Navigating Insurance Adjusters: When to Enlist Their Help and Pros and Cons


Delve into the world of insurance adjusters in this comprehensive guide. From understanding their roles and types to knowing when to hire one, we cover it all. Learn how adjusters impact insurance claims and explore the pros and cons of enlisting their help. Discover key takeaways to navigate the intricate landscape of insurance adjustments confidently.

Unlocking the role of adjusters in insurance claims

In the intricate realm of insurance, adjusters play a pivotal role in ensuring that policyholders receive fair settlements for their claims. But who exactly are adjusters, and what do they do?

Who is an adjuster?

An adjuster is an insurance claims agent responsible for evaluating claims to determine an insurance company’s liability under the terms of an owner’s policy. They act as intermediaries between policyholders and insurance companies, working to establish the validity and extent of a claim.

The many faces of adjusters

Adjusters come in various forms, each serving a specific purpose within the insurance industry. Here’s a closer look at the primary types of adjusters:

Insurer adjusters

Insurer adjusters are employed directly by insurance companies. They are tasked with a range of responsibilities, including:

  • Investigating claims by conducting interviews with claimants and witnesses.
  • Gathering estimates for damage repair.
  • Consulting police and medical records for relevant information.
  • Inspecting property damage to determine the extent of the company’s liability.

Insurer adjusters aim to efficiently process claims while safeguarding the financial interests of the insurance company, all while ensuring that policyholders receive rightful compensation.

Independent adjusters

Independent adjusters function similarly to insurer adjusters but typically work on a freelance or contract basis. They are often hired to handle claims by insurance companies that either lack local adjusters or have an overwhelming volume of claims, particularly in cases of natural disasters.

Public adjusters

Public adjusters are hired by claimants themselves. They play a critical role in cases involving significant claim amounts. Their primary objective is to secure the highest possible settlement for the claimant, usually earning a percentage of the claim amount as their commission.

Public adjusters serve as advocates for policyholders, assisting them in navigating the complexities of insurance claims and negotiations.

When should you consider hiring a public adjuster?

Understanding when to enlist the services of a public adjuster can significantly impact the outcome of your insurance claim. Here are situations where hiring a public adjuster might be beneficial:

Complex claims

Public adjusters are especially valuable when dealing with intricate claims that involve extensive damages or losses. Their expertise in assessing and documenting such claims can ensure that you receive a fair settlement.

Disputed claims

If you find yourself in a dispute with your insurance company over the settlement amount, a public adjuster can act as a neutral third party to help negotiate a resolution in your favor.

Maximizing settlements

Public adjusters are skilled at maximizing settlements for policyholders. They have a deep understanding of insurance policies and can identify areas where you may be entitled to more compensation than initially offered.

Time constraints

In situations where you have limited time to devote to the claims process, a public adjuster can handle the paperwork, documentation, and negotiations on your behalf, saving you time and stress.

While public adjusters can be invaluable in certain scenarios, it’s essential to consider the cost of their services, which is typically a percentage of your claim amount. Evaluate whether the potential increase in your settlement justifies the expense of hiring a public adjuster.

Pros and cons of hiring public adjusters


Here is a list of the benefits and drawbacks of hiring a public adjuster.

  • Maximize your insurance claim settlement.
  • Expertise in navigating complex insurance processes.
  • Advocacy for policyholders’ best interests.
  • Commission fees based on the claim amount.
  • Potential for unscrupulous practices in the industry.
  • Not always necessary for straightforward claims.

Frequently asked questions about adjusters

Do I need to hire an adjuster if I have a straightforward insurance claim?

For straightforward claims with no disputes or complex issues, hiring an adjuster may not be necessary. You can often work directly with your insurance company to settle such claims.

Are there any licensing requirements for adjusters?

Yes, adjusters are typically required to obtain a license to practice. They must complete a licensing exam and participate in ongoing continuing education courses to maintain their licensure. These requirements ensure that adjusters have the necessary knowledge and skills to fulfill their roles.

How do public adjusters get compensated?

Public adjusters typically earn a percentage of the claim amount as their compensation. This fee is agreed upon in advance and is deducted from the final settlement amount.

What if I disagree with my adjuster’s assessment?

If you disagree with your adjuster’s assessment or the settlement offered, you have the right to appeal the decision with your insurance company. You can also seek legal counsel if necessary to resolve the dispute.

Key takeaways

  • An adjuster plays a crucial role in evaluating insurance claims and determining the company’s liability.
  • Adjusters come in various types, including insurer adjusters, independent adjusters, and public adjusters.
  • Hiring a public adjuster is beneficial for complex or disputed claims but comes with associated fees.
  • Policyholders should evaluate their specific situation when deciding whether to hire a public adjuster.
View Article Sources
  1. What You Need to Know About Adjusters – Michigan Department of Insurance and Financial Services
  2. Claims Adjusters, Appraisers, Examiners, and Investigators – United States Department of Labor
  3. Re: Independent Adjusters – Department of Financial Services
  4. Debt Adjusters – Missouri Division of Finance