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Claims adjuster (claim adjuster), or claims handler (claim handler), investigates insurance claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the company's liability. In the United Kingdom, Ireland, Australia, South Africa, the Caribbean and New Zealand the term loss adjuster is used. Other claims adjusters who represent policyholders may aid in the preparation of an insurance claim.
In the United States, a claims adjuster's duties typically extend to include the following elements:
Verify an insurance policy exists for the insured person and/or property. In general, these are written by the policy-holding insurance company.
Risk(s) of loss(es), or damages to property, culminating in the loss of property and or bodily injury.
After completing the above investigations, evaluate the covered injuries and/or damages that have been determined according to the coverage grants.
Negotiate a settlement according to the applicable law(s), and identify coverages for which the insured is covered, following best insurance practices.