If an adjuster encounters a unique claim, what should they do?

In the context of handling a unique claim, escalating the matter to a supervisor or specialist is crucial because these claims often carry complexities that may be outside the adjuster's immediate expertise or experience. This process ensures that the claim is evaluated thoroughly with the necessary level of insight and resources.

When a claim is unique, it may involve unfamiliar circumstances, new types of coverage, or specialized knowledge that the adjuster may not possess. By reaching out to a supervisor or a specialist, they can benefit from additional guidance, ensuring the claim is managed accurately and fairly. This collaborative approach enhances the overall claims process, ultimately leading to a more informed decision-making process regarding indemnifications or settlements.

This practice also helps maintain compliance with regulatory requirements and company policies, thereby reducing the risk of errors or omissions that could arise from an independent resolution without the necessary expertise. In summary, escalation fosters a more thorough and accurate approach to unique claims, ensuring that they are handled by those with the appropriate skills and knowledge.