Claims Adjuster: Definition, Job Duties, How To Become One (2024)

What Is a Claims Adjuster?

A claims adjusterinvestigates insurance claims to determine the extent of insuring a company's liability. Claims adjusters may handle property claims involving damage to structures, and/or liability claims involving personal injuries or third-person property damage.

A claims adjuster reviews each case by speaking with the claimant, interviewing any witnesses, researching records (such as police or medical records), and inspecting any involved property.

Key Takeaways

  • A claims adjusterinvestigates insurance claims to determine the extent of insuring a company's liability.
  • Claims adjusters may handle property claims involving damage to structures, and/or liability claims involving personal injuries or third-person property damage.
  • They either work directly for the insurance company, or they may be a freelanceadjuster hired by the insurance company to handle specific claims.
  • Being a claims adjuster is a very stable career: there is always demand for this role, even in a recession.
  • In order to become a claims adjuster, check out your state's guidelines on licensing. In states where a license is required, many require a pre-license course and continuing education credits, after the license is obtained.

Understanding a Claims Adjuster

Claims adjusters verify policyholder requests for funds from an insurancepolicy. Theydetermine a fair amount for settlement. These can be any type of claim, from personal injury to property damage. In property damage claims, the main role of the insurance adjuster is to carry out a detailed investigation into the claim by:

  • Inspecting the damage
  • Reviewingpolice reports
  • Speaking to witnesses
  • Talking toproperty owners

For example, if ahomeowner makes an insurance claim due to a tree falling on the house, a claims adjuster would interview the claimant (homeowner), along withany witnesses, andinspect the property to determine the extent of the damageand the costs of repairing the property. The claims adjuster then submits documentation to the insurance companydescribing the incident and recommendations for the claim amount (how much money the insured will receive from the insurance company to repair the property).

Once the investigation is complete, the adjuster will then be in a position to determine the amount of the insurance company’s potential liability to its insured. Adjusters very often try to convince property owners to accept less money than their claim is worth.

How to Become a Claims Adjuster

Becoming a claims adjuster is not typically a career path that people think about, but is an industry in high demand of careers. Typically, insurance claims adjusters need at least a high school diploma, although an associate's or bachelor's degree can be preferred. From there, individuals will need to study and pass a licensing exam.

Some states require a certain number of hours of training that must be done ahead of time. From there, insurance adjusters need to complete continuing education credits in order to keep their license. In California, licensed independent insurance adjusters must complete a minimum of 24 hours of continuing education, per every two-year license term.

For example, in Florida, insurance claims adjusters musttake and pass the Florida Adjuster Examination from an approved vendor. The state also requires adjusters to complete 24 hoursof continuing education every two years.

The following jurisdictions do not require licenses for insurance adjusters:

  • Colorado
  • District of Columbia
  • Illinois
  • Iowa
  • Kansas
  • Missouri
  • Maryland
  • Nebraska
  • New Jersey
  • North Dakota
  • Ohio
  • Pennsylvania
  • South Dakota
  • Tennessee
  • Virginia
  • Wisconsin

$61,465

The average salary of a claims adjuster in the U.S., according to Indeed.com.

Benefits of Becoming a Claims Adjuster

Claims adjusters have very stable careers: there is always demand for this role, and even in a recession, there will always be a need for adjusters to come and estimate the damage caused by natural disasters for individuals, businesses, and corporations. In addition, it's pretty easy to become a claims adjuster, if you're willing to put in the work and pass the licensing exam.

In addition, claims adjusters have a lot of freedom in their work. It's definitely a mobile job, but claims adjusters work on everything from estimating hurricane damage to doing paperwork, consulting, inspection, and more. It's really a job that you can build to focus on what you love and hire out for the parts you don't. Especially if you're an independent claims adjuster, you can choose how you charge for the job and how you're paid.

Working With a Claims Adjuster

Claims adjustersworkfor the insurance company. They either work directly for the insurance company, or they may be a freelanceadjuster hired by the insurance company to handle specific claims. In either case, they will not have your best interests in mind, as their employer is the insurance company. It is agood idea to consideremploying your own independent claims adjuster,whoworks to protect your interests in a claim. Your own claimsadjuster willdoeverything possible to minimize your loss. This lack ofconflict of interest between the adjuster andinsurer is in the claimant's favor.

If you are hit by an accident, the best thing you can do is provide detailed descriptions of all the items lost and make sure to create a home inventory, especially through photographs and videos. Get your own estimates for repairs, and make sure to do your due diligence.

Does an Insurance Adjuster Get Paid Well?

According to Indeed.com, a claims adjuster's average salary in the U.S. is $61,465 per year. However, a claims adjuster's salary will depend, based on how many claims they're working on at once. Some estimate that adjusters can earn thousands of dollars a week.

Is Being an Insurance Adjuster a Stressful Job?

Being an insurance adjuster is a relatively flexible job, but the process of negotiating and communicating with often distressed parties can add stress to the job.

How Can I Negotiate With an Insurance Adjustor?

If you are hit by an accident, the best thing you can do is provide detailed descriptions of all the items lost and make sure to create a home inventory, especially through photographs and videos. Get your own estimates for repairs, and make sure to do your due diligence.

How Long Does an Insurance Adjustor Have to Respond?

