Automobile Claims Adjuster
In the event that the adjuster, whether internal or official, recommends the rejection of the claim or establishes a lower indemnity than that which corresponds, the insured may challenge the settlement report.
As this is a highly technical matter, it is advisable to entrust the management of the claim to a professional with expertise in the specific subject matter. For example, motor vehicle policies and claims.
In the case of motor vehicle claims, the obligations of the insured must be analyzed very well, since their content, extension and way of interpretation goes far beyond the literal words.
Claims adjuster course
Documentation: To continue the process, the adjuster will request documents that support the case. Among the fundamental antecedents are those that accredit the ownership of the goods, the cost of the replacement or repair of goods, the report to the authority if it was made, among others. In Corredora La Cámara, we make sure to support with the review of these documents.
5.- Payment: After the settlement report is approved, the next step is the payment. To do this, you must first sign a settlement. Payments are made by various means, either by sight voucher, electronic funds transfer or by check.
As for the necessary documentation, we recommend that you make a survey of the losses, take photographs or videos of the affected facilities and do not dispose of the compromised remains. In addition, if you had to make a repair or protect your insured property, keep the receipts and invoices to support the expenses incurred.
How to become an insurance adjuster
Alberto Durán is an Architect and an Insurance Adjuster and Loss Adjuster. He is president of the Argentine Association of Insurance Adjusters and Loss Adjusters (AALPS). Together with Gustavo Briones, he is the head of Estudio Montserrat.
In this interview, he analyzes the current situation of his profession, denounces that the profitability of professionals is in crisis, and emphasizes the importance of professional advice to the insured, so that he clearly understands the scope of the coverage that covers him.
Alberto Durán (AD): The Association brings together the members who practice the profession of insurance adjusters and have been willing to join. Let us remember that we adjusters obtain our registration granted by the National Superintendence of Insurance. The AALPS watches over the rights of adjusters and tries to enhance and give hierarchy to the practice of our profession.
The investigation is the preliminary part that, in the cases that require it, will allow to frame the loss in a certain coverage, both when the causality of origin is not clear or when it is not clearly covered. For example, when there is a high wind phenomenon and we have HVCT coverage, and a roof is blown off, or a tree falls on a house, etc., it goes without saying that the cause of loss is very clear; which obviously does not require any investigation.
How much does a claims adjuster earn in chile?
When the text of the policy differs from the contents of the proposal formulated by the insured, the difference shall be highlighted in the policy and shall be deemed to be approved by the policyholder or insured if it is not claimed within thirty calendar days of receipt of the policy.
The insurer shall inform in a clear and precise manner about all the provisions contained in the proposal to contract and in the general, particular or special conditions, as the case may be, referred to in article 25 of the present law. This duty to inform may be fulfilled by an electronic means that allows verifying its receipt or access by the insured, which shall be verified in the manner determined by the regulations.
Insurance whose object is illicit operations is null and void, as well as that which insures property in the illicit possession of the insured or which covers the risk of an illicit business or enterprise. Likewise, the insurable interest must exist at the time of the loss.
The parties may agree on the automatic renewal or extension of the insurance prior to the expiration date of the term of the policy, with the insurer’s statement in the expired policy or by recording it in a separate instrument being sufficient, unless it is intended to modify the conditions in force, in which case the express consent of the policyholder must be obtained. In the absence of acceptance of the modifications, the contract shall be deemed to be terminated at the expiration date.