What should an adjuster do if a claimant provides insufficient evidence?

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When a claimant provides insufficient evidence, the appropriate action is to request additional documentation from the claimant. This approach ensures that the investigation remains thorough and fair, allowing the adjuster to gather all necessary information to make an informed decision regarding the claim. By seeking further documentation, the adjuster can clarify uncertainties and obtain the evidence needed to support or refute the claim effectively.

Proceeding with assumptions or ignoring the claim entirely would undermine the integrity of the claims process and could lead to incorrect outcomes. Refusing to process the claim outright without attempting to obtain additional evidence would be premature and could prevent the claimant from receiving any potential entitlements. Thus, requesting more documentation is the most responsible and effective course of action to ensure that all relevant facts are considered.

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