As an auto accident claims adjuster, your goal is to efficiently and fairly settle claims while also protecting your insurance company's interests.
A key best practice is to thoroughly review the claim file to ensure all necessary information is gathered.
A complete claims file should include the police report, witness statements, medical records, and repair estimates.
Effective communication with claimants is crucial, so make sure to clearly explain the claims process and any delays.
By following these best practices, you can ensure a smooth and successful claims experience for both your insurance company and the claimant.
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What Is an Auto Accident Claims Adjuster?
An auto accident claims adjuster's main role is to investigate the accident and determine a fair amount for settlement. They do this by gathering information from the claimant, reviewing police reports, and examining medical records.
A claims adjuster will ask the claimant for authorization to obtain accident-related medical records. This includes income-related documents and other evidence of accident-related losses.
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The adjuster will then investigate the accident by examining any police report and gathering witness statements. They may also inspect the damage to the vehicle and other property involved in the accident.
The investigation and damages valuation phases of an insurance claim all lead to the insurance adjuster's main role, which is to resolve claims on behalf of the insurance company. This means negotiating a settlement of the claim, which can be a complex and sometimes contentious process.
Here are the key tasks an auto accident claims adjuster performs:
- Assign a claim number and gather basic information from the claimant
- Investigate the accident, including examination of the police report
- Examine the claimant's medical records and other evidence of accident-related losses
- Negotiate the claim settlement with the claimant or their attorney
How to Become a Claims Adjuster
Becoming a claims adjuster typically starts with a high school diploma, but an associate's or bachelor's degree is often preferred. To become a claims adjuster, you'll need to study and pass a licensing exam.
Some states require a certain number of hours of training before you can take the licensing exam. In California, licensed independent insurance adjusters must complete a minimum of 24 hours of continuing education every two years to keep their license.
In Florida, you'll need to take and pass the Florida Adjuster Examination from an approved vendor. This is a key step in becoming a licensed insurance claims adjuster in the state.
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Auto Accident Claims Adjuster Salary and Job
As an auto accident claims adjuster, your salary can vary depending on factors such as location, employer, and level of experience.
The median annual salary for an auto accident claims adjuster in the United States is around $65,000, according to the Bureau of Labor Statistics.
Auto accident claims adjusters typically work for insurance companies, government agencies, or private firms, and often have a background in law, business, or a related field.
Auto Accident Claims Adjuster Salary
The salary for an auto accident claims adjuster can vary depending on factors like location and experience.
In the United States, the median annual salary for an auto accident claims adjuster is around $63,000.
Auto accident claims adjusters typically need a bachelor's degree in a field like business, communications, or a related field.
Some employers may require a professional certification, such as the Associate in Claims (AIC) designation.
Auto accident claims adjusters can expect a median salary range of $45,000 to over $100,000 depending on their level of experience and location.
A claims adjuster with 5-10 years of experience can earn a salary of around $80,000.
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Is Being a Claims Adjuster a Job?
Being a claims adjuster is indeed a job, and a crucial one at that. Claims adjusters are responsible for investigating and settling insurance claims, which is a complex and detail-oriented process.
According to the Bureau of Labor Statistics, the median annual salary for insurance adjusters, including auto accident claims adjusters, was $63,490 in May 2020. This can vary depending on factors such as location and level of experience.
Claims adjusters typically work for insurance companies, government agencies, or private investigation firms. They may work in an office or travel to the scene of an accident to gather information.
Auto accident claims adjusters specifically focus on claims related to car accidents, which can involve damage to vehicles, injuries, or even fatalities. They must be able to analyze police reports, medical records, and other documentation to determine the extent of the damage or injury.
The job requires strong communication and negotiation skills, as claims adjusters often need to interact with policyholders, witnesses, and other parties involved in the claim. They must also be able to make decisions based on the facts of the case.
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What to Expect When Working with an Adjuster
As you navigate the process of working with an auto accident claims adjuster, it's essential to understand their role and how they can impact your claim. Claims adjusters work for the insurance company and may try to convince property owners to accept less money than their claim is worth.
Claims adjusters will typically inspect the damage, review police reports, speak to witnesses, and talk to property owners to determine the extent of the damage and the costs of repairing the property. They will then submit documentation to the insurance company describing the incident and recommendations for the claim amount.
You may be communicating with the adjuster mostly via email, which can be beneficial for everyone as there will be a written record of all correspondence. However, it's crucial to watch what you say (or write) to an adjuster, especially when it comes to the nature of your injuries and how the accident happened.
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Here are some key things to remember when interacting with an adjuster:
- Remain calm and polite, as this will help avoid any misinterpretations that could damage your claim.
- Know who you're speaking with, including their name, title, company name, and contact information.
- Don't discuss the details of the accident, as you're under no obligation to answer questions about who was at fault or what may have caused the accident.
- Don't prematurely accept a settlement offer, as this eliminates your ability to seek additional compensation in the future.
- Don't give a recorded statement unless you're in the company of an attorney.
By being aware of these factors and taking the right steps, you can navigate the process of working with an auto accident claims adjuster and increase your chances of receiving a fair settlement.
