will also act as the insured person's point of contact during the claims process and negotiates the final settlement with them on behalf of the insurance company.
The Claims Adjusting Process
Claims adjusters play an important role in the insurance industry, and the need for adjusters remains consistent over time as accidents happen every day. Once an insurance claim is filed, a claims adjuster is called in to take over the process. They gather information and details to work out what happened in the incident and find a fair settlement price.
Some of the information a claims adjuster collects during their investigation includes:
- Photos of an incident or property damage
- Statements from everyone involved in an incident
- Police reports
- Medical records
- Vehicle damage
Types of Claims Adjusters
There are a few different types of insurance claims adjusters, and each would influence what the day-to-day work looks like.
Company or Staff Adjuster
A company or staff adjuster works full-time for one insurance adjuster firm exclusively. Generally, these positions mean that you are salaried and receive benefits from the firm, such as a pension, life and health insurance, and continuing education training. Company and staff adjusters respond to claims for the one insurance company they work for. Often, these are home and personal auto claims.
Independent Adjuster
Independent adjusters work as contractors for multiple insurance firms or third-party administrators. They often work with catastrophe claims and will travel to the impacted areas after major weather events or emergencies.
Public Adjuster
Public insurance adjusters work directly on behalf of policyholders. They help businesses or individuals file insurance claims if a proposed settlement seems unfit from an insurer. Generally, public adjusters are contract workers rather than salaried.
The salaries of insurance adjusters can vary depending on their location, level of experience, and specialty. The median base salary for a claims adjuster in the US is around $65,000 annually.
Independent adjusters who work on catastrophic claims have the potential to earn over $100,000 in a year. If the adjuster is licensed to operate in multiple states and multiple natural disasters occur within their domain, the independent adjuster could earn well over $100,000 annually.
Public adjuster salaries can range from $30,000 to $100,000 per year, depending on their experience and the size of the claims they handle.
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They assess damage and decide on a fair settlement price
An insurance adjuster's job is to investigate insurance claims and determine how much an insurance company should pay out. They are also known as claims adjusters.
When a person with a home insurance policy experiences a loss, they submit a claim to their insurance company. The adjuster is the person who investigates that claim on behalf of the insurance company. They are the main point of contact for the claimant throughout the claims process.
Adjusters will review the details of the accident or loss, as well as the insurance policy, to determine which coverages may apply to the claim. They will also interview those involved, including drivers, passengers, and witnesses, and review any relevant reports, photos, or video footage.
Adjusters will then go over the options with the claimant. If the damage is covered, the adjuster will help the claimant coordinate inspections and write up repair estimates. The claimant can then choose to either have the adjuster set up the repairs or take the claim payout and set up the repairs themselves.
Adjusters will also help claimants take necessary steps like obtaining repair estimates and selecting contractors. Ultimately, the adjuster will submit a report to the insurance company explaining everything about the claim and recommending a settlement amount.
The adjuster tries to determine an amount that covers the insured loss, no more and no less. They will communicate with the insured throughout the claims process on behalf of the insurance company and negotiate the final settlement.
Assessing Damage and Deciding on a Fair Settlement Price
Adjusters investigate claims by visiting the site of the damage, interviewing claimants and witnesses, reviewing police reports, consulting with relevant experts, and gathering as much information as possible. The more details the claimant can provide, the faster the adjuster can settle the claim.
Adjusters will also inspect damaged property and review medical records to determine the extent of the damage and the costs of repairing the property or person. They will then submit documentation to the insurance company describing the incident and recommending a claim amount.
In property damage claims, the adjuster carries out a detailed investigation by inspecting the damage, reviewing police reports, speaking to witnesses, and talking to property owners. For example, if a tree falls on a house, the adjuster would interview the claimant, inspect the property, and determine the costs of repairing the property.
In personal injury claims, adjusters will investigate and get a full understanding of the facts of the underlying accident and the claimant's injuries and other losses. They will speak to the claimant, review medical records, and determine the chances of the claimant winning at trial if a personal injury lawsuit is filed.
Adjusters will also determine the settlement value by calculating the damages capable of exact calculation (medical bills and lost earnings) and those not capable of exact calculation (compensation for pain and suffering).
