Insurance Adjuster Jobs Aberdeen SD
Sioux Falls, SD
North Sioux City, SD
Insurance Adjuster Jobs
Nature of the Work
Individuals and businesses purchase insurance policies to protect against monetary losses. In the event of a loss, policyholders submit claims, or requests for payment, seeking compensation for their loss. Adjusters, appraisers, examiners, and investigators deal with those claims. They work primarily for property and casualty insurance companies, for whom they handle a wide variety of claims alleging property damage, liability, or bodily injury. Their main role is to investigate claims, negotiate settlements, and authorize payments to claimants, who are the policyholders who make a claim. They must be mindful not to violate their rights under Federal and State privacy laws. They must determine whether the customer's insurance policy covers the loss and how much of the loss should be paid. Although many adjusters, appraisers, examiners, and investigators have overlapping functions and may even perform the same tasks, the insurance industry generally assigns specific roles to each of these claims workers.
Adjusters plan and schedule the work required to process a claim. They might, for example, handle the claim filed after an automobile accident or after a storm damages a customer's home. Adjusters investigate claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine how much the company should pay for the loss. Adjusters may consult with other professionals, such as accountants, architects, construction workers, engineers, lawyers, and physicians, who can offer a more expert evaluation of a claim. The information gathered—including photographs and statements, either written, or recorded audio or video—is set down in a report that is then used to evaluate the claim. When the policyholder's claim is approved, the claims adjuster negotiates with the claimant and settles the claim. When claims are contested, adjusters will work with attorneys and expert witnesses to defend the insurer's position.
Some large insurance companies centralize claims adjustment in a claims center, where the payout amount is estimated and a check is issued immediately. However, cases handled by independent adjusters, or those involving business losses or homeowner claims, such as hurricane or fire damage, all require a senior adjuster to physically inspect the damage and determine proper compensation.
When it comes to business or residential loss caused by, for example, vandalism or flooding, claimants can opt not to rely on the insurance company's adjuster and may instead choose to hire a public adjuster. Public adjusters are self employed and work in the best interest of the client, rather than the insurance company. In doing so, the adjuster prepares and presents claims to insurance companies, looking to negotiate the best possible settlement for the claimant. Insurance carriers also us...