Claims Adjuster Training Introduction This is an intermediate-level course in claims investigation. One of the most important aspects of property and liability claims adjusting is the adjuster’s job of investigating and gathering the facts surrounding an accident or loss. Claims adjusters do not make the facts, they unearth them. Investigation is the process of unearthing […]

Lesson 2: The Claims Filing Process Duties of the Insured – The insured is required by the policy provisions to report a claim to the company as soon as practical. The insured usually reports the claim to his/her agent who provides the claim forms and assists in its completion. The insured must also preserve the […]

Lesson 3: Adjusting Losses Property Losses There are certain steps taken by the adjuster in the initial process of adjusting a property loss. Some of these are: Verify the effective date of the coverage Verify coverage and the proximate cause of loss to determine if coverage applies. Verify the insurable interest of the named insured […]

—Lesson 4: Adjusting Automobile Losses Standards for Prompt, Fair and Equitable Settlements Applicable to Automobile Insurance This section is applicable to claims arising under motor vehicle collision and comprehensive coverage. Definitions: The following shall govern the construction of the terms used in this section: I. Agreed Price shall mean the amount agreed to by the […]

Adjusting Claims The adjuster’s basic activities in handling claims include: I. Investigation to establish coverage, determines legal liability, and verify if the alleged damages qualify the loss for payment 2. Evaluation to determine the fair payment in accordance with the contract and applicable law. 3. Negotiation of a quality settlement based on facts discovered during […]