What Are a Home Insurance Claim Adjuster’s Responsibilities?

Home insurance claim adjusters play a crucial role in the claims process. They investigate your homeowners insurance claim by assessing damage and determining coverage. They also guide policyholders through the claims process. Here’s what you need to know about home insurance claim adjusters and the claim process.

There are different types of adjusters:

• In-house Claim Adjuster: Assigned by your insurer, they inspect the damage and estimate repair costs. They work on behalf of the insurance company.
• Independent Claim Adjuster: Also assigned by your insurer, they perform similar tasks but are not employees of the insurance company.
• Public Adjuster: Hired by you, they negotiate with your insurer to settle your claim. They may charge a flat rate, hourly rate, or a percentage of your claim payout.

Some states require insurance adjusters to be licensed, which involves passing a state-required exam.

How Does the Claim Adjustment Process Work?

An adjuster will visit your home to assess the damage. It’s best to be present during their visit to answer questions and observe their work. The visit may last one to two hours. The adjuster will:

• Explain the claim process.
• Inspect and document the damage.
• Ask about any contractors you’ve hired and their repair recommendations.
• Possibly use remote technology for the inspection.

If the adjuster works for your insurance company, they might:

• Write a report about their findings.
• Determine the validity of your claim.
• Explain how your claim will be paid (actual cash value vs. replacement cost value).
• Remind you of your insurance deductible.
• Possibly write a check on the spot to cover your claim.

How to Prepare for a Home Insurance Adjuster Visit

Before the adjuster arrives, take these steps to prepare:

1. Record the damage: Take pictures and notes about the damage.
2. Make a list of damages: Document the damage to your home and belongings.
3. Assemble documents: Gather your insurance policy and receipts for repairs.
4. Review your policy: Understand what is and isn’t covered.
5. Get written estimates: Contact licensed contractors for repair estimates.
6. Be present: If possible, be home during the adjuster’s visit.

Never provide false information to an adjuster, as it can lead to denial of your claim, rate increases, canceled coverage, fines, penalties, or criminal charges.

How Adjusters’ Findings Affect Your Coverage

An adjuster may recommend paying or rejecting your claim based on their findings. The insurer often follows the adjuster’s recommendation. If you disagree with the adjuster’s evaluation, you can challenge it by providing supporting documentation. For large claims, consider hiring an attorney who specializes in representing policyholders.

The Bottom Line

Recovering from damage to your home or belongings can be stressful. Understanding the claim adjustment process can alleviate some of that stress. Stay on top of the situation to achieve the financial outcome you desire.

For any mortgage service needs, call O1ne Mortgage at 213-732-3074. Our team is here to help you navigate the complexities of home insurance claims and ensure you get the best possible outcome.