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Adjusters may work for the insurer or the claimant
An insurance adjuster, also known as a claims adjuster, is a person who investigates an insurance claim to determine if the insurer should pay for damage or injuries, and if so, how much they should pay. For example, if you're in a car accident and file a claim with your insurer for the damage to your vehicle, they'll assign a claims adjuster to your case to verify you have the applicable coverages and the damage is covered.
There are three main types of insurance claims adjusters: public adjusters, independent adjusters, and staff adjusters. Public adjusters work for the claimant (the policyholder making the claim). Their role is to advocate for the claimant and get them the highest possible payout. They are paid a percentage of the settled claim, which is usually between 10% and 20% of the total payout.
Independent adjusters, on the other hand, represent the insurance company and are hired on a freelance or contract basis. They do similar work to staff adjusters but are typically hired when there is a surge in demand, such as after a natural disaster. They are usually paid on a fee schedule, meaning the claim payout amount directly impacts how much they earn.
Staff adjusters, also called company adjusters, work directly and exclusively for one insurance company. They are usually salaried and receive benefits such as pensions and health insurance. They respond to claims for the one insurance company they work for, which are often home and personal auto claims.
Regardless of the type of adjuster, their role involves investigating the claim by interviewing the claimant and witnesses, inspecting the property, and reviewing records such as police reports. They then submit a report to the insurance company with recommendations for the claim amount.
The goal of adjusters working for insurance companies is to save as much money for the company as possible. In contrast, public adjusters working for claimants aim to get the highest possible payout for their client. It is important to remember that the adjuster from the insurance company does not have your best interests in mind, and you may want to consider hiring your own independent adjuster.
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The US median salary for adjusters is $65,000, ranging up to $75,000
The US median salary for insurance adjusters is $65,000, ranging up to $75,000. The role can be lucrative, and salaries vary from state to state. The more experience an individual has, the more money they can expect to make as an adjuster.
The role of an insurance adjuster is to investigate and settle insurance claims. They decide whether an insurance company must pay a claim and, if so, how much. Adjusters are often employed full-time by one insurance company and receive benefits such as a pension, health insurance, and life insurance. They respond to claims for the company they work for, often home and personal auto claims.
Adjusters need to be detail-oriented, analytical, and have good communication skills. They must know the right questions to ask to gather the information they need. The role can be stressful, especially during natural disasters, and adjusters often have to work irregular hours to accommodate clients.
There are three main types of insurance adjusters: public adjusters, independent adjusters, and staff adjusters. Public adjusters work on behalf of the claimant and are usually contract workers. Independent adjusters work as contractors for multiple insurance firms and are sometimes called "catastrophe claims adjusters" as they travel to impacted areas after major weather events. Staff adjusters work exclusively for one insurance company and are also known as company adjusters.
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The role can be stressful, especially during natural disasters
The role of an insurance adjuster can be stressful, especially during natural disasters. Adjusters are often subject to very high workloads, which can result in longer-than-average work hours and a higher chance of burnout. The process of negotiating and communicating with distressed parties can add stress to the job.
During natural disasters, insurance adjusters are often deployed to the affected areas and may have to work irregular hours to accommodate clients' schedules and conduct investigative work. They may also have to work well over 40 hours a week during catastrophic events, further adding to the stress of the job.
The work of an insurance adjuster during natural disasters can be emotionally demanding as they deal with people who have lost their homes and belongings. Adjusters are expected to be empathetic and provide a sympathetic ear to their clients while also estimating property damage and negotiating with contractors.
The high demand for natural disaster insurance adjusters can also contribute to the stress of the job. There may be hundreds or even thousands of claims to process, and adjusters are incentivized to handle as many claims as possible to increase their income. This can lead to a poor work-life balance and burnout.
Overall, while the role of an insurance adjuster can be rewarding, it is important to recognize that it can also be highly stressful, especially during natural disasters when the workload and emotional demands are significantly increased.
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Frequently asked questions
The median annual salary for an insurance claims adjuster is $65,080, but this can vary from state to state. The lowest 10% of insurance adjusters earned less than $47,390, while the highest 10% earned more than $105,440.
The more experience an individual has, the more money they can expect to make as a claims adjuster.
The median annual wage for insurance appraisers, auto damage was $74,520 in May 2023. Similar occupations include property appraisers and assessors, automotive body and glass repairers, automotive service technicians and mechanics, construction and building inspectors, and cost estimators.