What is a "claims adjuster"?

A claims adjuster is a professional who investigates and evaluates insurance claims, making them crucial to the insurance industry. Their primary role involves examining the details surrounding a claim, such as the circumstances of the loss, reviewing relevant documentation, interviewing involved parties, and determining the extent of the insurance company's liability. This position requires analytical skills and a comprehensive understanding of insurance policies to ensure that claims are processed fairly and in accordance with the policyholder's coverage.

In the context of this question, a claims adjuster's responsibilities set them apart from other roles in the insurance industry, such as sales or management positions. While some may confuse the claims adjuster with an insurance agent, who primarily sells insurance policies, the core function of a claims adjuster specifically revolves around assessing and resolving claims rather than selling insurance products. Their essential role in resolving disputes and ensuring that policyholders receive the benefits they are entitled to underscores the significance of claims adjusters in the overall insurance process.