What role do adjusters play in the insurance process?

Adjusters play a crucial role in the insurance process, specifically in the claims management phase. Their primary responsibility involves investigating claims made by policyholders after an incident leading to a loss occurs. This includes gathering relevant information, such as speaking with the insured, reviewing documentation, examining damages, and possibly consulting experts like appraisers or medical professionals.

Once the investigation is complete, adjusters assess the validity of the claim and determine the amount of payment that should be offered, based on the policy terms and the extent of the loss. This process is critical not only for ensuring that policyholders receive fair compensation for legitimate claims but also for protecting the insurance company from fraudulent claims. The adjuster's evaluation directly influences the outcome of the claims process, making their role integral to the functionality of insurance operations.

In contrast, setting policy premiums, advising on coverage options, and handling marketing and sales are roles typically fulfilled by underwriters, agents, or brokers rather than adjusters. Each of these roles is vital in its own right, but adjusters specifically focus on the investigation and assessment of claims post-incident. This distinction highlights the specialized function of adjusters within the broader spectrum of insurance services.