What is the function of a 'claims adjuster'?

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Prepare for the Oregon Life and Health Insurance Exam with flashcards and multiple choice questions, complete with hints and explanations. Boost your confidence and ace your exam!

A claims adjuster plays a crucial role in the insurance industry by evaluating insurance claims to assess their validity and determine how much compensation, if any, should be paid to the claimant. This responsibility includes investigating the circumstances surrounding the claim, gathering information from relevant parties, reviewing insurance policies, and applying legal standards and company guidelines.

By thoroughly analyzing the details of the claim, a claims adjuster ensures that claims are handled fairly and in accordance with the terms of the insurance policy. This helps maintain the integrity of the insurance process, ensuring that rightful claimants receive compensation while also protecting the insurance company from fraudulent claims.

The other roles mentioned, such as selling insurance policies, managing customer service interactions, or filing reports, serve different functions within the insurance industry, and they do not involve the evaluation and determination of claims, which is the core responsibility of a claims adjuster.

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