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Claims Adjuster Job Description

Summary

Responsible for handling insurance claims filed by policyholders. Plans and schedules work needed to process claim, interviews claimant and witnesses, and investigates claims.

Primary responsibilities

  • Investigate and process insurance claims filed by policyholders.
  • Interview claimant and witnesses to gather pertinent information.
  • Handle and process variety of claims, including automobile, life, and home insurance claims.
  • Handle property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents, slip and falls, dog bites, or alleged negligent behavior.
  • Inspect property damage to determine extent of damages.
  • Verify that coverage applies through an insurance policy.
  • Evaluate damages to ascertain compensation amount.
  • Consult police and hospital records.
  • Consult with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
  • Examine photographs and statements.
  • Listen to or watch audio or video surveillance.
  • Record data and statements in report.
  • Evaluate all information to determine how claim should be handled.
  • Negotiate with claimant to settle claim.
  • Work with attorneys to defend insurer's position is claim is contested.
  • Issue payout amounts.
  • Prepare and present claims to insurance companies.

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