Dealing with loss adjusters: Tricks, tips & negotiation tactics (2024)

When you file an insurance claim for property damage caused by fire, flood, or other incidents, it’s likely that your insurer will appoint a Loss Adjuster to handle the process. A Loss Adjuster is responsible for investigating and assessing the validity of your claim on behalf of the insurance company.

While Adjusters are expected to remain impartial, their allegiance may lead them to employ certain tactics to secure the best outcome for the insurance company. In this blog, we will provide valuable tricks, tips, and negotiation tactics to help you navigate the process of dealing with Loss Adjusters effectively.

Tips for dealing with Loss Adjusters

1. Review your policy

Before engaging with a Loss Adjuster, thoroughly familiarise yourself with your insurance policy. Remember, it’s a negotiation process. Take the time to carefully look through your insurance policy, paying close attention to the wording. Familiarise yourself with the clauses and coverage included in your policy, ensuring you are aware of your entitlements and limitations.

Having a clear understanding of the facts will not only help you in the negotiation process but also provide you with peace of mind throughout your claim.

2. Be cautious but helpful

When communicating with a Loss Adjuster, be mindful of your choice of words. Understand that everything you say whether in person or over the phone, can be used against you in their final assessment. Avoid providing incomplete or potentially detrimental information that could be used to lower the settlement offer, like failing to mention pre-existing damage.

3. Be prepared

As they tend to have a significant number of insurance claims to review on their books, Loss Adjusters strive for efficiency, so being well-prepared can streamline the claims process. Collect and organise any supporting evidence such as photographs or documents that substantiate your claim. Having these materials readily available will facilitate a smoother approval process and increase the likelihood of receiving the expected settlement amount.

4. Know your rights

While it’s customary to let the Loss Adjuster present the initial offer, keep in mind that the first offer may fall below your expectations. This is a normal occurrence, and you are under no obligation to accept it. Equip yourself with knowledge about your entitlements and calculate the amount you believe is fair. If the initial offer is inadequate, feel confident in challenging it. Point out the relevant sections of your policy to the Loss Adjuster, as they may not have thoroughly reviewed the details.

5. Be honest

Maintain unwavering honesty throughout your interactions with the Loss Adjuster. Providing accurate information allows them to make a fair assessment of your claim. Refrain from embellishing, exaggerating, or altering facts, as such actions are illegal and can jeopardise your case.

6. Be polite

Regardless of the circ*mstances or any perceived unfairness, always maintain a polite and respectful demeanour throughout the entire claims process. Making a claim can be a stressful and frustrating experience but try to remain calm and polite. Engaging in arguments or displaying aggression will not work in your favour, while you might feel the Loss Adjuster is not on your side, a professional and courteous approach can foster a more constructive dialogue.

Dealing with Loss Adjusters may initially seem daunting, but armed with these tricks, tips, and negotiation tactics, you can confidently navigate the process. Alternatively, to alleviate stress, consider enlisting the services of a Loss Assessor. A skilled Loss Assessor will expertly present your claim and negotiate with the Loss Adjuster on your behalf, ensuring your property is restored to the highest standard and maximising the potential for the best possible settlement. If you would like to learn more about how our Loss Assessors can assist you, don’t hesitate to get in touch with a member of the Morgan Clark team.

Loss Adjuster tricks & tactics

While it’s important to emphasise that not all Loss Adjusters employ tricks or deceptive tactics, there are some strategies that can be used in the claims process. These techniques are aimed at minimising claim payouts or finding reasons to deny or undervalue claims. It’s essential to be aware of these tactics to protect your interests. Here are some that we’ve encountered over the years:

Initial Lowball Offers

Some Loss Adjusters may present initial settlement offers that seem lower than expected. While these offers are part of the negotiation process, it’s crucial not to accept them without proper assessment. This tactic aims to test your willingness to accept a reduced amount and potentially discourage further negotiations. Take the time to evaluate the adequacy of the offer, considering the full extent of your damages and seek independent evaluations if necessary.

