Here’s What Not to Say to an Insurance Claims Adjuster (2024)

March-22-2023

Here’s What Not to Say to an Insurance Claims Adjuster

A common misconception many people make when their homes or property is damaged is that their insurance company is on their side. The more factual story is that insurance companies want to save as much money as possible, and they do this by trying to avoid what they pay on policyholders’ claims.

What Not to Say to An Insurance Adjuster

For this reason, your insurance company will conduct its own investigation of your damage when you file a claim. And this investigation is likely to include looking for evidence that can be used to deny your claim or provide you with a lowball settlement offer.

With that in mind, we always recommend working with a skilled insurance claims attorney when you suffer a loss instead of directly dealing with the insurance adjuster. However, if you do have to speak with the company’s adjuster, here is what not to say to an insurance adjuster.

1. Don’t Admit Fault

What should you not say in a claim? First, it’s important to remember that honesty isn’t just recommended — it’s required when speaking with an insurance adjuster. Misstatements could lead to a claim being denied and even allegations of insurance fraud.

However, that doesn’t mean taking the blame for damage you didn’t cause after a disaster has struck your property. Along the same lines, don’t speculate about a fallen tree having been rotted or a collapsed ceiling needing replacement when you don’t know these things to an absolute certainty.

Admissions of fault, responsibility, or contributing to the problem are all things insurance adjusters have a trained ear for, and they will be listening to see if any statements you make can get their employers out of paying on your claims.

2. Don’t Downplay Damages

Victims whodownplay their damagesgive insurance adjusters a chance to downplay the settlement offers they make. This might include, for example, leaving out a certain section of the damage on a walk-thru, not mentioning damaged property items you would replace anyway, or saying that the insurance company doesn’t have to worry about this or that. You pay for your policy, so you should have a right to collect to the fullest extent possible if you are eligible.

Here’s What Not to Say to an Insurance Claims Adjuster (1)

3. Don’t Give a Recorded Statement

You should always avoid giving any on-the-fly recorded statements to the insurance adjuster. However, if the insurance company feels it needs to go that route, it should employ more formal procedures, such as a recording under oath with a reporter present. You should also be given a chance to be represented by legal counsel.

You should also be provided sufficient time to gather your thoughts and a chance to read or submit a prepared written statement. An adjuster who takes a statement quickly onsite will gain information almost guaranteed to be more beneficial to the insurance company than it will be to you.

Read now: Home Insurance Claim Adjuster Secret Tactics

4. Don’t Accept the Initial Settlement Offer

A common practice is for an insurance adjuster to start with a low offer amount and to hope you will accept it without challenge. An attorney, though, will be able to assist you in negotiating for an amount that is more fair in light of the losses you have suffered.

What Insurance Adjusters Consider When Evaluating Property Claims

When considering what you should not say in a claim, insurance adjusters often look for “the catch” that can get insurance companies out of paying the highest amount on your claims.

The adjuster will consider a variety of inputs in assessing your claim. Documents and information you should be ready to give them include statements describing your loss, an inventory of lost or damaged property, specifications and assessments for damaged structures, and receipts for additional living expenses if you have been displaced.

The adjuster will also likely conduct their inspection and ask follow-up questions. Being ready with all information on hand and having your story straight is the key to success in an insurance claims process.

Let the Insurance Claims Attorneys at McClenny Mosely & Associates Help You

at MMA Law Firm, our Houston homeowners insurance claim lawyers help clients interpret Texas homeowners insurance claim laws, understand their rights, and recover from their losses every day. Our attorneys are well-positioned to assist clients with insurance claims in Texas, including ensuring that insurance claims adjusters behave correctly under the law.

Let’s talk today!

Here’s What Not to Say to an Insurance Claims Adjuster (2024)

FAQs

Here’s What Not to Say to an Insurance Claims Adjuster? ›

Some key phrases to avoid saying to an insurance adjuster include: “I'm sorry.” “It was all/partly my fault.” “I did not see the other person/driver.”

How do you answer an insurance adjuster question? ›

Give brief answers.

Try to answer each question in as few words as possible. Don't explain. If you are specifically asked to explain, do so in as few words and with as little detail as possible.

