Adjuster
Definition
The claims professional at the insurance carrier or TPA who manages individual workers' compensation claims, including investigating compensability, authorizing benefits, coordinating medical treatment and evaluations, negotiating settlements, and making decisions on claim-related issues.
Related Terms
Frequently Asked Questions
What is a Adjuster?
The claims professional at the insurance carrier or TPA who manages individual workers' compensation claims, including investigating compensability, authorizing benefits, coordinating medical treatment and evaluations, negotiating settlements, and making decisions on claim-related issues.
How does adjuster affect a workers' compensation claim?
Adjuster plays an important role in determining the outcome of a workers' compensation claim in California. Understanding this concept helps injured workers, attorneys, and physicians navigate the claims process more effectively.