What is a Claims Adjuster?
A claims adjuster evaluates pet insurance claims to determine what the insurance company’s policy covers and the amount of money that needs to be reimbursed to the policyholder.
How Claim Adjusters Work
A claims adjuster will verify the claim and determine the fair amount to be reimbursed. To verify the claim, an adjuster will look at receipts and other documentation provided by the policyholder and may speak with other parties involved (i.e. your veterinary office). Claim adjusters often work directly for the insurance company, or they may be an independent party hired by the insurance company.
After evaluating an insurance claim, a claims adjuster will present the insurance company with their findings on the claim and what amount should be reimbursed based on the individual’s insurance policy.
Key Takeaways
- Claim adjusters evaluate insurance claims and determine what an insurance company should reimburse the policyholder per their policy and the claim.
- Claim adjusters work for or with the insurance company.
- A claim adjuster will look at the documentation, receipts, and other evidence to verify an insurance claim.
