Claim Adjusters Responsibility During the Insurance Claim Process
- Bodhi LIA
- Jan 27, 2025
- 2 min read
Rodriguez Law Group, Inc.
Date: January 16, 2025
What happens when you file an insurance claim?
The insurance company assigns a claims adjuster to your claim, and they become your primary contact throughout the claims process. They juggle many responsibilities and multiple claims at once.
What should you expect from a claims adjuster?
The adjuster will contact you and other parties to gather evidence and information about
the claim. They analyze the evidence, review the policy, and determine if the insurance
policy covers the claim.
During this process, they interview witnesses, visit your property or the incident site, take photos & document damage to property. They also consult with legal counsel, physicians, mechanics, engineers, and architects when needed.
Next, they write a report detailing their findings and provide recommendations to the
appropriate parties. If the insured and insurer can’t agree on covered items or situations, the adjuster is authorized to negotiate settlements and authorize payments. If the claim is approved, the adjuster coordinates repair efforts.
It is important to know that the claim adjusters will act in the best interest of the
insurance company. Their loyalty is to the provider and not the policyholder. They are
expected to interpret the policy in a way that protects the insurance company from extra
losses and ensures coverage is applied appropriately for the insured.
For this reason, when filing a claim, you must provide as much relevant documentation
as possible to support your claim. It is also twice as important to know your policy
coverages to ensure you get the payout you deserve.
If you have legal questions or need representation, contact us at 626-888-5206.
We can guide you through your personal injury, property damage, real estate, landlord, and civil defense matters.
Disclaimer: This is not legal advice but general educational material. This does not
create an attorney-client relationship. You should consult an attorney in your locale.
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When my house had storm damage, I didn’t know what to do. The claim adjuster came, looked at everything, and helped me understand the next steps. They talked to the insurance company and made sure I got what I needed to fix the damage. Chuck Mincey, a retired contractor, once told me how important a good adjuster is. Thanks to them, my home got repaired the right way without stress. It really made a big difference.
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