35 Claims Adjuster Interview Questions & Answers
Below is a list of our Claims Adjuster interview questions. Click on any interview question to view our answer advice and answer examples. You may view 10 answer examples before our paywall loads. Afterwards, you'll be asked to upgrade to view the rest of our answers.
Table of Contents
- 1. Ask The Interviewer Questions
- 2. Career Goals Questions
- 3. Communication Questions
- 4. Compatibility Questions
- 5. Conflict Questions
- 6. Creative Thinking Questions
- 7. Critical Thinking Questions
- 8. Customer Service Questions
- 9. Diligence Questions
- 10. Direct Questions
- 11. Discovery Questions
- 12. Education Questions
- 13. Job Satisfaction Questions
- 14. Leadership Questions
- 15. Organizational Questions
- 16. Performance Based Questions
- 17. Problem Solving Questions
- 18. Role-Specific Questions
- 19. Salary Questions
- 20. Technical Questions
- 21. Tough Questions
Ask The Interviewer
1. What questions do you have for me?
Why the Interviewer Asks This Question
Having two or three questions ready for the interviewer is always a great idea. Review the company website and other online resources to ensure your questions are not mundane or redundant. The last thing an interviewer wants to hear is a list of items you could have found the answers to from merely watching a video on their company site! Here are a few good questions to consider asking:
1. Ask about the company culture and work environment.
2. Inquire how the interviewer sees the role of a claims adjuster evolving over the next few years.
3. Ask about the training and development opportunities available for employees in this role.
4. Ask the interviewer to provide an example of a challenging claim a previous adjuster had to handle and how they resolved it.
5. Ask what are some of the biggest challenges the claims department faces and how the company is addressing them.
Asking thoughtful questions like these can help you better understand the company and the role and demonstrate your interest and enthusiasm for the position.
Written by Krista Wenz on June 13th, 2023
Entry Level Example
"Thank you for asking - I do have a few questions. What is top of mind when it comes to filling this role? Also, what types of career growth opportunities would follow this position? And lastly, do you have internal candidates also interviewing for this position?"
Written by Krista Wenz on June 13th, 2023
Answer Example
"Thanks for asking. A few questions come to mind. What type of growth are you expecting to see in the next twelve months? Also, what impact is most important for me to make immediately after starting this role?"
Written by Krista Wenz on June 13th, 2023
Experienced Example
"I appreciate having the opportunity to ask questions. I do have a few questions for you. Why is this position open? Also, what are the issues currently facing the claims department, and how is the company addressing them?"
Written by Krista Wenz on June 13th, 2023
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What are some challenges one comes across in this role & how have they overcome them?
What accomplishments would you like to see in me in 90 days?
Based on our conversation today, is there anything about me leaving you with hesitancy with hiring me for the position?"
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When would you like the position filled?
Is there anything from my background and experience that I can clarify for you?"
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In our conversation today, is there an area of my experience that you feel could be improved for this position? What could I do in this area that can be better developed in the future?"
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Career Goals
2. Have you progressed in your claims career as you have expected?
Why the Interviewer Asks This Question
The interviewer wants to gain insight into your long-term goals and aspirations, and how they align with the company's vision. They may also be interested in understanding how you plan to contribute to the company's growth and success, and how your skills and experience can benefit their team. It's important to demonstrate your commitment to advancing your career and pursuing opportunities for growth and development, as this can help showcase your value as a potential team member. Career progression can be a touchy subject, especially if you feel that your career hasn't progressed as well as you would have liked. If your career hasn't progressed as quickly as you would like, explain why.
Written by Krista Wenz on June 14th, 2023
Entry Level Example
"I am pleased with the progress of my claims career since graduating from university. I am proud of my accomplishments and the opportunities presented to me so far. I've had some great mentors in this industry, and I look forward to progressing my claims career with your company."
Written by Krista Wenz on June 14th, 2023
Answer Example
"Overall, my career has progressed slightly slower than I would have liked. I have held a few positions that didn't offer the growth and learning I was expecting; however, I have bounced back nicely. This particular position would take my career exactly where it should be."
Written by Krista Wenz on June 14th, 2023
Experienced Example
"Overall, I am satisfied with my career progression in the claims industry. Everyone, including me, hits roadblocks or setbacks, but I have been able to push through them and stay on track. I am satisfied with my progress and the skills I have developed along the way. I am also proud of my skills in handling challenging claims and how I've gained valuable experience and knowledge in the field. I enjoy working in an industry where I continually learn and grow and am committed to delivering the best results possible for my clients."
Written by Krista Wenz on June 14th, 2023
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Career Goals
3. Where do you see yourself in 5 years?
Why the Interviewer Asks This Question
Hiring a new team member is a time-consuming and often expensive endeavor for a company. While it may be impossible to know where you will be in five years, you should assure the interviewer you see yourself as a long-term fit for their adjuster position. The interviewer also wants to gain insight into your career goals and aspirations. This question is often used to determine whether you have a clear plan for your future and whether your goals align with the company's mission and values. It can also help the interviewer assess your level of ambition and motivation, as well as your ability to set realistic goals and work towards achieving them. Overall, being clear and confident about your career goals and how they align with the company's vision is important.
Written by Krista Wenz on June 14th, 2023
Entry Level Example
"In five years, I would like to be well-respected in the claims industry and have a few new certifications on topics such as liability laws and strategic claims negotiations. In five years, I will have gained valuable experience and knowledge that I can use to make a meaningful impact on your business. I am committed to continually learning and growing in my role and am excited about future opportunities. Ultimately, I want to be a valuable asset to the team and contribute to the company's success."
Written by Krista Wenz on June 14th, 2023
Answer Example
"I see a lot of opportunities for career growth and advancement with your organization. Therefore, I would like to spend the next five years working towards a role with a more prominent management component."
Written by Krista Wenz on June 14th, 2023
Experienced Example
"In five years, I want to be seen as an authority in the insurance industry. I would like to be well-connected and trusted when it comes to my work here and be heavily involved in training new adjusters on topics such as liability laws and industry ethics."
