What Does an Insurance Claims Adjuster Do (2024)

TABLE OF CONTENTS

  • Types of Claims Adjusters
  • Claims Adjusting Process
  • Work Environment
  • Hours
  • Salary
  • Job Outlook
  • Similar Occupations
  • Getting Started

Types of Insurance Claims Adjusters

There are a few different types of insurance claims adjusters, and each would influence what the day-to-day work is like.

Company or Staff Adjuster

A Company or Staff adjuster works full-time for one insurance adjuster firm exclusively. Generally, these positions mean that you are salaried and receive benefits from the firm, such as a pension, life and health insurance, and continuing education training. Company and staff adjusters respond to claims for the one insurance company they work for. Often, these are home and personal auto claims.

Independent Adjuster

Independent adjusters work as contractors for multiple insurance firms or third-party administrators. They often work with catastrophe claims and will travel to the impacted areas after major weather events or emergencies.

Independent adjusters are sometimes referred to as “catastrophe claims adjusters” because they are the ones on the ground after major weather events and emergencies.

Public Adjuster

Public insurance adjusters work directly on behalf of policyholders. They help businesses or individuals file insurance claims if a proposed settlement seems unfit from an insurer. Generally, public adjusters are contract workers rather than salaried.

How To Become A Claims Adjuster >>

Day-To-Day Work As A Claims Adjuster

Regardless of what type of insurance claims adjuster you are, you will be doing investigative work. Once an insurance claim is filed, a claims adjuster is called in to take over the process. They gather information and details to work out what happened in the incident and find a fair settlement price.

Some of the information a claims adjuster collects during their investigation include:

  • Police reports
  • Witness statements
  • Photos of an incident or property damage
  • Statements from everyone involved in an incident

Each type of adjuster has different goals when conducting their investigation. For example, a public adjuster wants to get the highest possible amount paid to the insured, whereas a company/staff adjuster or independent adjuster works in the interest of the insurance company.

Download our free eBook, Launching Your Insurance Career with Confidence, for advice and tips from 100+ insurance professionals.

Are Claims Adjuster Jobs Stressful?

Working as a claims adjuster can be stressful, especially during difficult times like natural disasters. Communicating and negotiating with someone who recently lost all of their possessions can be demanding and difficult.

Work Environment

Claims adjusters can work from home, work in an office, or work in a hybrid environment depending on their role, employer, and subject matter of the claim. When investigating a claim, most adjusters will need to travel to conduct their investigation, especially if the claim involves property damage.

What Hours Do Claims Adjusters Work?

The hours claims adjusters work vary considerably. A company or staff adjuster for an insurance company may work regular 9 to 5 hours and rarely on weekends; independent or public adjusters are more likely to work irregular hours to accommodate client schedules and do investigative work.

Independent and public adjusters, in particular, may have to work well over 40 hours a week during catastrophic events. However, there will also be times during the year when their workload is much less. As contract adjusters, they have more control over how much they want to work than company or staff adjusters.

While being a company or staff adjuster is a steady 40-hour-per-week job, the independent and public routes offer more flexibility. If it’s the busy season, you could work well over 40 hours per week, but you could work considerably fewer hours during less busy times.

Claims Adjuster Salary

Salaries can vary from state to state however the median base salary for a claims adjuster in the United States is around $65,000. The more experience an individual has, the more money they can expect to earn as a claims adjuster.

Job Outlook for Claims Adjusters

Currently, there are 349,400 claims adjuster jobs in the United States. From 2020 - 2030, over 25,000 jobs are expected to become available each year. These openings should provide interested individuals with enough opportunities to become a claims adjuster.

Similar Occupations

There are many positions that are similar to being a claims adjuster. Some of them are within the insurance industry and some are in other industries like finance. Jobs that are similar to a claims adjuster include:

  • Appraisers and Assessors
  • Brokerage Clerks
  • Compliance Officers and Inspectors
  • Cost Estimators
  • Credit Analysts
  • Fire Inspectors
  • Insurance Underwriters
  • Insurance Policy Clerks
  • Loan Clerks
  • Tax Emaniers
  • Title Examiners

Getting Started as an Insurance Adjuster

To become an insurance adjuster, you will need a minimum education of a high school diploma or GED equivalent. While some insurance companies may require a bachelor’s or associate’s degree, it is not required to get into the profession in all cases.

In some states, you will also need to have an adjuster license. Even if you don’t live in a state requiring a license, you may decide to get an out-of-state license, called a Designated Home State license, so you are able to work throughout the country.

The Designated Home State adjuster license is available to individuals who are residents of a state that does not license adjusters, or to individuals that are company adjusters and reside in a state that only licenses independent adjusters and want to designate a non-resident state as their home state. By obtaining a license in another state under the Designated Home State exemption, adjusters can adjust claims in the designated state and any states that have reciprocity with the designated state.

