How is an Insurance Adjuster is Different from a Public Adjuster? - FarmFoodFamily (2024)

Last Updated on December 17, 2023 by Kimberly Crawford

An adjuster is a person who is hired or employed to settle or arrange insurance matters that are in dispute. He also helps to determine the claim’s amount that would be paid.

An insurance adjuster works for an insurance company, and when a claim is filed, he helps to determine the extent of the insurance company’s liability. A public adjuster is a self-employed person hired by litigants to resolve or settle the amount of a claim or debt (source).

An adjuster is mainly an insurance agent who helps to determine claims. Under the terms of an owner’s policy, a claims adjuster is charged with evaluating an insurance claim to determine the insurance company’s liability.

Types of Adjusters

Based on the work process and responsibilities, we can divide the adjuster mainly into three types. They are:

Insurer adjusters:

A person who is responsible for a number of functions, such as by interviewing the claimant and any witnesses investigated claims, gathering a list of damaged properties, consulting hospital and police records, and checking property damage to determine the amount of the company’s liability and so on is an insurance adjuster.

He works directly for the company. It’s their responsibility to clear the dozens if not hundreds of claims that hit upon their desks every month, all without spending the insurer’s money or shortchanging claimants unfair amounts.

Independent adjusters:

This type of adjuster’s responsibility is almost the same as directly hired adjusters. But generally, they hire on contract or freelance based to handle claims from insurers. They are mainly hired by any person or adjuster who already faces problems to solve claims or already have lots of claims on his/her desk.

Public adjusters:

The claimant hires them. In cases with adequate dollar amounts involved, they help get the claimant the highest and best possible settlement from the insurer. They usually take a good quantity of commissions from the claimant.

If you’ve never filed an insurance claim, try to remember that the insurance company adjuster does not well know about your file. You might need an expert to get the best settlement deal. So if you don’t want to hire an expert, then educate the company’s adjuster about your case.

Try to capture pictures or videos of your damages, show it to the adjuster, make a list, and show it to the company. Make sure that your adjuster has good knowledge about your claims or damages.

If the settlement amount is offered and that amount will cover the damages, don’t deposit any check that you get from the insurer. Follow the process of appeals then hire a public adjuster.

Public adjusters will generate their assessments of damages to the home, which you can then submit to your company. The public adjusters always have the best intentions of the policy owner’s mind. While, in theory, the public adjuster has the best intentions of the policy owner in mind, always be apprehensive during the hiring time. A homeowner’s less knowledge and an adjuster’s expertise creates the opportunity for manipulation. (source)

Public adjusters are also employed to check the work correctly done by the independent adjuster to encourage corners that have not been cut and that the homeowner is receiving as much as they can.

Having fair insurance coverage is needed if you purchase any kind of property. Many policyholders don’t enjoy paying the amount of the premiums that adjusted to the insurance policies. After some years, these expenses can add up to a large number of amounts. The premium amount may help pay other expenses or savings, but there’s peace of mind that if an accident or damage happens, your property is protected. Under two main conditions, the insurance adjusters work. These are:

  1. Legal obligation: This obligation is Stating your agreed amount that is the part of the coverage.
  2. To determine the property damage under the terms and conditions of the adjuster: Any insurance companies’ aim is to meet their estimated yearly profits, compensate employees with a satisfactory amount, and also keep policyholders happy and satisfied. If they pay more in claim settlements, then they will not be able to offer the competitive rates according to the market.

Unfortunately, many policyholders don’t realize this during the insurance claim process because they’re so emotional with grief and stress. They are settling instead for potentially low payouts representing just a small fraction of what is purchased. Policyholders who are a bit knowledgeable and have a keen sense about the policy process and claims then he/she will research and will hire a public adjuster for their well being.

Now let’s know some significant difference between Insurance and public adjuster.

The Priorities of an Insurance Adjuster vs. Public Adjuster

We already know that an insurance adjuster works on behalf of the insurance company. On the other hand, the insurance adjuster may not estimate damage and loss to your property accurately.

Their job is to give a settlement that will make you happy and satisfy your property damages. But during the process, they may not count the losses that are doubtful and can cause you future incurred costs.

A certified public adjuster who is an expert in insurance claims. He/she will defend on behalf of you during or after your claims processing time. The public adjuster’s responsibility is to ensure that you receive the highest payout in the most easiest way.

As an insurance adjuster, a public adjuster also carefully inspect your insurance policy and estimates the property damage with full scope. However, this is the only similarity the insurance adjuster and public adjuster have.

After careful consideration of losses and a thorough estimation of the damages, faces outside of any previous damage, public adjusters takes extensive investigation methods that are:

  1. An extensive assessment of damages
  2. With your insurance company, negotiate
  3. Organizing a settlement that perfectly compensates for the whole losses of yours.

In some cases, the total amount outstrips more than your policy stated.

Why is there a difference in the final settlement amounts between Insurance Adjuster and Public Adjuster?

Whenever a policyholder decides to use an experienced public adjuster, Then the difference is outstanding. It is widespread in strategic claim consultants. The insurance company can manipulate or stress homeowners and Business owner’s conversion.

For example, During tornadoes, hurricanes, earthquakes, or any other natural disaster, the insurance company may overlook damages, but at that time, your public adjuster will advocate for you.

