Insurance Adjuster Basics | Adjust This (2024)

An Insurance adjuster or claims adjuster is responsible for helping policyholders or claimants move onto the next stage of their claim and, in many cases, return to some level of normalcy after an incident or catastrophe.

Insurance adjusters can work on a range of claims from weather-related catastrophes to property damage to workers' compensation claims.

Keep reading for a more in-depth look at what an insurance adjuster does, the types of insurance adjusters, and how you can become one yourself.

What Does an Insurance Adjuster Do?

For every insurance claim, an insurance adjuster determines what is owed by the insurance company. For example, if an insurance policyholder is in a car accident, the adjuster investigates the claim to determine damages and/or injuries the insurance company will be responsible for covering.

An adjuster investigation includes:

  • Receive an initial report or First Notice of Loss (FNL)
  • Interviewing witnesses
  • Speaking with the claimant
  • An inspection of all property involved including photos and measurements
  • A review of any relevant medical or police records
  • Pay out of the claim directly (this is uncommon)

The types of claims an adjuster is responsible for will depend on the type of insurance adjuster they are licensed as.

Become an Adjuster

To work as an insurance adjuster, you’ll need a state adjuster’s license.

Read our full guide to How to Get Your Adjuster License to get started.

Types of Insurance Adjusters

There are several different types of insurance adjusters; staff adjuster, desk adjuster, daily claims adjuster, independent adjuster, catastrophe adjuster, and public adjuster.

However, these roles all involve investigating insurance claims, reviewing evidence, and determining the responsibility of the insurance company.

Keep in mind, licensing requirements sometimes vary based on the type of insurance adjuster and the state(s) you’ll be operating in. Be sure to review licensing requirements for your state.

Here are the main types of insurance adjusters:

Independent Adjuster

Independent adjusters work as contractors with an IA firm and are ideal for adjusters craving flexibility. During periods with a substantial uptick in claims, such as a catastrophe or other incident, large insurance companies will outsource claims to IA firms.

Once the claim is received, it is directed to an independent adjuster who will travel to investigate the claim. Often, but not always, independent adjusters pursue catastrophe adjusting.

Read More: What is an Independent Adjuster
Take Action: How to Become an Independent Adjuster

Catastrophe Adjuster

Catastrophe adjusters travel to weather-related incidents or the affected areas as well as other emergencies to investigate insurance claims. Hurricanes, tornadoes, and extreme heat are common sources of work for this type of adjuster.

These adjusters receive CAT claims from IA firms to investigate claims which can take a number of days to complete.

Staff Adjuster

Staff adjusters work exclusively for insurance companies to investigate claims.

This is typically a salaried position that includes benefits such as medical/dental coverage, pension, and continued education. If you’re looking for a steady, 9-5 adjusting role, an employee adjuster or staff adjuster might be the role for you.

Read more on our guide: What is a Staff Adjuster.

Desk Adjuster

While desk adjusters and remote adjusters may seem similar to a staff adjuster, there is one key difference. Desk adjusters work primarily from one location, commonly a corporate office, home office, or call center, receiving information and images from the claimant, a field adjuster, or a third-party.

For many new adjusters, the desk adjuster role can be a perfect method of gaining experience as these roles are usually entry level and can often span the course of only a few months. Additionally, this can be a great option for adjusters with physical limitations.

Daily Claims Adjuster

Daily claims adjusters are typically a remote role. However, unlike other independent adjusters such as catastrophe adjusters, daily claims adjusters don’t commonly travel to weather-related incidents or handle catastrophe (CAT) claims. Instead, this type of adjuster usually works with local, smaller insurance adjuster (IA) firms.

This role typically requires experience and is not an entry level position.

Public Adjuster

Rather than working for an insurance company, public adjusters work on behalf of the policyholders.

Typically a contract position, public adjusters often help file claims on behalf of individuals and businesses that are not being covered or accepted by insurance companies.

This type of adjuster role is different from any of the others on this list in both the type of work involved as well as the required licensing.

How to Become an Insurance Adjuster

Becoming an insurance adjuster requires an adjuster license, certifications and training, and then finding work.

To learn more about how to become an insurance adjuster, check out our in-depth guide.

Step 1: Get a License

The first step to becoming an insurance adjuster is obtaining the required license(s). If your state requires a license to operate as an insurance adjuster, you will need to acquire a license in that state.

Select Your State

If your state does not require an adjuster license to operate and you would like to work as an adjuster in more than one state, you can opt to apply for a Designated Home State (DHS) license.

Once you have your DHS license or home-state license, you can apply for additional licenses in other states. If you are looking to work as an adjuster in more than one state you will need licenses to operate in any state that requires a license which generally requires only a fee.

Step 2: Obtain Necessary Certifications and Training

In order to work as an insurance adjuster, you will need to be trained on Xactimate, the industry-standard software for insurance adjuster. In some cases, you may need to be trained and certified on this software before you’re licensed.

To get started with Xactimate, start with this guide.

Step 3: Find Work

Once you are licensed and trained, you’re ready to find work as an insurance adjuster. This looks different for each type of adjuster. For example, independent adjusters and catastrophe adjusters will need to apply to Independent Adjuster (IA) Firms.