For example, a Florida 70-20 Non-Resident Designated Home State Adjuster license provides non-Florida residents a chance to designate Florida as their “home state” and work claims in Florida along with many other states.

Which States Require an Adjuster License? >>

If you get licensed, you will need to maintain that license with insurance continuing education. Each state has unique requirements, so it’s best that you consult your state department of insurance website for specific details.

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By: Kaplan Financial Education

August 11, 2022

What Does an Insurance Claims Adjuster Do (1)

Becoming an insurance claims adjuster can be a complex job and is often overlooked as a profession in the insurance industry. Insurance claims adjusters play an important role in the insurance industry and the need for adjusters remains consistent over time as catastrophes and accidents happen every day.

TABLE OF CONTENTS

  • Types of Claims Adjusters
  • Claims Adjusting Process
  • Work Environment
  • Hours
  • Salary
  • Job Outlook
  • Similar Occupations
  • Getting Started

Types of Insurance Claims Adjusters

There are a few different types of insurance claims adjusters, and each would influence what the day-to-day work is like.

Company or Staff Adjuster

A Company or Staff adjuster works full-time for one insurance adjuster firm exclusively. Generally, these positions mean that you are salaried and receive benefits from the firm, such as a pension, life and health insurance, and continuing education training. Company and staff adjusters respond to claims for the one insurance company they work for. Often, these are home and personal auto claims.

Independent Adjuster

Independent adjusters work as contractors for multiple insurance firms or third-party administrators. They often work with catastrophe claims and will travel to the impacted areas after major weather events or emergencies.

Independent adjusters are sometimes referred to as “catastrophe claims adjusters” because they are the ones on the ground after major weather events and emergencies.

Public Adjuster

Public insurance adjusters work directly on behalf of policyholders. They help businesses or individuals file insurance claims if a proposed settlement seems unfit from an insurer. Generally, public adjusters are contract workers rather than salaried.

How To Become A Claims Adjuster >>

Day-To-Day Work As A Claims Adjuster

Regardless of what type of insurance claims adjuster you are, you will be doing investigative work. Once an insurance claim is filed, a claims adjuster is called in to take over the process. They gather information and details to work out what happened in the incident and find a fair settlement price.

Some of the information a claims adjuster collects during their investigation include:

  • Police reports
  • Witness statements
  • Photos of an incident or property damage
  • Statements from everyone involved in an incident

Each type of adjuster has different goals when conducting their investigation. For example, a public adjuster wants to get the highest possible amount paid to the insured, whereas a company/staff adjuster or independent adjuster works in the interest of the insurance company.

Download our free eBook, Launching Your Insurance Career with Confidence, for advice and tips from 100+ insurance professionals.

Are Claims Adjuster Jobs Stressful?

Working as a claims adjuster can be stressful, especially during difficult times like natural disasters. Communicating and negotiating with someone who recently lost all of their possessions can be demanding and difficult.

Work Environment

Claims adjusters can work from home, work in an office, or work in a hybrid environment depending on their role, employer, and subject matter of the claim. When investigating a claim, most adjusters will need to travel to conduct their investigation, especially if the claim involves property damage.

What Hours Do Claims Adjusters Work?

The hours claims adjusters work vary considerably. A company or staff adjuster for an insurance company may work regular 9 to 5 hours and rarely on weekends; independent or public adjusters are more likely to work irregular hours to accommodate client schedules and do investigative work.

Independent and public adjusters, in particular, may have to work well over 40 hours a week during catastrophic events. However, there will also be times during the year when their workload is much less. As contract adjusters, they have more control over how much they want to work than company or staff adjusters.

While being a company or staff adjuster is a steady 40-hour-per-week job, the independent and public routes offer more flexibility. If it’s the busy season, you could work well over 40 hours per week, but you could work considerably fewer hours during less busy times.

Claims Adjuster Salary

Salaries can vary from state to state however the median base salary for a claims adjuster in the United States is around $65,000. The more experience an individual has, the more money they can expect to earn as a claims adjuster.

Job Outlook for Claims Adjusters

Currently, there are 349,400 claims adjuster jobs in the United States. From 2020 - 2030, over 25,000 jobs are expected to become available each year. These openings should provide interested individuals with enough opportunities to become a claims adjuster.

Similar Occupations

There are many positions that are similar to being a claims adjuster. Some of them are within the insurance industry and some are in other industries like finance. Jobs that are similar to a claims adjuster include:

  • Appraisers and Assessors
  • Brokerage Clerks
  • Compliance Officers and Inspectors
  • Cost Estimators
  • Credit Analysts
  • Fire Inspectors
  • Insurance Underwriters
  • Insurance Policy Clerks
  • Loan Clerks
  • Tax Emaniers
  • Title Examiners

Getting Started as an Insurance Adjuster

To become an insurance adjuster, you will need a minimum education of a high school diploma or GED equivalent. While some insurance companies may require a bachelor’s or associate’s degree, it is not required to get into the profession in all cases.