We hope that you may become more careful after knowing those significant differences whenever you need to choose an adjuster. Always try to be updated about your policy and claims so that you also can help you adjust while filing your case.

How is an Insurance Adjuster is Different from a Public Adjuster? - FarmFoodFamily (2024)

FAQs

What's the difference between a public adjuster and an insurance adjuster? ›

Independent adjusters are paid by insurance companies to adjust the claim on their behalf, whereas 'public adjusters' work exclusively for the insurance policyholder. 'Public Adjusters' help policyholders with many of the complex provisions and processes involved with a typical insurance property claim.

What is the downside of using a public adjuster? ›

Cons. They're not suitable for every claim. For small, straightforward claims, you may be better off filing on your own and saving yourself the adjuster's fee. (Some adjusters won't even work on certain claims if the potential payoff is too low.)

What is the difference between a claims adjuster and an insurance adjuster? ›

An insurance adjuster, also known as a claims adjuster, is a person who investigates an insurance claim to determine if the insurer should pay for damage or injuries, and if so, how much they should pay.

What is the primary difference between a staff adjuster and an independent adjuster? ›

A Staff Adjuster is a permanent employee of an insurance company, handling claims exclusively for that company, while an Independent Insurance Adjuster works on a contractual basis for multiple insurance companies and operates independently or as part of an adjusting firm.

Are public adjuster fees tax deductible? ›

If the fee was for a personal insurance claim then it is not deductible. If it was related to your business, then it is deductible business expense. Still have questions? Use your Intuit Account to sign in to TurboTax.

Which insurance company pays adjusters the most? ›

Top companies for claims adjusters in US
RankCompanyAvg. Salary
1Progressive$50,022
2Allstate$49,880
3GEICO$48,958
4USAA$48,590
6 more rows

What not to tell a homeowners insurance adjuster? ›

Admitting Fault, Even Partial Fault.

Avoid any language that could be construed as apologetic or blameful.

Can you disagree with insurance adjuster? ›

If you find yourself at odds with a claims adjuster over a settlement amount, it's important to advocate for the payment you deserve. Don't simply accept an offer you believe to be inadequate. Instead, arm yourself with evidence, negotiate firmly but politely, and don't be afraid to dispute their decision if needed.

How a public adjuster can save you money? ›

They know what your damages are worth and what can be included in your claim to help you maximize the amount you'll receive and minimize or eliminate out-of-pocket expenses. This could make a huge difference in how much money you'll receive from the insurance company.

How do adjusters determine damage? ›

To this end, the claims adjuster will closely inspect the damaged areas for signs of rust or prior repair attempts. Sometimes, it's up to you to prove your vehicle's damages. Take pictures detailing the damage to your vehicle. Bring your car to one or more repair shops for estimates.

What are the pros and cons of being an insurance claims adjuster? ›

Being an insurance claims adjuster is like being a tightrope walker.
  • Upside #1: Variety is the Spice of Life. As an insurance claims adjuster, you'll never be bored. ...
  • Downside #1: Everyone is Unhappy to See You. ...
  • Upside #2: You're the Hero. ...
  • Downside #2: The Paperwork. ...
  • Upside #3: Job Security. ...
  • Downside #3: The Hours.
Apr 21, 2023

Why is a claims adjuster job stressful? ›

Claims adjusters often work long hours, handle difficult clients and situations, and have to manage multiple claims simultaneously. All of these factors can lead to stress and burnout.

What is the difference between adjuster and public adjuster? ›

The big difference is that instead of working on behalf of the insurance company like an insurance claims adjuster does, a public claims adjuster works for you. After your homeowners insurance company issues the settlement, the adjuster receives a percentage of the payout amount as payment for their services.

Why do insurance companies use independent adjusters? ›

Should you have to file a claim for the insurance policy, a claims adjuster will come to assess the damage and legitimacy of the claim back to the insurance company. Independent adjusters are typically hired because there is a high volume of claims.

What is the difference between a TPA and an adjuster? ›

Third-party claims administrator (TPA) adjusters' roles are very similar to the company or carrier adjuster role. By in large, they have the same responsibilities, tasks, and best practices. While a number of TPAs are owned by insurance carriers, their services are most frequently sold separately.

How much does a public adjuster charge in Florida? ›

The maximum percentage that a public adjuster in Florida can charge for a claim is 20% of the claim paid after you sign the contract with them. In the event of a declared emergency by the Governor's office, that fee is reduced to 10% for any claim made in the first year after the date of loss.

Do you need a license to be a public adjuster in California? ›

Note: To become a public adjuster, you must obtain a standard adjuster license, get an appointment from a public adjusting firm, gain work experience, and eventually pass an additional exam.

Can a public adjuster also be the contractor in Illinois? ›

Can a Contractor also be a Public Adjuster? Yes, in Illinois a contractor can also act as a Public Adjuster. This allows the Public Adjuster to create a fair scope of work and then recommend his own company or affiliate to do the repairs.

Why do insurance companies hire independent adjusters? ›

Insurance companies often do not have the human resources to delegate this type of responsibility and, therefore, will hire independent adjusters to ease their workload. An insurance company can commission a third-party insurance company to negotiate and assess cases on its behalf.

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