The Adjuster and Underwriting

Published: June 29, 2021, 3:22 p.m.

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A Video Explaining the Obligations of an Adjuster to the Underwriting of  Insurance  

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https://zalma.com/blog

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 Adjusters are the representatives of the insurers who fulfill the  promises made by the underwriter when the risk was taken and a policy  was issued. The adjuster (sometimes called a claims representative) must  determine that the decision to insure was based upon accurate facts and  that the underwriter fully understood the risk he or she was taking.  The work of the underwriter begins with the submission of an application  from a prospective insured, directly or by an agent or broker. The  underwriter reviews the application and either presents an offer to  insure or a refusal to insurer.  The underwriter is obligated by tradition and the history of the  insurance industry to believe that the applicant reports facts to the  underwriter honestly and in good faith. By considering that the  applicant is dealing with the underwriter fairly and in good faith the  underwriter is able to be confident in the evaluation of the risk  presented. The application presented to an underwriter, either directly  or via an agent or broker, is a request for an offer of insurance.  Acting on the understanding that the applicant is acting in good faith  the underwriter can weigh the hazards faced by a particular property,  individual or business before agreeing to take on the risk of loss and  make an offer of insurance. After completing a review of the application  and all facts available to the underwriter from other sources and his  or her experience will either issue an offer of insurance or a refusal  to insure.  Underwriters take information from adjusters, after a loss, to  reevaluate the risk decision, to be certain they were not deceived and  to better evaluate the risk taken so they can deal with future requests  for renewal or increases in coverages fairly and in good faith.  Sometimes an insurer will ask an adjuster to perform a pre-risk  inspection to determine if the risk is worthy before the underwriter  makes the decision to accept a risk for insurance. Underwriters also use  the services of inspection companies and engineers to inspect the  property or the risk before making a decision to offer or refuse to  offer insurance.  Usually, however, information from the adjuster is provided to help the  underwriter determine whether to cancel, non-renew, or continue on the  risk, or modify the policy and premium before agreeing to continue on  the risk on the same terms and conditions or modify terms, conditions  and premium amount.  \\xa9 2021 \\u2013 Barry Zalma

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