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A public adjuster is a professional claims handler/claims adjuster who represents the insured/policyholder in their insurance claim. Depending on the state, licensed public adjusters are required to prove competency in a variety of ways; written examination, experience time frames, and background checks. In many states, a public adjuster is a lawful fiduciary under either state or federal jurisdiction (e.g. FEMA) to legally and professionally represent the rights of an insured/policyholder during a insurance claim. The role of a public adjuster is to recover the best possible indemnification for their claims. Individuals may prefer to avoid the stress of claims handling themselves, and choose public adjuster representation to guide them through the process and minimize the time which must be spent to file their claim properly. Public adjusters negotiate with insurance companies/carriers for an adjustment or settlement. Primarily, public adjusters review the applicable insurance policy to determine coverage for the loss, assess the cause of loss to determine applicable coverage, assist the insured to prepare detailed scope and cost estimates to prove their loss. Public adjusters also provide insurance policy interpretation to determine if coverage exists, and to negotiate with the insurance company/carrier to a final and fair settlement.[1] Most public adjusters charge a percentage of the settlement.
A public adjuster is a representative of the insured/policyholder who advises, manages, and submits a claim to the policyholder's insurance company. A public insurance adjuster advocates exclusively for policyholders.
There are generally three types of insurance claims adjusters: staff adjusters who are employed by an insurance company or a self-insured entity, independent adjusters who are independent contractors hired by the insurance company for individual claims, and public adjusters who are employed by the insureds/policyholders. "Company" or "independent" adjusters can only legally represent the rights of an insurance company.[2] Most adjusters are required to pass a state exam proving essential knowledge and competency. In some states, staff adjusters are exempt from licensing because their employer, the insurance company/carrier, carries the adjusters license.
Outside the United States adjusters are adjustors (with an "o") commonly called (or translated into English as) "insurance loss assessors" (or simply "loss assessors") and staff adjusters or independent adjusters are called or translated as "insurance loss adjustors" (or simply "loss adjustors").[3] However, there is a clear distinction between a loss adjustor, who works on behalf of an insurance company, and a loss assessor who works on behalf of a policyholder.