Experiencing a loss can be overwhelming, whether it’s damage to your home, car, or business. After filing a claim, an insurance adjuster plays a significant role in determining how much compensation you receive. Understanding their role helps you prepare and protect your interests during the claims process.
Evaluating your claim
Once you file a claim, an insurance adjuster investigates the loss. They review policy details, inspect the damage, and gather statements from involved parties. In California, adjusters must adhere to fair claims practices under the California Insurance Code. They must complete their investigation within 40 days and accept or deny claims promptly.
Determining the payout
Insurance adjusters assess the extent of your loss and determine how much the insurer should pay. They use industry standards, repair estimates, and policy limits to calculate a settlement. Some may try to minimize payouts, so it’s essential to review their findings carefully. Under California law, they must provide a reasonable explanation for claim denials or reduced settlements.
Negotiating the settlement
If the initial offer seems too low, you can negotiate. Providing additional documentation, repair estimates, or expert opinions strengthens your case. California law requires insurers to act in good faith and avoid unnecessary delays. If an adjuster unfairly denies or delays your claim, you can file a complaint with the California Department of Insurance.
Ensuring fair treatment
Insurance adjusters represent the insurance company, not you. While many act fairly, their goal is to settle claims efficiently and for the lowest reasonable amount. Understanding your rights and carefully reviewing their assessment helps you receive a fair settlement.
