A loss adjuster is an independent professional appointed by an insurer to investigate larger or complex claims. They assess the cause and extent of a loss, check it against the policy, and recommend a fair settlement amount to the insurer.
In one line: A loss adjuster investigates complex claims and advises the insurer on a fair settlement.
How a loss adjuster works
A loss adjuster is usually brought in for substantial or disputed claims, such as a major house fire or flood. They examine the damage, gather evidence, confirm the policy covers the event and calculate what should be paid.
After a 60,000 GBP fire claim, a loss adjuster might inspect the property, verify the cause was not excluded, and conclude that a settlement of 52,000 GBP reflects the damage once the policy limits and excess are applied.
Although paid by the insurer, a loss adjuster is expected to reach an objective view of the claim rather than simply minimise the payout.
Loss adjuster vs loss assessor
A loss adjuster works for the insurer and assesses the claim on its behalf. A loss assessor is hired and paid by the policyholder to manage the claim and argue their side, so the two represent opposite parties.
For small claims neither is usually involved, as the insurer settles directly from the information provided.
Primary source: FCA: Insurance
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