Insurance Adjusters: Key Players in the Insurance Claims Process

Definition & Meaning

An insurance adjuster is a professional who investigates insurance claims to determine the extent of an insurance company's liability. They conduct interviews with claimants and witnesses, inspect property damage, and assess various factors related to the claim, such as depreciation, replacement costs, and actual cash value. Insurance adjusters are also known as loss adjusters and play a crucial role in the claims process by providing objective evaluations to both the insurer and the insured.

Table of content

Real-world examples

Here are a couple of examples of abatement:

Example 1: After a severe storm damages a homeowner's roof, an insurance adjuster is called to assess the damage. They interview the homeowner and inspect the property to determine the cost of repairs and whether the claim is valid.

Example 2: A business owner files a claim for theft of equipment. The insurance adjuster investigates the circumstances of the theft, reviews security footage, and interviews witnesses to evaluate the claim. (hypothetical example)

State-by-state differences

State Definition Variance
California Defined under Cal Ins Code § 14021 with specific duties outlined.
Texas Insurance adjusters must be licensed and adhere to specific regulations.
Florida Adjusters must complete continuing education to maintain their licenses.

This is not a complete list. State laws vary, and users should consult local rules for specific guidance.

Comparison with related terms

Term Definition
Insurance Adjuster A professional who investigates and evaluates insurance claims.
Claims Adjuster Synonymous with insurance adjuster; focuses on assessing claims.
Public Adjuster An adjuster who represents the policyholder, not the insurance company.

What to do if this term applies to you

If you find yourself dealing with an insurance claim, consider the following steps:

  • Document all relevant information regarding the incident and your claim.
  • Contact your insurance company to report the claim and request an adjuster.
  • Utilize legal templates from US Legal Forms to prepare necessary documents.
  • If the situation is complex, consider seeking assistance from a legal professional.

Quick facts

  • Typical fees: Varies by state and adjuster type.
  • Jurisdiction: Varies by state regulations.
  • Possible penalties: Engaging in unauthorized adjusting can lead to fines or license revocation.

Key takeaways

Frequently asked questions

An insurance adjuster investigates claims, assesses damages, and determines the insurance company's liability.