What can a claims adjuster do if they find discrepancies in the claim?

A claims adjuster plays a crucial role in ensuring that claims are processed fairly and accurately. When discrepancies are found in a claim, it is essential for the adjuster to investigate further and report their findings. This process ensures that all facts surrounding the claim are considered, which can affect the outcome for the claimant and the insurance company.

Investigating discrepancies allows the adjuster to gather additional evidence or clarification, potentially leading to a resolution that is fair and just. Reporting findings is also important for compliance and transparency within the insurance process, as it helps to maintain standards and trust in the industry.

This process may involve interviewing parties involved, reviewing documentation, and possibly consulting experts. By addressing the discrepancies thoroughly, the claims adjuster fulfills their duty to both the insurer and the policyholder, ensuring that claims are settled based on accurate and complete information.