In some states, you will also need to have an adjuster license. Even if you don’t live in a state requiring a license, you may decide to get an out-of-state license, called a Designated Home State license, so you are able to work throughout the country.

The Designated Home State adjuster license is available to individuals who are residents of a state that does not license adjusters, or to individuals that are company adjusters and reside in a state that only licenses independent adjusters and want to designate a non-resident state as their home state. By obtaining a license in another state under the Designated Home State exemption, adjusters can adjust claims in the designated state and any states that have reciprocity with the designated state.

For example, a Florida 70-20 Non-Resident Designated Home State Adjuster license provides non-Florida residents a chance to designate Florida as their “home state” and work claims in Florida along with many other states.

Which States Require an Adjuster License? >>

If you get licensed, you will need to maintain that license with insurance continuing education. Each state has unique requirements, so it’s best that you consult your state department of insurance website for specific details.

What Does an Insurance Claims Adjuster Do (2024)

FAQs

What Does an Insurance Claims Adjuster Do? ›

The adjuster's role

What not to say when talking to an insurance adjuster? ›

When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

What kind of questions does an insurance adjuster ask? ›

Questions About Your Injuries

The insurance company will typically be required to cover your medical costs up to the policyholder's term limits. They will need to know about the extent of your injuries, the impact your injuries have had on your life, and whether you have reached maximum medical improvement (MMI).

How to answer insurance claim questions? ›

Think deeply about the exact question the agent asked, and only provide that specific information. Never admit to fault. Never admit to even being partially at fault. Never admit that you are uninjured.

What is the main duty of an insurance adjuster? ›

Claims adjusters evaluate and settle insurance claims on behalf of insurance companies. Their responsibilities include investigating the claim, gathering evidence, determining the extent of the insurance company's liability, negotiating settlements, and communicating with all parties involved in the claims process.

How to argue with an insurance adjuster? ›

When you disagree with a car insurance adjuster, don't hesitate to take action to protect your rights and seek fair compensation. Remember to gather evidence, review your policy, and explore alternative dispute resolution options like mediation or arbitration.

What happens if you disagree with insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

How do I prepare for a Claims Adjuster? ›

Keep records of all the details of the accident, witnesses, police reports, and other evidence. Make sure to review the evidence before you give a recorded statement. Finally, request a copy of the audio recording and transcript of the interview.

Why does the insurance adjuster want to meet with me? ›

The insurance adjusters are aware that some of the worst injuries may not present themselves immediately after the accident. Insurance adjusters want to settle a case as soon as possible, and that is why they want to talk to you immediately after the accident.

How stressful is Claims Adjuster? ›

Claims adjusters often work long hours, handle difficult clients and situations, and have to manage multiple claims simultaneously. All of these factors can lead to stress and burnout. To overcome this challenge, claims adjusters should prioritize self-care and stress-management techniques.

How to value items for an insurance claim? ›

When it comes to the value of specific items, condition is more important than age. An older item that's in excellent condition should be depreciated less than a newer item that's frequently used or one that's regularly exposed to water, sun, wind, etc.

What do you say when appealing an insurance claim? ›

I am writing to request a review of your denial of the claim for treatment or services provided by name of provider on date provided. The reason for denial was listed as (reason listed for denial), but I have reviewed my policy and believe treatment or service should be covered.

How do I argue an insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

How do adjusters determine damage? ›

To this end, the claims adjuster will closely inspect the damaged areas for signs of rust or prior repair attempts. Sometimes, it's up to you to prove your vehicle's damages. Take pictures detailing the damage to your vehicle. Bring your car to one or more repair shops for estimates.

What is the goal of a claims adjuster? ›

Claims adjusters inspect property damage to determine how much the company should pay for the loss. Claims adjusters, appraisers, examiners, and investigators evaluate insurance claims. They decide whether an insurance company must pay a claim and if so, how much.

What does an insurance adjuster primarily do? ›

An insurance adjuster, also known as a claims adjuster, is a person who investigates an insurance claim to determine if the insurer should pay for damage or injuries, and if so, how much they should pay.

What should you not say to homeowners insurance? ›

Avoid admitting fault or underestimating damages as this might lead to lower compensation or even denial of your claim. Honesty is crucial when dealing with an insurance adjuster, so avoid providing false information which can lead to serious consequences like claim denial or legal repercussions.

How do I interview a claims adjuster? ›

General claims adjuster interview questions
  1. Tell me something about yourself.
  2. Why do you want to be a claims adjuster?
  3. Are you comfortable working nights and weekends?
  4. What do you know about our company?
  5. Why do you want to work here?
  6. Where do you see yourself in five years?
  7. What's your greatest strength?
Jan 26, 2023

What to say when making an insurance claim? ›

Give your name, address, policy number, and the date and time of your loss. Make sure to tell your insurance agent where you can be reached, especially if you are unable to stay in your home. Follow up the call with a letter detailing the problem. Keep a copy of the letter.

References

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