Definition

The process insurers use to assess risk and determine your premium. It involves reviewing your information to decide the terms of your coverage.

What to consider

  • Keep detailed records of your claim.
  • Communicate clearly with the adjuster.
  • Request updates if the process takes too long.

Real world scenarios

  • After a claim was submitted, a claims adjuster contacted Karen to verify details of her hospital visit.
  • John spoke with a claims adjuster who explained the reason for a partial payment on his claim.
  • Linda received follow-up calls from a claims adjuster to resolve discrepancies on her bill.

Related terms

Insurance & Financial Protection