Written by Krista Wenz on June 14th, 2023
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Communication
4. What strategies do you use to negotiate settlements with claimants?
Why the Interviewer Asks This Question
There are many methods and strategies claims adjusters use when negotiating settlements with claimants. A good start is to gain the claimant's trust by listening to their concerns and showing empathy for their situation. By establishing trust and understanding, the adjuster can often reach a mutually beneficial agreement with the claimant.
In addition, adjusters may use persuasive communication techniques to present their case and convince the claimant to accept a settlement offer. This can include using visual aids, providing detailed explanations of the claims process, and highlighting the potential risks of pursuing legal action.
Ultimately, the goal of the adjuster is to reach a settlement that is fair and reasonable for both parties, while avoiding the time and expense of going to court. By using these and other effective negotiation strategies, claims adjusters can successfully resolve claims and provide valuable support to those in need. The interviewer is interested in hearing how you negotiate to assess your communication, reasoning, and persuasion skills to determine if you will be a good fit for their team.
Written by Krista Wenz on June 14th, 2023
Entry Level Example
"As I am new to this field, I have not had the opportunity to gain much experience with negotiating settlements. However, I will approach negotiations with the claimant by first fully understanding the details of the claim. I will listen carefully to the claimant's perspective and concerns, while also considering relevant policy information. My goal will be to find a fair and reasonable solution that meets the needs of both parties, while keeping in mind the company's best interests. In my opinion, effective communication and problem-solving skills will be crucial in successfully negotiating a settlement., which are two of my greatest strengths."
Written by Krista Wenz on June 14th, 2023
Answer Example
"As a claims adjuster, one of the most important strategies I use to negotiate settlements with claimants is to approach the process with empathy and understanding. I try to put myself in the shoes of the claimant and understand the impact that the incident has had on their life. This allows me to have a more productive conversation with them, and work towards a settlement that is fair and reasonable.
Another strategy I use is to be transparent and communicate clearly with the claimant. I make sure they understand the details of their claim, the settlement process, and any relevant laws or regulations that may impact their case. This helps to build trust and ensures that the claimant feels comfortable with the settlement process.
Finally, I always strive to find a solution that benefits both the claimant and the insurance company. This may involve creative solutions such as offering a lump sum payment or working out a payment plan. By approaching negotiations with a focus on finding a mutually beneficial solution, we can often reach a settlement that satisfies both parties and avoids the need for a lengthy and costly legal battle."
Written by Krista Wenz on June 14th, 2023
Experienced Example
"As a skilled claims adjuster, I approach settlement negotiations with confidence and empathy. By putting myself in the claimant's shoes and understanding the impact the incident has had on their life, I can have productive conversations that lead to fair and reasonable settlements.
Clear and transparent communication is also crucial in the negotiation process. I ensure the claimant fully comprehends the details of their claim, the settlement process, and any relevant legal regulations. This builds trust and confidence in the process, making the claimant feel comfortable and heard.
My ultimate goal is to find a mutually beneficial solution for both the claimant and the insurance company. I am not afraid to explore creative solutions, such as lump sum payments or payment plans, in order to reach a settlement that satisfies both parties. This approach often avoids the need for a lengthy and costly legal battle, saving time and resources for all involved."
Written by Krista Wenz on June 14th, 2023
Communication
5. Would you say you are a better verbal or written communicator?
Why the Interviewer Asks This Question
The interviewer asks if you are a better verbal or written communicator because effective communication is essential for success in this role. As a claims adjuster, you must communicate with various individuals, including clients, witnesses, and other professionals in the industry. It is important to be able to clearly and succinctly convey information both verbally and in writing. By understanding your strengths and weaknesses in communication, the interviewer can better assess if you are the right fit for the job. Let the interviewer know where your strengths lie as a communicator while highlighting that you excel in both verbal and written communication.
Written by Krista Wenz on June 14th, 2023
Entry Level Example
"I do not lean one way or another regarding verbal or written communication. Both are equally important to me. If I have to choose just one, I will choose written communication as one can always look back on written communication for reference."
Written by Krista Wenz on June 14th, 2023
Answer Example
"I prefer verbal communication because I feel that a lot can be misread with written communication due to lack of tone, fluctuation, expression, and body language. I will always choose a face-to-face conversation whenever possible. However, although I feel I am a better verbal communicator, I also excel in my written communication and documentation."
Written by Krista Wenz on June 14th, 2023
Experienced Example
"I like to leverage both methods of communication in the workplace. Sometimes, situations call for verbal communication, and other times, written. As a rule of thumb, I tend to practice verbal communication with written follow-up or vice versa. Utilizing multiple methods creates repetition and, therefore, change."
Written by Krista Wenz on June 14th, 2023
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Communication
6. As a claims adjuster, you will face clients in distress. How will you handle communication with individuals in distress?
Why the Interviewer Asks This Question
As a claims adjuster, being empathetic to those in distress is required. The interviewer wants to see that you listen carefully to the person's concerns, validate their emotions, and are clear and transparent about the claims process and what the client can expect. Building trust and rapport with the customer is critical to ensuring a successful outcome for both parties. And, as you know, effective communication and a compassionate approach can go a long way in helping individuals in distress navigate the claims process. Assure the interviewer that you can communicate well with individuals while discussing how you interact in these circumstances.
Written by Krista Wenz on June 14th, 2023
Entry Level Example
"I will handle communication with all clients using great listening skills, empathy, and open communication. Everyone deserves to feel listened to, no matter their level of distress. However, it can be difficult for someone who has experienced damage or loss to remain calm and rational, so I must listen carefully and remain patient. I would actively listen to their concerns and validate their feelings while providing clear and concise information to help them understand the claims process. Additionally, I aim to be transparent and honest throughout our interactions while maintaining professionalism and respect. Ultimately, my goal would be to help alleviate their distress and provide them with the support they need to move forward."
Written by Krista Wenz on June 14th, 2023
Answer Example
"I am always empathetic with clients in distress. I understand that claims are often emotional for others, and I try to be mindful of that. I actively listen to their concerns while taking notes at a pace that makes the client feel comfortable. After they have voiced their concerns, I answer their questions and explain what happens next in the claims process."