Delays and Lengthy Processes

In some cases, a Loss Adjuster may intentionally prolong the claims process by requesting additional documentation or repeatedly asking for information. This delay tactic can create frustration and prompt claimants to settle for less just to speed up the process.

Time Pressure and Deadlines

On the other hand, some Loss Adjusters operate under time constraints, which can create a sense of urgency during the claims process. They may emphasise tight deadlines or the potential for delayed compensation to encourage quick settlements. Remember, it’s essential to carefully evaluate your claim and understand your entitlements before rushing into any decisions.

Policy Interpretation

Loss Adjusters possess in-depth knowledge of insurance policies and may interpret terms and conditions in a way that favours the insurer. This tactic aims to limit the scope of coverage and reduce the amount payable on the claim. By understanding the coverage and entitlements outlined in your policy, you can confidently challenge any misinterpretations that may arise during the claims process.

Comprehensive Damage Assessment

Loss Adjusters might attempt to categorise certain damages as unrelated or pre-existing, potentially undervaluing your claim. It’s important to provide detailed documentation of all damages, including photographs, videos, and written descriptions. Seeking expert opinions or assessments can help counter any attempts to downplay the severity of your losses.

By informing you about these potential strategies, our aim is to empower you with the knowledge to confidently navigate the claims process.

What should you not say to a Loss Adjuster?

When dealing with a Loss Adjuster during the insurance claims process, it’s important to be mindful of what you say. Certain statements or remarks could potentially harm your claim or be used against you. In this blog, we’ll highlight key things you should avoid saying to a Loss Adjuster to protect your interests and ensure a fair outcome:

Incomplete or Inaccurate Information

Provide the Loss Adjuster with accurate and complete information about the damages sustained. Avoid withholding details or providing incomplete information that could be used against you later in the claims process. Be thorough in documenting the extent of the damage and any related expenses.

Do not admit fault

While it may be natural to feel remorseful about the situation, refrain from apologising or accepting blame for the incident. Loss Adjusters are trained to gather information and assess liability, and these statements can be misinterpreted as an admission of fault and may negatively impact your claim. Stick to providing objective information and let the Loss Adjuster conduct their investigation to determine liability.

Do not speculate or guess

It’s essential to only provide information that you are certain about and can support with evidence. Avoid speculation or guessing when responding to the Loss Adjuster’s inquiries. Providing false or misleading information can have severe consequences, potentially leading to the denial of your claim or even legal repercussions. Speculation can be used by the Loss Adjuster to challenge the validity of your claim or minimise the compensation offered. If you’re unsure about certain details, it’s perfectly acceptable to say that you don’t have the information at hand and will provide it later.

Do not agree to recorded statements without preparation

Loss Adjusters may request to record your statements as part of their investigation. While it is generally acceptable to comply, it’s advisable to be well-prepared beforehand. Take the time to gather your thoughts, review your claim details, and even seek legal advice if necessary. This ensures that your statements accurately reflect your position and protect your interests.

Do not discuss the settlement amount early on

Avoid engaging in discussions about settlement figures or accepting offers prematurely. It’s important to fully assess the extent of your damages or losses before entering into settlement negotiations. Premature agreement to a settlement amount may undervalue your claim and limit your ability to seek fair compensation.

Do you need help with an insurance claim?

We understand that dealing with a claim can be overwhelming. That’s why we’re here to help.

We are a team of experienced Loss Assessors who have helped thousands of people get a fair settlement. We can help you navigate the insurance process, get the answers you need, and get your life back on track.

Contact us today for a free consultation to discuss your claim and answer any questions you have. There’s no obligation.

Call us today on 0808 258 1831 or visit www.morganclark.co.uk/contact-us/.

Dealing with loss adjusters: Tricks, tips & negotiation tactics (2024)

FAQs

Dealing with loss adjusters: Tricks, tips & negotiation tactics? ›

Be concise, share hard facts, and avoid tangents about the incident. The adjuster is actively listening for areas of weaknesses or where fault can be re-assigned to you. Do not admit or accept any fault in the damages. Neither should you provide guesswork as to what happened and why.

