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Claim Adjustors investigate, analyze, and determine the extent of an insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect a settlement with claimants. They correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. They calculate benefit payments and approve payment of claims within a certain monetary limit.
Claims adjustors and underwriters perform their work at different points in the insurance process. The underwriter, who determines the risk and cost of the policy, performs her job before insurance is approved and provided. The claims adjustor comes in when the insurance company must decide whether to pay a claim.
Duties & Responsibilities:
Analyze information gathered by investigation and report findings and recommendations.
Examine claim forms and other records to determine insurance coverage.
Interview or correspond with the insured, claimants’ witnesses or their representatives. Consult police reports and inspect property damage to determine an extent of liability.
Negotiate claims settlements and recommend appraisal, mediation or litigation when settlement cannot be negotiated.
Refer questionable claims to management for further investigation or settlement.
PLANNING, PRIORITIZING, AND ORGANIZING - Abstract Reasoning
EFFECTIVELY COMMUNICATING VERBALLY AND IN WRITING - Verbal Ability and Verbal Reasoning
INITIATIVE AND ABILITY TO THINK LOGICALLY, ANALYTICALLY AND CRITICALLY - Logical Reasoning
Verbal ability is essential because grammar and vocabulary is a prerequisite for good spoken and written English.
Reading comprehension indicates an ability to comprehend and reason with the concepts on a written page.
Quantitative ability will indicate analytical thinking and problem-solving ability.
Logical Reasoning is assessed through
• Cause /Effect and
• Statement/Fact questions
These questions will indicate the quality of deductive reasoning and inductive reasoning which contribute to Critical thinking ability.
Abstract reasoning will indicate the ability to think clearly, identify logical patterns, learn new skills and solve complex problems. It is an indicator of fluid intelligence and shows an ability to strategize.
Claims Adjustor Test Details: 46 Questions 60 minutes
Verbal Ability - 08 Questions 08 minutes
Verbal Reasoning - 08 Questions 13 minutes
Quantitative Aptitude - 10 Questions 10 minutes
Logical Reasoning - 12 Questions 15 minutes
Abstract Reasoning - 10 Questions 14 minutes
This Claims Adjuster Test Assessments is useful for hiring
Claims Adjustor Manager
Q 1.Direction to Solve
In question below is given a statement followed by two conclusions numbered I and II. You have to assume everything in the statement to be true, then consider the two conclusions together and decide which of them logically follows beyond a reasonable doubt from the information given in the statement.
Statements: Company X has marketed the product. Go ahead; purchase it if price and quality are your considerations.
l. The product must be good in quality.
ll. The price of the product must be reasonable.
Sara lives in a large city on the East Coast. Her younger cousin Marlee lives in the Mid-west in a small town with fewer than 1,000 residents. Marlee has visited Sara several times during the past five years. In the same period of time, Sara has visited Marlee only once.