Insurance Adjuster Goals and Objectives Examples
Achieve a 90% accuracy rate on claims evaluations.
Improve customer satisfaction ratings by 15% over the next year.
Maintain an average claims processing time of less than 5 business days.
Reduce the number of denied claims by 10%.
Increase the number of closed claims per month by 20%.
Stay up-to-date with state and federal regulations governing insurance claims.
Implement new tools and technologies to enhance claims processing and evaluation.
Develop strong working relationships with insurance agents and brokers.
Conduct thorough investigations into each claim to prevent fraud.
Provide prompt and accurate responses to all customer inquiries.
Establish clear communication channels with policyholders to ensure understanding of claims process.
Keep detailed records of each claim for reporting and auditing purposes.
Work collaboratively with other departments to resolve complex claims issues.
Attend regular training sessions to stay informed about industry developments.
Remain knowledgeable about all products and services offered by the company.
Consistently meet or exceed monthly claims volume targets.
Respond to emergency claims within 24 hours of notification.
Demonstrate empathy and compassion when interacting with customers.
Investigate and process claims in accordance with company policies and procedures.
Identify trends in claims activity and report findings to management team.
Utilize advanced analytical skills to evaluate claims data and identify cost saving opportunities.
Establish effective relationships with external vendors, including attorneys, appraisers, and contractors.
Manage multiple priorities simultaneously while maintaining a high level of attention to detail.
Identify potential risks associated with each claim and develop mitigating strategies.
Perform quality control checks on all outgoing correspondence related to claims.
Meet or exceed productivity standards for assigned caseloads.
Ensure that all claims are processed in compliance with applicable laws and regulations.
Collaborate with supervisors to implement strategies to improve claims management processes.
Generate periodic reports on claims activity for internal stakeholders.
Conduct site visits as necessary to investigate complex claims cases.
Foster a positive work environment through support, encouragement, and recognition of colleagues.
Manage personal workload effectively, prioritizing tasks based on urgency and importance.
Proactively address issues related to customer service, workflow, or process inefficiencies.
Continuously seek out opportunities for professional development and growth.
Leverage technology tools to streamline claims investigation and processing activities.
Communicate effectively with customers to explain claim decisions and provide status updates on their cases.
Monitor claims aging reports to ensure timely resolution of open cases.
Facilitate the resolution of disputes between parties involved in a claim case.
Review settlement offers to ensure they are reasonable and appropriate given the facts of the case.
Manage caseloads efficiently, processing claims accurately and quickly while providing excellent customer service.
Use negotiation skills to reach fair and equitable settlements in disputed claims cases.
Assess damage estimates submitted by repair shops to ensure they are accurate and reasonable.
Work collaboratively with other members of the claims team to ensure consistency in handling cases across the organization.
Analyze complex claim cases to determine coverage eligibility and liability allocation.
Follow all departmental procedures and guidelines for handling claims from start to finish.
Perform audits of vendor performance to ensure that they are meeting agreed-upon standards.
Document all actions taken during the claims management process thoroughly and accurately.
Participate in business continuity planning efforts to minimize disruption in operations during unforeseen events or disasters.
Maintain a high level of confidentiality when handling sensitive or confidential information.
Recommend process improvements aimed at increasing efficiency or reducing costs in the claims management process.
Meet all established deadlines for completing tasks related to claims processing, such as sending letters or making payments.
Detect fraudulent activity in suspicious claims cases by conducting thorough investigations and reporting findings to management team.
Attend court hearings, depositions, or mediations as necessary to settle disputed claims cases.
Collaborate effectively with internal departments, such as underwriting or billing, to address issues that impact claims processing.
Analyze data sets provided by external sources, such as weather forecasting agencies or medical experts, to predict potential risk factors or estimate damage amounts.
Stay up-to-date with advances in technology that could impact the insurance industry, such as artificial intelligence or blockchain.
Provide exceptional customer service by responding promptly to inquiries and resolving complaints in a satisfactory manner.
Build trust with clients during claim processes so they will return when renewing their policies or need future assistance.
Collect evidence and interview witnesses when investigating liability for a claim.
Identify subrogation opportunities and pursue them diligently when appropriate.
Investigate the cause of damages, accidents, or incidents related to a claim and summarize findings.
Evaluate damage appraisals submitted by independent adjusters or other third-party service providers.
Recognize how cultural differences may affect the interpretation of facts or evidence in a claim case.
Review policy language carefully before determining if a claim is covered under terms of the insured's policy.
Manage expectations of policyholders throughout the life cycle of a claim, ensuring they are aware of possible outcomes or delays.
Understand medical terminology used in documentation relevant to personal injury claims cases.
Determine whether coverage extends beyond what is expected in standard policies through a deep understanding of specific situations.
Make recommendations for safety improvements after analyzing accident reports related to commercial insurance policies.
Estimate liability exposure for large loss claims where damages exceed typical policy limits.
Develop good working relationships with outside vendors who assist with the handling of certain aspects of a claim process.
Apply critical thinking skills when evaluating evidence presented in a file.
Be aware of geographic nuances that may affect claim assessment such as regional weather patterns.
Incorporate feedback from quality assurance reviews into daily work processes.
Evaluate insurance policy wording for ambiguities that may cause confusion during a claim investigation.
Be receptive to feedback from managers or coworkers regarding potential areas for improvement.
Advise policy holders on ways to mitigate risks that could lead to future losses.
Understand how emerging technologies may affect the insurance industry landscape.
Assist in training new employees on best practices for handling claims.
Attend conferences or continuing education courses as needed to stay current on industry developments.
Establish relationships with key accounts that result in increased retention rates and revenue for the company.