How to beat a loss adjuster? ›

Be concise, share hard facts, and avoid tangents about the incident. The adjuster is actively listening for areas of weaknesses or where fault can be re-assigned to you. Do not admit or accept any fault in the damages. Neither should you provide guesswork as to what happened and why.

How to argue with an insurance adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

How do you answer an insurance adjuster question? ›

You may provide the most basic details such as your name and contact info, the location and date of the crash, and what car you were driving. Other than that, politely decline to give more details. You have the right to refuse to answer the adjuster's questions or to consult with a car accident lawyer first.

How to scare a home insurance adjuster? ›

Insurance adjusters often start with a lowball offer, hoping you will accept it without question. To scare an insurance adjuster, you must demonstrate that you know the true value of your claim. Reject the lowball offer in writing and provide a detailed explanation of why you believe the offer is inadequate.

Do insurance companies use scare tactics? ›

Once you begin to defend yourself against an insurance company they may fire back with scare tactics. They might claim that you're inflating the costs of your medical expenses and committing fraud. They may threaten to get your driver's license taken away.

How do you negotiate a higher total loss settlement? ›

Bring any evidence showing a higher value, like photos of customized features or recent major repairs. If the insurer's initial offer seems too low based on your independent ACV research, provide documentation supporting a higher value and politely request a reassessment.

How do I argue against an insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

How do I succeed a claims adjuster? ›

As an insurance adjuster, you deal with clients, claimants, witnesses, and other professionals on a daily basis. To succeed in this role, you must have excellent communication skills. You should be able to communicate clearly and concisely, listen actively, and build strong relationships with your clients.

How do you negotiate with an adjuster? ›

If the offer is reasonable, you can immediately make a counteroffer that's a little bit lower than your demand letter amount. This shows the adjuster that you, too, are being reasonable and are willing to compromise. A little more bargaining should quickly get you to a final settlement amount you both think is fair.

Can you disagree with insurance adjuster? ›

Be prepared for negotiations with the insurance company, as the adjuster may offer a settlement that you don't agree with. In such cases, consider seeking a second opinion or speaking with a car accident lawyer for legal help.

What questions should I ask a claims adjuster? ›

Additional Information
  • “Will you admit fault for the accident?” ...
  • “How much insurance coverage does your driver carry?” ...
  • “Will you pay for my car to be repaired to manufacturer's specifications, without used or after market parts?” ...
  • “Will you pay for my medical bills and lost wages as they are incurred?”

What not to say to a home insurance adjuster? ›

Admitting Fault, Even Partial Fault.

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

What to do when insurance company lowballs? ›

How to Respond to a Low Settlement Offer
  1. Retain a Lawyer. A lowball offer is a red flag that the insurance company is not treating you fairly. ...
  2. Analyze the Offer. ...
  3. Reject the Offer. ...
  4. Wait to Settle Your Claim Until You Recover. ...
  5. Make a Counteroffer. ...
  6. File a Lawsuit.

What does R&R mean on a home insurance claim? ›

R&R = Remove & replace. This Xactimate entry is used when an item is being entirely demolished & replaced with a new similar item of similar grade & composition.

Do insurance adjusters try to lowball you? ›

Insurance adjusters usually propose a lowball offer because their companies don't want to pay more money than they have to, and they think they can get away with it if the claimants don't have experience negotiating these types of claims.

What is the opposite of a loss adjuster? ›

Simply put, loss adjusters work for your insurance company and their interests, while loss assessors work for the policyholder and solely for your benefit.

Why does my claims adjuster keep changing? ›

There are several valid reasons why an insurance company may need to change the adjuster assigned to your claim, such as workload balancing, staffing changes, specialization needs, or suspected fraud.

Do insurance adjusters follow you around? ›

While the insurance company may follow you at any time, there are certain times where it is most likely to occur. We typically see insurance companies conduct surveillance around claim-related appointments. These claim-related appointments could include IMEs or interviews with insurance representatives.

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