Written by Krista Wenz on June 14th, 2023
Experienced Example
"Individuals in distress often need to be handled a bit gentler and with more empathy than the average client. I let my clients know they are in good hands, listened to, and cared for. My clients and previous supervisors have said nice things about me and my communication methods over the years."
Written by Krista Wenz on June 14th, 2023
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Compatibility
7. Are you comfortable contacting legal counsel regarding claims involving injuries or crime?
Why the Interviewer Asks This Question
The interviewer wants to know if you bring experience engaging legal professionals in your claims. As a claims adjuster, it is essential to be professional and organized as you will be required to communicate with other professionals. You may work with legal counsel in situations where there are complex legal issues that need specialized knowledge or expertise. This can include cases where there are disputes over liability or damages or concerns about potential legal liability. In these cases, you may need to consult with an attorney to ensure you are following the correct legal procedures and that they are making fair and accurate assessments of the situation. Additionally, you may work with legal counsel if there is a need to negotiate a settlement or other legal issues that need to be addressed.
Talk to the interviewer about when you had to work directly with anyone involved in law while investigating a claim. Assure them you can handle a task like this and feel comfortable doing so.
Written by Krista Wenz on June 15th, 2023
Entry Level Example
"I am comfortable working with legal counsel when needed. Last week, I was asked to assist on a claim which called for a conversation with the claimant's lawyer. It was a great learning experience for me as I shadowed the senior claims adjuster and took a lot of notes regarding his communication methods. I found the attorneys were quite patient and helpful when there was something we did not understand, and I am excited to gain more experience working with legal counsel."
Written by Krista Wenz on June 15th, 2023
Answer Example
"Yes, I am. I have had some exposure in dealing with legal counsel, including working with a couple of prosecutors on a fraudulent claim I had a couple of years ago. I am trained and prepared to handle higher-level claims that require working with legal professionals."
Written by Krista Wenz on June 15th, 2023
Experienced Example
"Yes, I have worked with legal professionals on many claims during my nineteen-year career as an adjuster. I am more than comfortable speaking with professionals at any level. With lawyers, I have found that you need to be well-organized and to the point."
Written by Krista Wenz on June 15th, 2023
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Compatibility
8. Are you comfortable contacting physicians regarding claims involving injuries?
Why the Interviewer Asks This Question
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.
Written by Krista Wenz on June 15th, 2023
Entry Level Example
"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!"
Written by Krista Wenz on June 15th, 2023
Answer Example
"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."
Written by Krista Wenz on June 15th, 2023
Experienced Example
"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."
Written by Rachelle Enns
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Compatibility
9. How well do you understand the insurance industry?
Why the Interviewer Asks This Question
The interviewer asks how well you understand the insurance industry because it is a crucial aspect of the job. As a claims adjuster, you will be responsible for investigating insurance claims and determining the amount of compensation that the claimant is entitled to. To do this effectively, you need to understand the insurance industry, including the different types of policies, coverage limits, and claims procedures involved. By asking about your understanding of the insurance industry, the interviewer is trying to determine whether you have the necessary knowledge and expertise to perform the job successfully. Let the interviewers know how much experience you have in the insurance industry, showing you have the skills and expertise they seek. If you are new to the field, describe what you know about the industry and how you will learn quickly under the mentorship of a senior claims adjuster.
Written by Krista Wenz on June 15th, 2023
Entry Level Example
"I am newer to the insurance industry; however, I recently obtained my adjuster's license and feel extremely prepared for this role. While taking the course, I learned a great deal about how insurance works. I understand the importance of accurate claims and am confident I would be a fantastic adjuster. I am also eager to learn and gain hands-on experience working under a senior adjuster."
Written by Krista Wenz on June 15th, 2023
Answer Example
"I have a strong understanding of the industry from working as an adjuster for the past four years. I like to keep updated on new policies and industry-related changes to ensure I am always on top of advancements in the industry."
Written by Krista Wenz on June 15th, 2023
Experienced Example
"I am an expert in the insurance industry and have trained upwards of fifteen new claims adjusters over my ten-year career. I would consider myself a subject matter expert in general insurance and liability laws."
Written by Krista Wenz on June 15th, 2023
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Conflict
10. How do you handle conflicts or disagreements with other members of the claims team?
Why the Interviewer Asks This Question
The interviewer wants to know how you handle conflicts or disagreements with other claims team members because they want to ensure that you can work effectively in a group and resolve any issues that may arise professionally and diplomatically. As a claims adjuster, it's essential to be able to collaborate with others and communicate effectively to ensure that claims are processed efficiently and accurately. Your ability to handle conflicts and disagreements can also impact your relationships with clients, so it's important to demonstrate that you have the necessary skills to address any challenges that may come your way.
Written by Krista Wenz on June 15th, 2023
Entry Level Example
"While I have not had a disagreement with anyone on the claims team, I would approach the situation with an open mind and try to understand all perspectives. Communication is key, and I would encourage everyone to share their thoughts and feelings. I also try to find common ground and devise a solution that benefits everyone. As a claims adjuster, I aim to ensure that the claims process runs smoothly and efficiently while maintaining a positive and respectful work environment."
Written by Krista Wenz on June 15th, 2023
Answer Example
"When conflicts or disagreements arise with other members of the claims team, I believe it's important to approach the situation with an open mind and a willingness to listen to different perspectives. I try to understand the other person's point of view and find common ground to work toward a resolution that benefits everyone involved. Communication is key in these situations, and I strive to maintain a respectful and professional tone throughout the process. Ultimately, the goal is to reach a mutual agreement that upholds our shared values of fairness and accuracy in claims processing."
Written by Krista Wenz on June 15th, 2023
Experienced Example
"When faced with conflict or disagreements with coworkers, I always ask to speak to my team member privately. I believe it's important to remain calm and professional, even in the midst of heated discussions. I like to find common ground and work toward a fair and beneficial solution for everyone involved. If we could not resolve the issue, I would seek guidance from a supervisor or manager to ensure the matter is handled properly and efficiently. I always hope to resolve the conflict in a respectful and productive manner while keeping the best interests of the clients and the company in mind."
