Claims Adjuster Mock Interview

Practice 35 Claims Adjuster interview questions covering liability assessment, fraud detection, and settlement negotiations.

Question 1 of 35

Are you comfortable contacting physicians regarding claims involving injuries?

Why the Interviewer Asks This Question
Example Answer
Entry Level
Experienced
Community Answers

Krista Wenz

Krista Wenz has been on thousands of interview panels hiring EMS professionals and firefighters for public and private agencies.

When it comes to claims adjusters, there are different types who work closely with physicians depending on the nature of the claim. For medical claims, there are medical claims adjusters who have specialized knowledge and experience in the medical field. They work closely with physicians to ensure that the claim is handled properly and that the injured party receives the medical attention they need. Additionally, there are also workers' compensation claims adjusters who work with physicians to determine the extent of an employee's injury and the proper compensation they are entitled to.

The interviewer wants to know if you bring experience with engaging physicians from previous roles. Your ability to interact with physicians confidently and professionally will significantly impact your success if hired for the position. It is essential to have a good understanding of medical terminology and be comfortable asking questions to gather the necessary information. Talk to the interviewer about when you had to work directly with a doctor on a claim and how you felt comfortable doing so.

Krista Wenz

Krista Wenz has been on thousands of interview panels hiring EMS professionals and firefighters for public and private agencies.

"Yes, I am. Last week, I was asked to research a claim that called for a conversation with the physician. I was able to relay the information to him, and he confirmed and denied any parts of the claim. I find that you need to be fast-paced and concise in your communication with physicians as they are swamped."

Krista Wenz

Krista Wenz has been on thousands of interview panels hiring EMS professionals and firefighters for public and private agencies.

"I have not worked at this level yet. However, I am confident in my ability to speak with physicians concisely and professionally. I would gladly accept any additional training from your senior adjusters in this area. I come willing to learn and improve!"

Rachelle Enns

Rachelle Enns is an interview coach and job search expert. She works with candidates to perform their best in employment, medical, and post-secondary admission interviews.

"Yes, I have worked with physicians on many claims during my nine-year career as an adjuster. I am more than comfortable speaking with professionals at any level. With physicians, I have found that you need to be well-organized and to the point. Showing respect for their extraordinarily busy days is key to communication with them."

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Anonymous Answer

I am very comfortable contacting physicians. I have worked on many files that require detailed written orders & I reached out daily to physicians to obtain them. Also, I would reach out to physicians to clarify injuries & diagnoses to make sure we were fulfilling the request with the correct items & scheduling the correct exams.

Rachelle's Feedback

Great examples of your related work. Your response is confident and to the point. Well done.

Anonymous Answer

I am comfortable contacting physicians and their staff. I have several years of experience contacting physicians for info and authorizations. I've learned it is best to be polite, professional, and have questions organized to make these calls as quick as possible; their time is valuable and they expect it to be treated as such.

Marcie's Feedback

Great! Discussing your experience in this area and explaining what you do to make the calls go smoothly and efficiently shows that you are knowledgeable and capable. Providing a specific example of a time when you worked with a physician in this capacity would strengthen your answer.

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35Claims Adjuster Interview Questions & Answers

Compatibility

1.Are you comfortable contacting physicians regarding claims involving injuries?

Compatibility

2.Are you comfortable contacting legal counsel regarding claims involving injuries or crime?

Job Satisfaction

3.Being a claims adjuster can be stressful. How can we motivate you, even on the toughest days?

Direct

4.Tell me why you are the right fit for our claims adjuster position.

Creative Thinking

5.When you have difficulty persuading someone to your point of view, what do you do?

Role-Specific

6.How would you describe your relationship with your clients?

Career Goals

7.Have you progressed in your claims career as you have expected?

Discovery

8.What are you currently working on for self-development?

Technical

9.What types of claims-related programs and software are you well versed in?

Diligence

10.Do you always double-check or proofread your work?

Career Goals

11.Where do you see yourself in 5 years?

Organizational

12.How do you handle a larger than average workload?

Communication

13.As a claims adjuster, you will face clients in distress. How will you handle communication with individuals in distress?

Compatibility

14.How well do you understand the insurance industry?

Education

15.Tell me about your post-secondary education. What was your best course, and which one gave you the most difficulty?

Salary

16.What are your salary expectations?

Performance Based

17.We are asking for 8 years of industry experience and you have just 5. Why do you think you are qualified for this position?

Leadership

18.Tell me about your leadership qualities.

Creative Thinking

19.When have you taken an existing process and used your own creativity to make it better?

Direct

20.Tell me about yourself.

Discovery

21.When would you be available to start?

Job Satisfaction

22.What is the most important thing you are looking for in your next company?

Ask The Interviewer

23.What questions do you have for me?

Communication

24.Would you say you are a better verbal or written communicator?

Tough

25.Have you ever broken a confidentiality agreement?

Tough

26.How could our company improve?

Problem Solving

27.Can you tell me about your experience in handling complex claims?

Critical Thinking

28.How do you approach a claim that seems suspicious or potentially fraudulent?

Communication

29.What strategies do you use to negotiate settlements with claimants?

Role-Specific

30.How do you ensure that claims are processed in a timely and efficient manner?

Role-Specific

31.Can you walk me through your process for investigating a claim?

Conflict

32.How do you handle conflicts or disagreements with other members of the claims team?

Problem Solving

33.Can you give an example of a particularly challenging claim you handled and how you resolved it?

Diligence

34.How do you stay up-to-date with changes in laws and regulations that impact claims processing?

Customer Service

Claims Adjuster Mock Interview

Are you comfortable contacting physicians regarding claims involving injuries?

35Claims Adjuster Interview Questions & Answers

1.Are you comfortable contacting physicians regarding claims involving injuries?

2.Are you comfortable contacting legal counsel regarding claims involving injuries or crime?

3.Being a claims adjuster can be stressful. How can we motivate you, even on the toughest days?

4.Tell me why you are the right fit for our claims adjuster position.

5.When you have difficulty persuading someone to your point of view, what do you do?

6.How would you describe your relationship with your clients?

7.Have you progressed in your claims career as you have expected?

8.What are you currently working on for self-development?

9.What types of claims-related programs and software are you well versed in?

10.Do you always double-check or proofread your work?

11.Where do you see yourself in 5 years?

12.How do you handle a larger than average workload?

13.As a claims adjuster, you will face clients in distress. How will you handle communication with individuals in distress?

14.How well do you understand the insurance industry?

15.Tell me about your post-secondary education. What was your best course, and which one gave you the most difficulty?

16.What are your salary expectations?

17.We are asking for 8 years of industry experience and you have just 5. Why do you think you are qualified for this position?

18.Tell me about your leadership qualities.

19.When have you taken an existing process and used your own creativity to make it better?

20.Tell me about yourself.

21.When would you be available to start?

22.What is the most important thing you are looking for in your next company?

23.What questions do you have for me?

24.Would you say you are a better verbal or written communicator?

25.Have you ever broken a confidentiality agreement?

26.How could our company improve?

27.Can you tell me about your experience in handling complex claims?

28.How do you approach a claim that seems suspicious or potentially fraudulent?

29.What strategies do you use to negotiate settlements with claimants?

30.How do you ensure that claims are processed in a timely and efficient manner?

31.Can you walk me through your process for investigating a claim?

32.How do you handle conflicts or disagreements with other members of the claims team?

33.Can you give an example of a particularly challenging claim you handled and how you resolved it?

34.How do you stay up-to-date with changes in laws and regulations that impact claims processing?

35.Can you describe your approach to providing excellent customer service to claimants?