Insurance Adjuster job description
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What does a Insurance Adjuster do?
The Insurance Adjuster plays a critical role in evaluating and settling insurance claims by investigating claims details, assessing damages, and determining the insurance company's liability. This position is essential in maintaining customer satisfaction and ensuring the integrity of the claims process.
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What are the Key Responsibilities of Insurance Adjuster
- Investigate, evaluate, and settle insurance claims.
- Communicate with claimants, witnesses, and professionals to gather information.
- Review policy documentation to determine coverage eligibility.
- Assess property and auto damages to estimate repair costs.
- Negotiate settlements in line with policy limits and guidelines.
- Prepare detailed reports and maintain accurate records of claims activities.
- Collaborate with legal teams to handle complex claims cases if necessary.
What are the Skills and Requirements for a Insurance Adjuster?
- Strong analytical and problem-solving skills.
- Excellent communication and negotiation abilities.
- Knowledge of insurance policies, claims processes, and industry regulations.
- Attention to detail and strong organizational skills.
What are the KPIs to track for Insurance Adjuster?
The Insurance Adjuster's performance is measured by the accuracy of claims settlements, customer satisfaction ratings, and adherence to claims processing timelines and company standards.
Accuracy of Claims Settlements
Ensuring claims are settled correctly and fairly based on evidence.
Customer Satisfaction
Maintaining positive feedback from claimants on handling claims.
Timeliness of Claims Processing
Efficiently closing claims within established timelines.
Reports to
Claims Manager
Collaborates with
Legal Teams, Field Inspectors, Underwriting Department
Leads
Claims Assistants (if applicable)
Are any specific tools or software required for the Insurance Adjuster role?
- Xactware
- Guidewire ClaimCenter
- Microsoft Office Suite
What is the qualification of Insurance Adjuster?
Bachelor's degree in Business, Finance, or a related field, with 2-4 years of experience in insurance claims adjustment.