Written by Krista Wenz on June 15th, 2023
Creative Thinking
11. When you have difficulty persuading someone to your point of view, what do you do?
Why the Interviewer Asks This Question
During your interview, the interviewer will ask you situational questions to see how you respond when put on the spot. This question is important because in the insurance industry, you will often encounter clients who may disagree with your assessment of a claim. In such cases, it is crucial to possess excellent communication and negotiation skills to persuade them while maintaining a professional demeanor. When faced with such a situation, the interviewer wants to hear that you listen carefully to the client's concerns and try to understand their perspective. Then, they want to see you explain your reasoning to the client and provide evidence to support your assessment. If necessary, describe how you also consider alternative solutions and compromise to reach a mutually beneficial outcome. Ultimately, your goal is to ensure the client is satisfied with the claim resolution while upholding the company's policies and standards.
Written by Krista Wenz on June 16th, 2023
Entry Level Example
"I have written many persuasion pieces during my time in university. I believe those experiences and my growing understanding of the insurance industry will equal great persuasion and negotiation skills in no time! So, this is how I plan to approach a client who is not seeing things from my point of view. I believe it's important to listen to their concerns and address them directly. I will start by acknowledging their perspective and expressing my understanding of their situation. From there, I can provide clear and concise explanations for why I believe my point of view is the best course of action. By staying calm, professional, and empathetic, I can help my client feel heard and confident in my abilities as their claims adjuster. Then, I will remind them that my ultimate goal is to find a fair and equitable solution for everyone involved."
Written by Krista Wenz on June 16th, 2023
Answer Example
"As a claims adjuster, my judgment is often questioned by clients who may not like the conclusion that I have come to on their claim. This is where strong persuasion skills come in. I must show the client my findings and assure them that the assessment is fair. I do so simply by stating the facts and taking emotion out of it."
Written by Krista Wenz on June 16th, 2023
Experienced Example
"They say a great negotiation is when both parties feel they have gained something and lost something. When I need to persuade someone to see my side, I will focus on what they are gaining and what I am losing based on their agreeance. I have been in the claims industry for twelve years now, so my deep knowledge base helps to lend itself to my persuasion skills as well."
Written by Rachelle Enns
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Creative Thinking
12. When have you taken an existing process and used your own creativity to make it better?
Why the Interviewer Asks This Question
The interviewer asks this question to assess your problem-solving skills and ability to think outside the box. They want to know if you are capable of improving upon existing processes and if you have the creativity and innovation to do so. Your answer should showcase a time when you were able to identify a problem with a process and offer a solution that improved its efficiency or effectiveness. This demonstrates that you are a proactive and solution-oriented individual capable of driving positive change within an organization.
One example of taking an existing process and using your own creativity to make it better could be streamlining the claims process. This could be accomplished by implementing a user-friendly system for customers to file their claims online, reducing the time it takes to process a claim. Another example would be to develop a more efficient method for tracking and managing claims, allowing for more accurate and timely processing of claims. If you are new to the industry and do not have an example to provide as a claims adjuster, use an example from a previous job.
Written by Krista Wenz on June 16th, 2023
Entry Level Example
"I do not go into a position looking to make changes for the sake of change, but I do look creatively at processes and look for ways to improve efficiency and reduce costs. I recently took a project management process that my team was using and added my own creative touch to make it more efficient. I introduced a new tool that allowed us to track our progress more easily and provided more visibility into the project timeline. This helped us identify potential roadblocks and take corrective action before they became major issues. Overall, the new process has improved our productivity and collaboration, and we are seeing great results thanks to the creativity I brought to the table."
Written by Krista Wenz on June 16th, 2023
Answer Example
"Last month, my supervisor asked me to take our existing adjuster training package and improve it. My goal was to make the system more engaging for new recruits. Once we implemented my ideas, we increased our new trainee retention rate by 16%. I was quite proud of what my creativity could do!"
Written by Krista Wenz on June 16th, 2023
Experienced Example
"I like to use my creativity when it comes to new software and time management processes. Recently I made some recommendations for team messaging applications and project management software that would streamline our claims processes. These suggestions are currently under review."
Written by Rachelle Enns
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Critical Thinking
13. How do you approach a claim that seems suspicious or potentially fraudulent?
Why the Interviewer Asks This Question
According to a March 2023 study, between 10% and 20% of insurance claims are fraudulent. The interviewer asks this question to determine your process when you have a suspicious claim. When encountering a suspicious or potentially fraudulent claim, it is essential to approach it with caution and conduct a thorough investigation. Start by gathering all relevant information about the claim and the claimant, including any documentation or evidence provided. Look for any inconsistencies or red flags that may indicate fraud. Conduct interviews with the claimant and any witnesses to gather additional information and consult with experts in a particular field if necessary. Throughout the investigation, maintain open communication with the claimant andinform themd of any updates or findings. If evidence of fraud is discovered, report it to the appropriate authorities and take steps to prevent further fraudulent activity. The key is to remain objective, gather as much information as possible, and ensure a fair and accurate resolution. Describe your approach to these situations.
Written by Krista Wenz on June 16th, 2023
Entry Level Example
"As a new claims adjuster, I would approach a suspicious or potentially fraudulent claim with caution and a thorough investigation. I would gather all necessary information about the claim, including the incident report, medical records, and other relevant documents. I would also interview witnesses and any parties involved in the claim.
If the evidence suggests the claim may be fraudulent, I would escalate the claim to a senior claims adjuster or special investigations unit for further review. I would also work closely with law enforcement and other relevant authorities to identify and address any potentially fraudulent activity.
As a claims adjuster, I understand it is essential to remain impartial and objective in all cases and to always prioritize the best interests of the policyholder and insurance companies best interests. By conducting a thorough investigation and following proper procedures, I can help ensure that all claims are handled fairly and accurately while protecting against potential fraud."