It depends on the state; each state will issue different guidelines for insurance adjusters to respond to a claim.

Claims Adjuster: Definition, Job Duties, How To Become One (2024)

FAQs

Claims Adjuster: Definition, Job Duties, How To Become One? ›

They need to be skilled in customer service, multitasking, and negotiation. They should be able to analyze information and make fair decisions. They must also be able to communicate effectively with policyholders, claimants, and attorneys.

What skills are needed to be a claims adjuster? ›

They need to be skilled in customer service, multitasking, and negotiation. They should be able to analyze information and make fair decisions. They must also be able to communicate effectively with policyholders, claimants, and attorneys.

What is the difference between a claims adjuster and an insurance adjuster? ›

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.

What is a claims adjustment specialist job description? ›

The claims adjuster will investigate insurance claims, examine evidence, and prepare reports. The position will also involve making occasional site visits and conducting interviews with involved parties.

How do I succeed as an insurance adjuster? ›

Self-discipline – essential for working independently. Project Management – the ability to work on multiple claims simultaneously. Computer Skills – proficiency in typing and using certain independent adjuster software programs. Excellent Organization – since sloppiness can lead to costly errors.

What type of claims adjuster makes the most money? ›

High Paying Insurance Adjuster Jobs
  • Insurance Investigator. ...
  • Auto Damage Adjuster. ...
  • Auto Claims Adjuster. ...
  • Material Damage Appraiser. ...
  • Damage Adjuster. ...
  • Damage Assessor. Salary range: $50,000-$50,000 per year. ...
  • General Adjuster. Salary range: $47,000-$47,000 per year. ...
  • Auto Damage Trainee. Salary range: $28,000-$36,000 per year.

How stressful is being a claims adjuster? ›

Insurance claims adjusting is a high-stress job that can be mentally and emotionally draining. Claims adjusters often work long hours, handle difficult clients and situations, and have to manage multiple claims simultaneously. All of these factors can lead to stress and burnout.

What are the pros and cons of being a claims adjuster? ›

Being an insurance claims adjuster is like being a tightrope walker.
  • Upside #1: Variety is the Spice of Life. As an insurance claims adjuster, you'll never be bored. ...
  • Downside #1: Everyone is Unhappy to See You. ...
  • Upside #2: You're the Hero. ...
  • Downside #2: The Paperwork. ...
  • Upside #3: Job Security. ...
  • Downside #3: The Hours.
Apr 21, 2023

Is a claims specialist the same as an adjuster? ›

An insurance adjuster, also commonly called a claims adjuster, claims analyst, claims specialist, or claims representative, is an individual who investigates insurance claims to determine whether the insurer should compensate a party for injuries or property damage.

What is the adjuster role in claims? ›

A claims adjuster investigates insurance claims to determine the extent of insuring a company's liability. Claims adjusters may handle property claims involving damage to structures, and/or liability claims involving personal injuries or third-person property damage.

Is being a claims specialist difficult? ›

Being an insurance claims adjuster can be a challenging job as it requires a strong attention to detail and good problem-solving skills. An adjuster's role is to assess insurance claims and determine the appropriate compensation for policyholders.

Why am I interested in the claims adjuster position? ›

Answer: 1. I was motivated to become a Claims Adjuster because I've always been interested in helping people navigate difficult situations and ensuring they receive fair treatment from their insurance policies.

How do you describe claims adjuster on resume? ›

Good claims adjuster resume summary example

Skilled in building strong client relationships and collaborating effectively with insurance agents and legal professionals to expedite claims processing. Adept at analyzing complex insurance policies and regulations to ensure compliance and maximize client satisfaction.”

Is insurance adjuster a good side hustle? ›

If you step into independent adjusting or the upper levels of adjusting on the insurance company side you can earn an extremely healthy living! IA's can earn up to and beyond six figures if they want. How hard you want to work and how many opportunities you want to puruse is up to you!

How do you survive being a claims adjuster? ›

Become Efficient and Focus on Time Management:

Most new adjusters complain about the constant workload, long hours, no weekends and the burden of claims which makes it impossible for them to find time to do anything else with their lives.

How do I prepare for a claims adjuster? ›

How to Prepare for a Meeting with an Insurance Adjuster
  1. File Necessary Reports with the Police or Fire Department. ...
  2. Take Clear Photographs of the Damage. ...
  3. Make Temporary Repairs that Prevent Further Damage. ...
  4. Create or Submit Your Home Inventory. ...
  5. Gather All Documents and Receipts. ...
  6. Showcase Evidence for Your Claim.

What personality type is best for claims adjusters? ›

ENTP's are particularly well suited for careers as insurance adjusters, examiners, and investigators because they enjoy working in fast-paced challenging environments and because this career is based on problem solving and is highly dynamic, ENTP's can be constantly engaged and developing new skills.

What makes a great adjuster? ›

Attention to detail: A good claims adjuster should be detail-oriented, to accurately assess and document the damage or loss. Communication skills: Good communication skills are necessary to explain complex insurance policies and procedures to policyholders, as well as negotiate settlements.

Do you need to know math to be a claims adjuster? ›

Analytical skills – being able to analyze information and use logic in a careful manner to determine the proper outcome of each claim. Math skills – having enough math aptitude to calculate property damage. Software skills – knowing how to use relevant, independent adjuster software to close claims quickly.

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