What must an adjuster always do regarding claims practices?

What must an adjuster always do regarding claims practices?

• A. Approve all claims immediately
• B. Investigate the claim thoroughly
• C. Dismiss claims that seem excessive
• D. Resolve claims in favor of the insurer

Answer: (B)

An adjuster must always investigate the claim thoroughly to ensure that all relevant facts are gathered and assessed accurately. A comprehensive investigation is essential for determining the validity of the claim and ensuring that the settlement reflects the actual damages and policy coverage. This process includes interviewing the claimant, reviewing documentation, inspecting property, and sometimes consulting with professionals such as engineers or medical experts. Thorough investigations also help maintain ethical standards and protect the interests of all parties involved, including both the insurer and the insured. By gathering complete information, the adjuster can make informed decisions based on evidence, which helps to avoid potential disputes or dissatisfaction from any party regarding the claims process. This careful and methodical approach ultimately supports the adjuster's responsibility to administer claims fairly and justly, aligning with industry regulations and best practices.

An adjuster must always investigate the claim thoroughly to ensure that all relevant facts are gathered and assessed accurately. A comprehensive investigation is essential for determining the validity of the claim and ensuring that the settlement reflects the actual damages and policy coverage. This process includes interviewing the claimant, reviewing documentation, inspecting property, and sometimes consulting with professionals such as engineers or medical experts.

Thorough investigations also help maintain ethical standards and protect the interests of all parties involved, including both the insurer and the insured. By gathering complete information, the adjuster can make informed decisions based on evidence, which helps to avoid potential disputes or dissatisfaction from any party regarding the claims process. This careful and methodical approach ultimately supports the adjuster's responsibility to administer claims fairly and justly, aligning with industry regulations and best practices.