Written by Krista Wenz on June 16th, 2023
Answer Example
"When I have a claim that raises suspicion, I always keep an open mind and do not jump to conclusions. I understand that sometimes what may seem suspicious at first glance may have a reasonable explanation. However, if I still have concerns about the legitimacy of the claim after my investigation, I will escalate it to the appropriate authorities for further review. Ultimately, I aim to ensure all claims are handled fairly and accurately while protecting the company from any potential fraud."
Written by Krista Wenz on June 16th, 2023
Experienced Example
"When it comes to handling suspicious claims, I keep a few key things in mind. First and foremost, I always approach each claim with an open mind and a willingness to investigate thoroughly. This means gathering as much evidence and information as possible and never making assumptions or jumping to conclusions.
Another important factor is communication. I make sure to keep the claimant informed throughout the process, explaining my findings and the reasoning behind any decisions made. This helps to build trust and transparency and can often diffuse any potential suspicion or hostility.
Of course, there are also certain red flags that I look out for when assessing a claim. These can include inconsistencies in the story, lack of documentation or evidence, or a history of previous claims. If something seems off, I will always dig deeper to get to the bottom of it.
Ultimately, my goal is to ensure that each claim is handled fairly and impartially while protecting the interests of the insurance company and its policyholders. By staying vigilant and following a thorough investigative process, I am able to achieve this goal and maintain the trust and confidence of all parties involved."
Written by Krista Wenz on June 16th, 2023
Customer Service
14. Can you describe your approach to providing excellent customer service to claimants?
Why the Interviewer Asks This Question
When the interviewer asks how you provide excellent customer service as a claims adjuster, they are looking for specific examples of how you have gone above and beyond to ensure customer satisfaction. This could include demonstrating empathy, actively listening to their concerns, providing clear and concise explanations of the claims process, and following up with claimants regularly to keep them informed.
It's important to showcase your ability to handle difficult situations professionally and highlight any experience working with clients from diverse backgrounds. Ultimately, the interviewer wants to know that you have the skills and mindset needed to provide top-notch customer service and to represent the company in a positive light.
Written by Krista Wenz on June 16th, 2023
Entry Level Example
"As a newly licensed claims adjuster, my approach to providing excellent customer service to claimants will be to always listen carefully to their concerns and needs and to remain empathetic and patient throughout the process. I understand filing a claim can be a stressful and overwhelming experience, and it is my goal to make the process as smooth and efficient as possible for the claimant. I will always communicate clearly and effectively and keep the claimant informed every step of the way. Additionally, I will strive to be fair and objective in my assessments and to always act with the utmost integrity and professionalism. My priority is to ensure the claimant receives the support and assistance they need to resolve their claim in a timely and satisfactory manner."
Written by Krista Wenz on June 16th, 2023
Answer Example
"My approach to providing excellent customer service to claimants is to always listen carefully to their concerns and needs. I make sure to answer their questions thoroughly and provide them with clear explanations of the claims process and their options. I also strive to be empathetic and understanding of their situations, as I know that being in a claim can be a stressful and difficult experience. I am always respectful and professional in my interactions with them, and I work hard to ensure their claims are handled efficiently and fairly. As a claims adjuster, my goal is to provide claimants with the best possible service and to help them get the results they need to move forward."
Written by Krista Wenz on June 16th, 2023
Experienced Example
"I am committed to providing exceptional customer service to claimants by attentively listening to their concerns and displaying unwavering empathy and patience throughout the process. I fully comprehend that filing a claim can be an arduous and stressful experience, so I strive to make the process as effortless and efficient as possible for the claimant. I ensure their complete satisfaction by communicating clearly and effectively and keeping the claimant informed at every step of the way. My assessments are fair and objective, and I always act with integrity and professionalism. My top priority is to ensure the claimant receives the support and assistance they require to resolve their claim in a timely and satisfactory manner."
Written by Krista Wenz on June 16th, 2023
Diligence
15. How do you stay up-to-date with changes in laws and regulations that impact claims processing?
Why the Interviewer Asks This Question
As a claims adjuster, it's essential to stay up-to-date with changes in laws and regulations that impact claims processing. One way to do this is by attending training sessions and seminars offered by professional organizations. Another option is subscribing to industry publications and participating in online forums and discussions. It's also important to regularly review and update company policies and procedures to ensure compliance with any new laws or regulations. By staying informed and proactive, you can provide the best possible service to your clients while minimizing risk and avoiding legal issues. Describe to the interviewer how you stay up-to-date to assure them you are a diligent and responsible adjuster.
Written by Krista Wenz on June 17th, 2023
Entry Level Example
"As a new claims adjuster, I plan to stay up-to-date with changes in laws and regulations that impact claims processing by attending training seminars, conferences, and workshops. I will also subscribe to industry newsletters and publications to stay informed about any new developments in the field. Additionally, I will collaborate with my colleagues and seek guidance from more experienced adjusters to ensure that I am processing claims accurately and in compliance with all applicable laws and regulations. Keeping up-to-date with changes in laws and regulations is crucial for providing the best possible service to our clients and maintaining the integrity of our company."
Written by Krista Wenz on June 17th, 2023
Answer Example
"To ensure I'm always on top of any changes, I prioritize attending industry conferences and seminars, reading industry publications, and participating in ongoing professional development opportunities. Additionally, I regularly communicate with colleagues and experts in the field to stay informed on any new developments and best practices. By staying informed and proactive, I can ensure that I'm providing the best possible service to my clients and accurately assessing claims."
Written by Krista Wenz on June 17th, 2023
Experienced Example
"As a skilled claims adjuster, it's essential to stay up-to-date with all the latest changes in laws and regulations that impact claims processing. I ensure that I'm always one step ahead by attending industry conferences and seminars, reading industry publications, and engaging in ongoing professional development opportunities. Furthermore, I regularly keep in touch with my colleagues and industry experts to stay informed on new developments and best practices. With my proactive approach, I'm able to provide top-notch service to my clients and assess claims with pinpoint accuracy."
