United States · Licensing exam

Insurance adjuster duties: what an adjuster does

An insurance adjuster looks into a claim, decides whether the policy covers it and works out how much should be paid. The US Bureau of Labor Statistics sums up insurance adjuster duties as deciding whether the insurer must pay a claim and, if so, how much. What they do day to day also depends on who they work for: an insurer, or you.

What are an insurance adjuster's duties?

BLS lists these as the typical duties of claims adjusters, examiners and investigators:

  • Investigate, evaluate and settle claims
  • Decide whether the policy covers the loss
  • Work out the right payment
  • Make sure claims aren't fraudulent
  • Contact claimants' doctors or employers about questionable claims
  • Consult lawyers when needed
  • Negotiate settlements and authorize payments

Adjusters inspect property damage or injuries, interview claimants and witnesses, and write reports for claims examiners. Once an examiner approves a claim, the adjuster negotiates the settlement.

Company, independent and public adjusters

Florida's license rules define the three main types:

TypeWorks forIn Florida's words
Company employee adjusterAn insurerAppointed and employed on an insurer's staff of adjusters
Independent adjusterInsurers, as a contractorSelf-appointed or appointed and employed by a licensed adjusting firm, working on behalf of an insurer
Public adjusterThe policyholderPrepares or files a claim for an insured, or negotiates its settlement, for pay

Other claims jobs

  • Appraisers estimate the cost or value of insured items. Most are auto damage appraisers who estimate repair costs, and they spend much of their time at body shops.
  • Claims examiners review claims to check that claimants and adjusters followed the rules. Health examiners check whether costs are reasonable, and life examiners review causes of death.
  • Insurance investigators handle claims that may involve fraud, such as arson or staged accidents, and often do surveillance.

Property, auto, workers' comp and crop adjusters

Texas and Georgia both license property and casualty adjusters, and each has separate licenses for narrower lines. Texas has a separate Workers' Compensation adjuster exam, with 60 scored questions in 60 minutes for $29. Georgia's crop/hail adjuster license needs a CAPP card instead of an exam, and its workers' compensation license needs the CWCP designation. New York asks federal multi-peril crop applicants for proof of CAPP accreditation.

Where adjusters work

BLS says adjusters and examiners mostly work in offices but also go out to inspect damage. People who inspect damaged buildings have to watch for hazards such as collapsed roofs and floors.

Sources: BLS Occupational Outlook Handbook · Florida DFS · Pearson VUE and 3 more. Checked October 2026.

Rules and fees can change, so check the official site before your test.