What is the role of an adjuster in regards to claims?

The role of an adjuster in regards to claims primarily involves acting on behalf of either the insurer or the insured, depending on their specific employment circumstances. Adjusters are responsible for investigating claims, assessing their validity, and determining the appropriate compensation that should be paid. This means they must analyze the details of each claim, review evidence, and sometimes negotiate settlements between involved parties.

In context, it’s crucial for an adjuster to maintain a balance between the interests of the insurer and the insured, though they typically operate under the direction of the insurance company. While they must be fair and objective in their evaluations, their allegiance lies with the company that employs them, influencing their decisions on claims.

Other options, like evaluating workplace safety or managing workplace complaints, fall outside the primary duties of an adjuster. Likewise, representing the injured employee isn’t the focus, as their role is more about handling the claim process from an insurance perspective rather than advocating for the employee directly.