Written by Krista Wenz on June 17th, 2023
Diligence
16. Do you always double-check or proofread your work?
Why the Interviewer Asks This Question
As a claims adjuster, it is crucial to proofread your work before submitting it. This ensures that your reports are error-free and accurate. Mistakes can lead to misunderstandings and delays in the claims process, ultimately impacting the policyholder's satisfaction and the company's bottom line. By taking the time to carefully review and edit your work, you can avoid these issues and ensure that you are providing the best possible service to your clients and your employer. Additionally, proofreading shows attention to detail and professionalism, which are essential qualities in the insurance industry. Double-checking your work is a simple but essential step to help you excel as a claims adjuster. Assure the interviewer that you are diligent in providing good, clean, and reliable work.
Written by Krista Wenz on June 17th, 2023
Entry Level Example
"Yes, I always do! During my time at university, I had to submit error-free papers, often under high amounts of pressure and tight deadlines. Triple-checking my work is a habit at this point."
Written by Krista Wenz on June 17th, 2023
Answer Example
"Spelling and grammatical errors are a pet peeve of mine, so I will triple-check my work if there is time! It is essential to submit error-free work, especially as an adjuster."
Written by Krista Wenz on June 17th, 2023
Experienced Example
"Yes, I always proofread my work before submitting it for review. I understand the importance of accuracy in this field, and I prioritize attention to detail. I have developed several proofreading techniques and strategies to catch any potential errors or mistakes, including reading my work out loud, using spell check and grammar check tools, and taking breaks to come back to my work with fresh eyes. Taking the time to thoroughly review my work ensures that I provide the highest quality service to my clients and employer."
Written by Krista Wenz on June 17th, 2023
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Direct
17. Tell me why you are the right fit for our claims adjuster position.
Why the Interviewer Asks This Question
A successful hire needs to feel like the right fit for both parties. By researching the company before your interview, you are telling the hiring manager that you are interested in the position. Discuss with the interviewer some points that stood out to you during your research. It's also important to highlight your relevant skills and experience. You should emphasize your ability to analyze information and make informed decisions and your strong communication skills. You can also mention any experience you have in the insurance industry or a related field. You can demonstrate why you are the ideal candidate for the position by showcasing your qualifications and enthusiasm for the role.
Written by Krista Wenz on June 17th, 2023
Entry Level Example
"I am good at what I do, motivated, and excited to put my recent education to work for your esteemed organization. Your branch offers an exciting opportunity for me to hit the ground running in a career as a claims adjuster, and I won't let you down! I am comfortable working in a fast-paced environment and can quickly adapt to new technologies and systems. Overall, I am confident that my skills and experience make me an ideal candidate for the role of claims adjuster at your organization."
Written by Krista Wenz on June 17th, 2023
Answer Example
"I have researched your company online, including your website, online reviews, and on glassdoor.com. Some points that stuck out to me were that your agency is very community-minded, puts its customers first, and you reward your employees for their dedication. These are all traits I am looking for in my next place of employment, and I feel I am an excellent fit as I hold the same values."
Written by Krista Wenz on June 17th, 2023
Experienced Example
"I am confident I am the right fit for your claims adjuster position because of my extensive experience in the field. I have worked in the insurance industry for over ten years, and during that time, I have gained a deep understanding of the claims process and the importance of accuracy and efficiency in handling claims. I am skilled at investigating claims, assessing damages, and negotiating settlements, and I am committed to providing exceptional customer service throughout the process. I am also experienced in working with a variety of stakeholders, including policyholders, attorneys, and medical professionals, and I am adept at managing multiple tasks and priorities simultaneously. My experience, skills, and commitment to excellence make me an excellent candidate for your claims adjuster position."
Written by Krista Wenz on June 17th, 2023
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Direct
18. Tell me about yourself.
Why the Interviewer Asks This Question
When an interviewer asks an open-ended question like this, knowing where to begin, and end, can be challenging! This question haunts many individuals who may accidentally go too in-depth into their personal lives. It happens. Keep your reply light, and work relevant. You can also share how you became interested in a career within claims and what you enjoy about it. This question offers an excellent opportunity to describe yourself by discussing the strengths and qualities you will bring to the company if hired.
Written by Krista Wenz on June 18th, 2023
Entry Level Example
"I would say that I am both analytical and creative, I'm extroverted at times, but I like to hunker down and work independently to knock out my deadlines. When not at work, I love attending musicals, museums, and traveling. It is something I love, and I think it helps me expand my horizons on how I approach my day-to-day work."
Written by Krista Wenz on June 18th, 2023
Answer Example
"I am a very straightforward, detail-oriented person with great communication skills. I think these things help me a great deal in this role. I have 5+ years of experience as a claims adjuster, and I enjoy the challenge of the work. I like to work on behalf of my clients and help them resolve disputes. I have been in their position myself, so I know the amount of stress they can feel during the claims process. I am also an avid reader and have been in a book club with some good friends for several years. I also love to try out new recipes and get creative in the kitchen. I am excited about this new opportunity with your company, and I believe my experience and skill set will add value to your team."
Written by Krista Wenz on June 18th, 2023
Experienced Example
"I am a highly motivated and committed individual with a thirst for knowledge and personal development. I am constantly seeking opportunities to learn and expand my skill set, and I approach every task with a positive attitude and a willingness to go above and beyond. As a team player, I understand the importance of collaboration and communication, and I am always looking for ways to contribute and help others succeed. When I'm not working, I enjoy immersing myself in a good book, exploring new hiking trails, and spending quality time with my loved ones. I am optimistic about the future and am excited to continue growing personally and professionally."
Written by Krista Wenz on June 18th, 2023
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Discovery
19. What are you currently working on for self-development?
Why the Interviewer Asks This Question
When the interviewer asks what you're currently working on for self-development as a claims adjuster, they are trying to gain insight into your personal and professional goals. They want to know that you are committed to improving yourself and are proactively seeking out new skills and knowledge to enhance your job performance. This is especially important in a fast-paced, ever-changing industry like insurance, where staying up-to-date on the latest trends and technologies is essential to providing the best possible service to clients. Be prepared to share specific examples of how you are investing in your growth and development, whether it's through attending industry conferences, taking online courses, or seeking out mentorship opportunities.