How to argue with an insurance adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

What should you not say to homeowners insurance? ›

Don't Admit Fault

However, that doesn't mean taking the blame for damage you didn't cause after a disaster has struck your property. Along the same lines, don't speculate about a fallen tree having been rotted or a collapsed ceiling needing replacement when you don't know these things to an absolute certainty.

What happens if you disagree with insurance adjuster? ›

Your insurance policy likely has an arbitration provision, meaning that when you and your adjustor cannot agree, a third party will be assigned to hear you out and recommend a settlement.

Are claims adjusters biased? ›

Dealing With Insurance Adjusters

The insurance adjuster has only the best interests of their client in mind and will perform their duties with a certain degree of bias. Some insurance adjusters may even go as far as to employ bad faith tricks to lower the potential payout the insurance company has to deliver.

What should I say in an insurance claim? ›

However, it is paramount you only state the facts and do not speculate. Avoid any discussion of fault or injuries. If they ask you directly what happened, you can tell them you would prefer to give a written statement.

Why does the insurance adjuster want to meet with me? ›

The insurance adjusters are aware that some of the worst injuries may not present themselves immediately after the accident. Insurance adjusters want to settle a case as soon as possible, and that is why they want to talk to you immediately after the accident.

What are the 3 key goals of a claims adjuster when settling claims? ›

Claims adjusters have three main goals when settling claims: accurate claim assessment, timely settlement, and customer satisfaction. They investigate and evaluate claims, ensuring that the claim amount accurately reflects the covered losses.

How to get the most out of your insurance claim? ›

Let's dive into the thick of it!
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
  6. Ensure the Insurance Company is Aware of Matching Elements That Also Need to be Replaced.
Jun 6, 2023

Do insurance companies use scare tactics? ›

Once you begin to defend yourself against an insurance company they may fire back with scare tactics. They might claim that you're inflating the costs of your medical expenses and committing fraud. They may threaten to get your driver's license taken away.

How do I succeed a claims adjuster? ›

As an insurance adjuster, you deal with clients, claimants, witnesses, and other professionals on a daily basis. To succeed in this role, you must have excellent communication skills. You should be able to communicate clearly and concisely, listen actively, and build strong relationships with your clients.

What not to tell a claims adjuster? ›

5 Things You Should Not Say to Car Insurance Adjusters
  • Do Not Admit Fault. ...
  • Do Not Minimize Personal Injuries to Adjuster. ...
  • Do Not Describe Your Injuries. ...
  • Do Not Hypothesize What Happened During the Accident. ...
  • Do Not Provide a Recorded Statement. ...
  • Having Trouble with an Insurance Company After an Accident?

How to scare a home insurance adjuster? ›

Insurance adjusters often start with a lowball offer, hoping you will accept it without question. To scare an insurance adjuster, you must demonstrate that you know the true value of your claim. Reject the lowball offer in writing and provide a detailed explanation of why you believe the offer is inadequate.

What is the most common damage to your home that insurance does not cover? ›

Homeowners insurance doesn't cover floods, earthquakes, typical wear and tear, and damage due to insufficient maintenance. You can usually add flood and earthquake coverage to your policy for an additional fee, but wear and tear and damage from a lack of maintenance are considered preventable.

What not to say when filing a claim? ›

In any case, victims should avoid:
  1. Admitting Fault, Even Partial Fault.
  2. Discussing Injuries and Prognosis.
  3. Discussing the Circ*mstances of the Accident.

What is one of the most important responsibilities of a claims adjuster? ›

Claims adjusters inspect property damage to determine how much the company should pay for the loss. Claims adjusters, appraisers, examiners, and investigators evaluate insurance claims. They decide whether an insurance company must pay a claim and if so, how much.

What do you say when making an insurance claim? ›

Give your name, address, policy number, and the date and time of your loss. Make sure to tell your insurance agent where you can be reached, especially if you are unable to stay in your home. Follow up the call with a letter detailing the problem. Keep a copy of the letter.

What appeals you most about being a claims adjuster? ›

Answer: 2. I pursued a career as a Claims Adjuster because I enjoy problem-solving, helping people, and working in a dynamic environment. The most rewarding aspect of my role is helping claimants navigate difficult situations and ensuring they receive a fair settlement in a timely manner.

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