What Is The Role of The Case Adjuster?

The case adjuster obtains the available funds from the insurance company and delivers them to the claimant or plaintiff.

The case adjuster provides the claimant with his or her first contact with the insurance company.

The insurer has charged the adjuster with documenting the case that has been assigned to him or her. The insurer expects the company’s adjusters to determine the liability for their assigned case. The adjuster’s efforts are supposed to yield information on how much money the insurance company ought to offer to a given claimant.

The adjuster’s 2 goals are to make any payout as low as possible and work to avoid a lawsuit.

Factors considered by all adjusters

How much money has the claimant spent so far on treating his or her injury? Did that same injury force the claimant to purchase any special medical equipment, or to seek some type of therapy?

Has the claimant’s doctor indicated that further procedures or mediations would be needed? Does the claimant’s status suggest the future need for other types of medical interventions?

Did the victim/claimant lose any income, while recovering from his or her injury? According to the law, adjusters are not supposed to consider any paid medical leave or paid vacation leave that might have been used, during the victim’s recovery.

What were the limits on the policy that had been purchased by the responsible party? The insurance company does not have to go beyond those limits, even if the cost for the damages exceeds the policy’s limit, as per personal injury lawyer in Elgin.

On the other hand, if the policy has a high limit, that gives the adjuster more freedom for arriving at a suitable figure for settlement. That fact helps to explain the tendency towards a lengthening for certain periods of negotiation.

Adjusters’ attentions are also focused on the strength of each claimant’s case. That level of attention reflects the second of their 2 goals, with the second one being the goal of preventing a lawsuit. Claimants with a strong case deserve a fair compensation.

If the adjuster’s offer did not match with the claimant’s concept of a fair compensation, then the claimant’s next move could be the filing of a personal injury lawsuit. That would be bad news for an adjuster. Claimants with a stronger case have an increased chance for winning their lawsuit.

Insurance companies do not want to hear the verdict of a jury that has heard a personal injury case. That verdict could make it necessary for the insurance company to deliver a payout that exceeded by far the one that the insurer had expected to be delivering to the winning plaintiff. That fact should underscore the reason for adjusters’ efforts to avoid the initiation of any lawsuit.

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