Written by Krista Wenz on June 18th, 2023
Entry Level Example
"Great question! My favorite way to invest in myself is to listen to a podcast on my drive home every day. I want to advance into a leadership position in the next five to seven years, so I listen to podcasts that will help me achieve my goals. I am also taking online classes to obtain my Bachelor's Degree in Communications, which will help me advance my career as a claims adjuster."
Written by Krista Wenz on June 18th, 2023
Answer Example
"I am a big proponent of self-development. Currently, I am committing to reading a new development-related book every month. I believe personal growth is a lifelong journey, and these books provide valuable insights and practical advice to help me become the best version of myself. Reading about the experiences of others who have overcome challenges and achieved success also inspires me to push through my own obstacles and pursue my goals with determination and perseverance. These books have been very helpful and also allow me to relax more in my off time."
Written by Krista Wenz on June 18th, 2023
Experienced Example
"I am a huge fan of TED Talks for personal development and listen to one daily while cooking dinner for my family. These talks help me to remain creative in my personal and professional life. They offer a wide range of topics that help me learn something new or gain a new perspective on something I already know. They are often given by experts in their field, so I can trust the information I receive is accurate and helpful. Additionally, TED Talks are typically short and to the point, making them easy to fit into my busy schedule. I believe TED Talks are an excellent resource for anyone looking to improve themselves and their knowledge on various topics."
Written by Krista Wenz on June 18th, 2023
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Discovery
20. When would you be available to start?
Why the Interviewer Asks This Question
Before your interview, make sure you have a start date in mind for the new employer. Whether you need to give two weeks' notice to your previous position or are unemployed and can start immediately, be prepared with an affirmative answer.
If you are currently working, you should always show professionalism by offering two weeks' notice to your current employer. No hiring manager is ever impressed when they hear, 'I can quit my job today and start tomorrow!' Show that you are professional and reliable in all situations.
Written by Krista Wenz on June 18th, 2023
Entry Level Example
"I would need to give a customary two weeks' notice to my current company so that they could choose if they want me to stay and transition accounts or make it my last day. But, out of courtesy to them, I need to let them make the decision."
Written by Rachelle Enns
Answer Example
"As a professional courtesy, I would like to give my current employer two weeks' notice. I could start anytime after that. If my current employer does not require me to finish my two weeks, I could start sooner."
Written by Krista Wenz on June 18th, 2023
Experienced Example
"I would need to give my employer two weeks' notice. Due to my length of employment, it is possible that I may need to work an additional week if they request it of me to aid in the transition to the next adjuster, but I am available immediately following. Can you please clarify your timeline for me?"
Written by Krista Wenz on June 18th, 2023
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Education
21. Tell me about your post-secondary education. What was your best course, and which one gave you the most difficulty?
Why the Interviewer Asks This Question
The interviewer is interested in understanding your academic interests and strengths. Asking about your favorite post-secondary coursework can give them an idea of what you excel in and enjoy learning about. On the other hand, asking about what gave you the most difficulty can help them understand your weaknesses and how you handle challenges. It's important to be honest in your answers and provide specific examples to showcase your abilities and problem-solving skills.
However, a junior claims adjuster may have just a high school diploma or GED and on-the-job training and will not have post-secondary training. If that is the case, choose your favorite and most challenging course from high school when responding. If you have post-secondary education, talk to the interviewer about your best coursework and the most difficult in college.
Written by Krista Wenz on June 18th, 2023
Entry Level Example
"I am looking to gain on-the-job experience in addition to my high school diploma. I have signed up for online courses, including 'The Ethical Practices of an Adjuster.' In high school, my best course was geometry, as I have an analytical mind, and it came easy to me. The most challenging course was public speaking, as I tend to be quite shy. However, at the end of the class, I became much more comfortable speaking in front of others and actually enjoy it now. Are there any other courses you'd like me to take before starting with your organization?"
Written by Krista Wenz on June 19th, 2023
Answer Example
"My best course while obtaining my Bachelor's of Business Administration was Business, Society, and Ethics. It was my best course because Sociology and Ethics are fascinating topics. I found my most challenging course to be Management Strategy simply because I don't have much management experience."
Written by Krista Wenz on June 18th, 2023
Experienced Example
"My first start as a claims adjuster was strictly on-the-job training. However, since my start eighteen years ago, I have taken many professional development workshops and courses, including Strategic Claims Negotiations, Understanding Punitive Damages, and the National Flood Adjuster Training Program. Of the courses I have taken in high school, the most challenging was chemistry, and my favorite was English, as I love to read and write."
Written by Krista Wenz on June 19th, 2023
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Job Satisfaction
22. What is the most important thing you are looking for in your next company?
Why the Interviewer Asks This Question
The interviewer wants to gain insight into what motivates you and what your priorities are when it comes to your career. They want to know what you value in a company culture and work environment and how those values align with the company you are interviewing for. It's important to be honest and thoughtful in your response, as it can help determine whether or not the company is a good fit for you. And to make you stand out even more as an ideal candidate, it is best to mention the most important thing you are looking for as something the company can offer you.
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"One of the most important things I am looking for in a company is an organization that values its associate's growth from within. Companies that offer internal training and development programs for advancement appeal to me over those who do not."
Written by Krista Wenz on June 19th, 2023
Answer Example
"The most important thing for me is to continue growing my knowledge in the claims industry. I am currently not receiving the opportunity for training and growth, which has created an element of stagnancy in my current role. What excites me about your organization is that you have continued education programs and tuition reimbursement for pre-approved insurance courses. The fact that you invest in the growth of your employees is amazing."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"I am looking for a company I can stick with for the long haul. I want a company that values its employees, promotes from within, and keeps evolving with the times. I am leaving a company after over a decade of employment, so I value loyalty and an organization with career advancements."
Written by Krista Wenz on June 19th, 2023
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Job Satisfaction
23. Being a claims adjuster can be stressful. How can we motivate you, even on the toughest days?
Why the Interviewer Asks This Question
The interviewer asks this question to better understand how you handle stress and what motivates you to keep going, even on the most challenging days, as motivated and engaged employees always perform better. As a claims adjuster, the job can be very demanding and stressful, and the interviewer wants to know if you have the necessary coping mechanisms to deal with difficult situations. By asking this question, the interviewer can assess whether you are a good fit for the role and have the resilience and determination to succeed. Setting realistic goals, staying organized, and taking breaks when needed are effective ways to stay motivated and manage stress levels.
