What should an adjuster do if discrepancies in a claim are found?

When discrepancies in a claim are identified, the adjuster's primary responsibility is to investigate and clarify these inconsistencies. This approach ensures that the adjuster has a complete and accurate understanding of the claim, which is essential for fair and proper resolution. By conducting further investigation, the adjuster can gather additional information or evidence, engage with the claimant to clarify any misunderstandings, and verify all relevant documentation.

Addressing discrepancies proactively helps maintain the integrity of the claims process and can lead to more informed decision-making regarding the claim's merits. Moreover, this thorough approach supports the adjuster's duty to uphold ethical standards and comply with regulatory requirements in the claims handling process. Ultimately, resolving discrepancies can protect both the claimant's rights and the insurer's interests.