Alternatively, adjusters such as staff adjusters, desk adjusters, or daily claims adjusters will likely seek longer term contracts through insurance companies or local IA firms.

Step 3: Form your LLC

If your plan is to work as an independent adjuster, you're essentially starting a new business.

By separating your personal assets from your business assets, an LLC creates a layer of protection that all businesses, including insurance adjusters need.

You can find the steps to start an LLC in your state from our friends at LLC Fit.

Adjuster Licensing FAQ

What is the job description of an insurance adjuster?

An insurance adjuster investigates claims to determine the amount owed by the insurance company.
This involves interviewing witnesses, inspection of all property involved in the claim, and review of associated medical and/or police records.
Insurance adjusters can work as independent contractors or salaried employees.

How do I become a claims adjuster with no experience?

To become an insurance adjuster you will need to acquire a license in your state.
While some states do not require licenses to operate as an insurance adjuster, it is recommended that you obtain a Designated Home License from another state. For this purpose, we recommend Florida.

Are insurance adjusters in demand?

Insurance adjusters are constantly in demand due to the steady stream of insurance claims from catastrophes, accidents, and daily occurrences or incidents. However, work may be more consistent depending on the type of insurance adjusting you are doing.

Why become an insurance adjuster?

Depending on the type of insurance adjuster you decide to become, this role can provide location flexibility and the opportunity to make substantial money in a small period of time. Or alternatively, there are adjuster roles, such as desk and staff adjusters, that provide financial security and steady work.
Becoming an insurance adjuster offers plenty of opportunity and freedom over your time and location.

How much do insurance adjusters make?

Adjuster salariesvary widely. Inexperienced staff adjusters start around $50,000 - $60,000, while more experienced independent adjusters can easily bring in $100,000+, and even more on busy years.

Insurance Adjuster Basics | Adjust This (2024)

FAQs

How to answer insurance adjuster questions? ›

Remember this motto: Stick to the basic facts. Don't add opinions such as who's at fault, what triggered the crash, or what the damages might be. More importantly, don't lie or even embellish the facts, as this can compromise your insurance claim and become grounds for serious legal trouble.

Why do you want to be a Claims Adjuster answer? ›

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. Question #2. Can you describe your experience handling different types of insurance claims?

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.

How stressful is 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 3 key goals of a claims adjuster when settling claims? ›

Claims adjusters have three main goals when settling claims: accurate claim assessment, timely settlement, and customer satisfaction. They investigate and evaluate claims, ensuring that the claim amount accurately reflects the covered losses.

What not to say to insurance adjuster roof? ›

Topics to Avoid When Speaking to a Home Insurance Adjuster
  • Speculation about the Cause of Damage. Avoid making guesses or unsupported statements about what caused the damage to your property. ...
  • Admitting Fault or Liability. ...
  • Discussing Other Insurance Claims. ...
  • Incomplete Information. ...
  • Legal Threats or Litigation.

Can you disagree with insurance adjuster? ›

If you find yourself at odds with a claims adjuster over a settlement amount, it's important to advocate for the payment you deserve. Don't simply accept an offer you believe to be inadequate. Instead, arm yourself with evidence, negotiate firmly but politely, and don't be afraid to dispute their decision if needed.

What is the star method when interviewing? ›

Use the STAR method to answer behavioral questions, like “Can you share a time when…” STAR stands for situation, task, action, and result and is meant to help you structure your answers to those questions.

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.

Why should you hire you? ›

A: I want this job because I believe it is a great fit for my skills and interests. I am excited about the opportunity to [describe specific aspect of the job or company] and I am eager to contribute to the team. I am motivated to learn and grow in this role, and I am confident that I can make a positive impact.

How to answer insurance claim questions? ›

Think deeply about the exact question the agent asked, and only provide that specific information. Never admit to fault. Never admit to even being partially at fault. Never admit that you are uninjured.

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 questions to ask a claims adjuster? ›

Additional Information
  • “Will you admit fault for the accident?” ...
  • “How much insurance coverage does your driver carry?” ...
  • “Will you pay for my car to be repaired to manufacturer's specifications, without used or after market parts?” ...
  • “Will you pay for my medical bills and lost wages as they are incurred?”

How to answer insurance questions? ›

Don't offer an ambiguous reply such as "maybe" or "I guess so" – simply refuse to answer. Similarly, if you don't know the answer to a question, state firmly, "I don't know." Avoid discussing your injuries or your medical prognosis. Both are ongoing and subject to change as time passes.

How do I argue with my car insurance adjuster? ›

Negotiate Respectfully But Firmly

If an adjuster offers less than you believe is fair, don't be afraid to push back. Voice your disagreement calmly and respectfully. Explain your reasoning and provide evidence to justify asking for a higher settlement. Make a reasonable counteroffer based on your documentation.

What do you say when making an insurance claim? ›

Whether you file your car insurance claim over the phone, online, through a mobile app, or with an agent, your insurer will likely request the following details: Location, date, and time of accident. Name, address, phone number, and insurance policy number for all involved in the accident. Weather conditions.

What makes you a good match for a claims role? ›

Example: “Working as an insurance claim handler requires a broad range of skills. The most important of these skills is probably attention to detail. You also have to be methodical, a good communicator, a good observer, and possess a great deal of patience.

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