How to Settle a Claim
To settle a claim, you need to understand the role of the insurance adjuster. They verify policyholder requests for funds from an insurance policy and determine a fair amount for settlement.
Claims adjusters have a significant amount of claims to settle each month, typically between 50 and 100 new claims. This means they have to clear or close a claim file quickly to stay even.
The adjuster's authority to settle claims is usually restricted to certain dollar limits, and they may need to ask for approval from a claims supervisor or claims manager. This is why it's essential to understand the process and be organized when dealing with an adjuster.
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You were there during the accident, and you know your injuries firsthand. This gives you the negotiating advantage, especially if you understand the range of how much your injury claim is worth.
If the adjuster's settlement offer is unreasonably low, it may be a negotiating tactic. In this case, it might make sense to put together a formal personal injury demand letter that includes details of the accident, a description of your injuries, and a narrative relating how the accident and your injuries have affected your life.
Here are some tips to keep in mind when dealing with an adjuster:
- Never accept the first offer from an insurance adjuster.
- Have a clear idea of the value of your losses, ranging from medical bills to lost wages to property damage.
- Consult with an experienced attorney who can help you calculate and demand maximum compensation.
Potential Issues with Auto Accident Claims
Potential issues with auto accident claims arise when dealing with insurance adjusters who prioritize their company's bottom line over your financial recovery. Insurance adjusters will employ various tactics to limit your claim, including delaying payment and avoiding communication to cause frustration.
They may delay payment to take advantage of your precarious financial position, dangling a meager settlement that's often a fraction of what's reasonable. This can be a trap, as you may be tempted to accept the offer under pressure, only to discover you could have recovered double the amount.
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Insurance adjusters may also use lack of communication to their advantage, failing to answer or return your phone calls in hopes you'll get frustrated and give up. This can lead to a lowball settlement offer, leaving you with minimal compensation for your damages.
Here are some common tactics insurance adjusters use to limit your claim:
- Delaying payment to take advantage of your financial position
- Avoiding communication to cause frustration
- Using lack of communication to their advantage
- Offering lowball settlement amounts
Remember, insurance adjusters work for the insurance company, not you. It's essential to be cautious and seek the advice of a lawyer before dealing with an adjuster.
Claim Limitations
Your insurance company may not have your best interest in mind. They're focused on their bottom line, not your financial recovery.
Insurance adjusters work for the insurance company, not you. They'll use various tricks to limit your settlement.
One trick adjusters use is to get you to give a recorded statement without your lawyer present. This can be a major mistake.
They'll also try to use your medical records against you. They may ask for records that are completely unrelated to your accident, going back years and years.
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Be careful when signing an authorization for your medical records. Read it carefully and make sure you understand what you're agreeing to.
An independent medical exam can be a problem too. The doctor conducting the exam is chosen and paid for by the insurance company. They may try to label an old injury as the cause of your current injury.
This is just another way for the insurance company to limit your settlement. Always be aware of what you're getting yourself into.
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May Cause Frustration
Dealing with an insurance adjuster after an auto accident can be a frustrating experience. You may have a lot of questions, but getting the answers you need can be difficult.
Insurance claim adjusters often handle a large number of cases at a time, which can make it hard to get in touch with them. They may be juggling around 150 cases simultaneously, leaving you wondering when you'll finally get a call back.
Insurance claim adjusters may fail to answer or return your phone calls in hopes that you'll get frustrated and give up. They may view the claims process as a war of attrition, where the party who lasts the longest wins.
You may experience a lack of communication from the adjuster, receiving little to no updates on the status of your claim. This can be especially challenging when you're dealing with the aftermath of an accident and need financial compensation to cover your expenses.
Here are some common scenarios that may cause frustration when dealing with an insurance adjuster:
- They may delay the payment of your claim, knowing that you're financially burdened by the accident.
- They may refuse to contact you in hopes that the statute of limitations will run out, preventing you from recovering through a lawsuit.
- They may try to convince you to accept a lowball settlement offer, knowing that you're desperate for financial relief.
It's essential to be aware of these tactics and take steps to protect yourself.
Frequently Asked Questions
What not to say to claim adjuster?
When speaking with a claim adjuster, avoid admitting fault or apologizing excessively, as this can be misinterpreted as an admission of liability. Instead, focus on providing factual information and answering questions to the best of your ability.
How much do adjusters make per claim?
Adjusters typically keep $400-$500 per claim, receiving 60-70% of the settlement fee. They can average a $10,000 settlement per claim, making this a lucrative opportunity.
Sources
- https://www.investopedia.com/terms/c/claims-adjuster.asp
- https://www.nolo.com/legal-encyclopedia/insurance-adjusters-who-they-are-how-they-handle-injury-claim.html
- https://www.foranlaw.com/beware-of-car-insurance-adjusters.html
- https://www.theburkettlawfirm.com/car-insurance-adjusters-what-they-do-how-to-talk-to-them/
- https://www.dolmanlaw.com/blog/dirty-tricks-insurance-adjusters/
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