Insurance Claim Adjusters are responsible for working on insurance claims made by a client who has suffered a loss.
These professionals can work for companies that offer insurance to many types of clients and for a variety of purposes.
Insurance companies can provide coverage for both businesses and individuals.
Some types of insurance provided to policyholders include medical and health care insurance, auto and home, worker’s comp insurance and insurance for businesses.
When an insured individual or business suffers a loss caused by circumstances out of their control, they will place a claim with their insurance company in order to be compensated for their losses.
A policyholder will only be compensated up to the value of their loss.
An Insurance Claim Adjuster will get involved in the claims process after it has been filed by the policyholder.
They will handle many aspects of the submitted claim.
Education Requirements to Become an Insurance Claim Adjuster
Although there are no set educational requirements in order to become an Insurance Claim Adjuster , some employers seek candidates who have a combination of education, experience and licensure.
There are also no specific majors in order to become an Insurance Claim Adjuster.
However, some majors will help candidates be successful in the field.
Candidates who study a business or accounting track can be successful specializing in business accounts.
They would be able to successfully work for companies who have suffered financial losses due equipment breakdowns or strikes.
Candidates who study a medical field can work on life insurance and medical claims.
A candidate who focuses on Architecture or Engineering can become an Insurance Claim Adjuster who specializes in adjusting for industrial claims; these claims can revolve around damages due to fires or similar accidents.
Depending on the state, candidates will also need to secure licensure in order to work in the industry.
Licensing requirements vary by state therefore research has to be done in order to learn the exact steps to get licensed in your state.
Some states require candidates to complete a licensing class as well as take and pass an exam.
Because federal and state laws change regularly, Insurance Claim Adjusters are required to take continuing classes in order to keep up with the changes.
These classes are also a prerequisite in order for Insurance Claim Adjusters to renew their licenses.
Insurance Claim Adjuster Job Description
An Insurance Claim Adjuster will work on an open claim after it has been submitted by a policyholder.
They are responsible for investigating all aspects of the claim in order to determine final compensation to client’s suffering a loss.
An Insurance Claim Adjuster will use many methods in order to determine the cost of any losses.
One technique would be to interview people.
For example, they may interview policyholders, claimants or witnesses to determine liability for an auto accident.
If an auto accident caused any possible injuries, adjusters would interview physicians and secure hospital records in order to determine how much they would need to compensate the injured party, all depending on liability.
An adjuster would also investigate any property losses and would gather evidence to determine liability.
Additional information that adjusters may gather include pictures, witness reports and police reports.
They may also seek expert advice from other professionals such as auto body workers, lawyers, engineers and physicians.
After gathering all necessary information needed to approve a claim, an adjuster will submit it for final evaluation.
When a claim is approved and finalized, they will work with the claimant to make final negotiations.
If a claimant rejects an offer, adjusters will work with lawyers and other professionals in order to figure out a resolution.
Insurance Claim Adjuster Salary and Career Path
The Bureau of Labor Statistics estimates that the growth for Claim Adjuster and related careers is expected to grow by about 7% through the year 2018.
This growth is considered average when compared to other professions.
Insurance Claim Adjuster careers are expected to be stronger in the health care insurance industry due to a growing senior population.
The Bureau of Labor Statistics groups Insurance Claim Adjusters with other professionals in the insurance industry.
The Bureau estimates that the national median wage for all insurance industry professionals is approximately $55,750 per year.
The salary range for all professionals is $34,000 to $84,000 per year.
Exact wages will depend on the insurance sector, years of experience and the geographical location.