Adjuster
An adjuster is the insurance professional who evaluates, manages, and helps determine claims outcomes and settlements after a claim is filed. They evaluate losses, damages, and coverage to help assess insurer liability and financial responsibility.
Adjusters can work for insurance companies, independent firms, or directly for claimants. Depending on their function, there are three different types: Independent adjuster, company/staff adjuster, or public adjuster.
What are the Different Types of Insurance Adjusters?
| Independent Adjuster | An adjuster who works on behalf of insurers through an independent firm or contract basis, rather than as an employee of one carrier. |
| Company / Staff Adjuster | An adjuster employed directly by a carrier to settle claims on the insurer’s behalf. |
| Public Adjuster | An adjuster who represents the policyholder in negotiating and settling a claim. |
What Are Key Concepts in the Adjuster Ecosystem?
To understand adjuster responsibilities and licensing requirements, it helps to understand the key entities and licensing concepts involved in the claims process:
- Carrier: The insurance carrier assumes the financial responsibility for the claims evaluated by the adjuster. Depending on the specific role, an adjuster may be employed by the carrier.
- Claim: A formal request from a policyholder to an insurer to receive payment for losses covered under an insurance policy.
- Claimant: An individual or entity seeking payment or benefits under an insurance claim for a covered loss, damage, injury, or other insured event. They may choose to be represented by public adjusters.
- License Class: Many states have separate license classes for independent, staff, and public adjusters, and some states do not require adjuster licensing.
- Adjusting Firm: An organization that employs or contracts with adjusters to investigate, evaluate, and manage insurance claims. Adjusting firms can be classified as independent or public.