How can Claims Adjusters Help Your Business?

All adjusters generally ask medical questions, but good adjusters carefully examine the information to determine if it is relevant to the case. 

Fremont, CA: Claims adjusters resolve worker's compensation claims. In order to perform well, companies need to possess excellent time management skills and industry knowledge. Nevertheless, many companies cite statistics that do not truly reflect the effectiveness of their efforts. This article explains what a claims adjuster does, how a good claims adjuster can make a significant difference, and how you can differentiate between good, bad, and mediocre performance.

What Does A Claims Adjuster Do?

Claim adjusters investigate workers' compensation claims to determine whether the claimant is entitled to compensation. To protect the interests of everyone involved, they work with the injured worker, their employer, and the insurance company. As long as the claimant meets the eligibility requirements, they approve and monitor appropriate care and authorize benefits.

A Good Claims Adjuster

The claims adjuster must have expertise in the type of accident and the severity of the injury, as workers usually deal directly with them. It speeds up the process of resolving claims when there is a good match. In addition to recommendations to appropriate doctors, experience can also result in a return-to-work program that is suitable.

The claimant and employer need to be contacted as soon as possible by the claims adjuster. By doing this, both parties are able to build trust and feel at ease, which facilitates the entire process. All adjusters generally ask medical questions, but good adjusters carefully examine the information to determine if it is relevant to the case. 

Evaluating Performance

While many companies claim to handle claims, in reality, they are little more than moving files from the "In" box to the "Out" box. While it takes little effort on the part of the employer, it often results in the employer paying much more than is necessary.

Work Load

As a result, many claims adjusters are too busy to perform their duties effectively. Choose an insurance company that has a low ratio of claims to adjusters in order to ensure that they are able to investigate claims properly and can act quickly in order to control costs.

Loss Prevention

Preventing losses is always preferable to resolving claims. A three-pronged approach involves claims adjusters, loss control, and owners to create a safe, accountable work environment.