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- Insurance provides a service to customers who wish to be protected from loss caused by events such as fire, theft, accident or illness.
- The customer pays a regular premium and receives a written policy that sets out the conditions under which an insurance company pays compensation.
- Insurance claims assessors, sometimes known as claims inspectors or officials, work for insurance underwriters and are responsible for investigating claims submitted by policyholders.
- They check that each claim is covered by the terms and conditions of the policy and investigate the cause of loss or damage.
- The assessor might have to interview claimants who will be upset, shocked or distressed, especially if death or injury is involved. Consequently the assessor must be tactful, sympathetic and patient.
- The assessor may need to inspect damaged buildings or vehicles in order to gather the evidence needed to determine a settlement.
- They may find evidence in more complicated cases by talking to solicitors, the police and eye-witnesses.
- In straightforward claims, agreement between an insurance company and a claimant may be reached quickly. However, even after they have decided whether the insurance company should pay out, it can take a long time to decide what the settlement sum should be.
- Throughout their investigations, assessors must be aware that the claim could be fraudulent.