Claims adjusting requires a broad base of specialized knowledge. Whether claims practitioners work in the property and casualty or life and health fields, they need to know about law, contracts (policies), medicine, engineering and construction. Workers' compensation adjusters must also maintain an intimate knowledge of medicine including orthopedics, neurology, internal medicine and psychiatry. Additionally, they must have an in-depth knowledge of law and statutory construction, human relations, negotiations, underwriting and a smidgeon of actuarial science, and they must be patient, inquisitive and composed.
Knowledgeable claims adjusters understand that they have a direct impact on the cost of their insured's Workers' Compensation insurance. There are a number of concepts that many exceptional adjusters practice in order to provide accurate and timely claims handling.
1. They consistently refer to and follow prescribed claims management protocols.
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