Claims Adjusters, Examiners, and Investigators

About the Role

Claims Adjusters, Examiners, and Investigators assess insurance claims to determine their validity and negotiate settlements.

Investigating claims by reviewing documentation and conducting interviews with claimants and witnesses.
Evaluating the details of a claim to determine validity and scope of coverage.
Negotiating settlements with claimants or their representatives.
Maintaining accurate and detailed records of all claims activities.
Working with legal teams to resolve disputes related to claims.
Collaborating with experts (e.g., medical professionals, engineers) to assess damages or injuries when necessary.
Providing advice to claimants about the claims process and policy benefits.

Karen R. McCullough – A leader in claims management and author of several influential texts on the insurance industry.
Brian H. Larkin – Known for his contributions to claims processing technology and making significant improvements in efficiency.

The Complete Guide to Insurance Claims Adjustment
An in-depth resource for understanding all aspects of claims adjustment.
Claims Magazine
An online publication featuring news, articles, and insights related to the claims adjusting industry.
Insurance Claims 101 Podcast
A podcast that discusses various topics related to insurance claims and best practices for claims professionals.
National Insurance Crime Bureau (NICB)
A resource for information on insurance fraud, which is crucial for claims adjusters to understand.