What is Adjusting 

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Back to: TelaClaims Adjuster II- Customer Service, and Ethics

Insurance Adjusting in a short explanation can be defined as the process of comparing a claimant’s losses to the promises made in an insurance policy.

The Claimant is defined as the individual or business that claims payment after a loss occurs, to make a claim the claimant must:

  • Believe that the loss is covered by either the claimant’s insurance policy or the policy of a liable party
  • Must be able to provide a proof of loss to the insurer
    If the loss is covered than the insurer will indemnify the claimant.

The Claim Function is what allows the insurer to fulfill its promises to an insured with two main goals in mind:

  • Comply with the terms of the contract
  • Support the insurer’s financial stability

This is where the Insurance Adjuster comes into play, The Insurance Adjuster is an agent who processes insurance claims for a salary, fee, or commissions, the ultimate goal of the adjuster is to get claimants the indemnity they deserve while protecting the insurer from fraud and making sure not to pay more than the contract allows.