Talk to the interviewer about how you stay motivated on the job, even when the going gets tough. This information will help them to keep you motivated in the future when necessary.
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"I am most motivated in an environment with strong teamwork and good leadership. A healthy environment with lots of opportunity for feedback and growth makes me want to perform well for my team and clients."
Written by Krista Wenz on June 19th, 2023
Answer Example
"I am motivated by the simple fact that my work can truly help people who need it. Many of my clients have been through tough experiences, including property loss and personal injury. It's gratifying to give them some good news through it all."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"I am motivated by paving new paths and creating structures to support my deserving clients. Despite the inherent difficulties of the job, I am motivated by the knowledge that I am helping people in their time of need. Whether it's ensuring that a customer's claim is processed quickly and efficiently or providing support and guidance during a difficult time, I find satisfaction in knowing that I am making a difference. On the toughest days, I remind myself of the importance of my work and the positive impact that it can have on people's lives. With this in mind, I stay focused, committed, and motivated to do my best."
Written by Krista Wenz on June 19th, 2023
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Leadership
24. Tell me about your leadership qualities.
Why the Interviewer Asks This Question
The interviewer would like to know what you consider strong leadership qualities. They want to ensure you can inspire and motivate others, delegate tasks effectively, and make strategic decisions. Additionally, possessing strong leadership skills can demonstrate that you are a confident and capable individual who can handle challenges and take charge when necessary. Overall, showcasing your leadership abilities can be a valuable asset in the hiring process and help you stand out as a top candidate. When describing leadership qualities, avoid general terms and give some unique ideas.
A great leader is someone who people naturally want to follow. They have exceptional interpersonal skills and the ability to build relationships with nearly any personality type. A respected leader will take ownership of their mistakes and always lead their team by example. True leaders see the importance of motivating others and recognizing even the smallest achievements. Which of these qualities do you most identify with?
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"Although I have not yet been in an official leadership role, I believe I lead effectively by showing others respect regardless of their position or title, creating an open environment in which everyone knows that feedback is welcome, and setting achievable but high expectations for myself at all times."
Written by Rachelle Enns
Answer Example
"I like to lead by example and set high expectations for my team. I make sure expectations are clear and that the team receives regular feedback so they know they are valued and how they can improve. I also like to allow time for things like awards and shout-outs to create camaraderie. I would describe my leadership style as committed, motivating, positive, and honest."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"I have taken many workshops and courses to improve my leadership skills over the years. My leadership qualities are best summed as dedicated, attentive, and motivating. I like recognizing my teams' small wins because that motivates them to continue achieving."
Written by Krista Wenz on June 19th, 2023
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I set good examples for them to follow and use effective communication.
I add a touch of motivation when I communicate.
I am naturally approachable and can be counted on for knowledgeable responses to policy by team members that I mentor."
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Organizational
25. How do you handle a larger than average workload?
Why the Interviewer Asks This Question
The interviewer asks how you handle a larger than normal workload to gain insight into your work ethic, time management skills, and ability to handle pressure. It is important to provide specific examples of times when you have successfully managed a heavy workload, prioritized tasks, and maintained productivity. Additionally, discussing any strategies or tools you use to stay organized and focused can demonstrate your ability to handle challenging workloads effectively. The interviewer wants to be assured that you can handle the workload required of you as a claims adjuster and that you will not become overwhelmed if/when workloads unexpectedly increase. When workloads increase, stress levels do too.
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"My workload is packed but consistent. The only time it gets hectic is if we've had a lot of assessments and I've gotten behind in my files. My work schedule leaves no room for error; I have an endless amount of claims to get through. So, I'm used to having an incredibly full workload."
Written by Rachelle Enns
Answer Example
"When I have a large workload, I do not stress over the tasks in front of me. Rather, I make a simple plan of which tasks are a high priority and which are a lower priority. The higher priority tasks I complete first. Through this system, I can focus on my tasks individually, rather than stress out by the multitude of tasks ahead of me."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"When faced with a larger than average workload, I prioritize my tasks based on their urgency and importance. I break down my work into smaller, more manageable tasks and create a schedule to ensure that I stay on track. I also communicate with my team and manager to ensure that everyone is aware of my workload and any potential delays. Additionally, I try to stay organized and focused by taking breaks and practicing stress-reducing techniques such as meditation or exercise. Overall, I believe effective time management and communication are key to successfully handling a larger workload."
Written by Krista Wenz on June 19th, 2023
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Performance Based
26. We are asking for 8 years of industry experience and you have just 5. Why do you think you are qualified for this position?
Why the Interviewer Asks This Question
To many employers, the number of years of experience is flexible as long as you have the results to show for the years that you do have. Talk to the interviewer about your major career successes, strengths, and wisdom gained from your five years as a claims adjuster. This is the time to sell yourself. Make no apologies for your lack of years!
Written by Krista Wenz on June 19th, 2023
1st Entry Level Example
"I believe that my blend of education and previous experience in insurance sales would amount to a great deal of valuable experience. I applied to this role knowing that I could greatly impact your organization. I plan to begin studying for this role immediately so that I can make a difference from day one."
Written by Krista Wenz on June 19th, 2023
1st Answer Example
"Although I have five years of experience vs. eight years of experience as a claims adjuster, I do this job well. In my previous role, I outperformed colleagues with 12 years of experience. It's all about drive and the ability to be a quick study. I have all of these qualities and more."
Written by Krista Wenz on June 19th, 2023
2nd Answer Example
"I understand the job posting requires eight years of industry experience, and I appreciate the concern. However, I believe that my five years of experience in the field have given me a strong foundation and the necessary skills to excel in this position. I am a fast learner and always eager to expand my knowledge and expertise. Additionally, I am confident in my ability to adapt to new challenges and work collaboratively with my team to achieve our goals. I hope you will consider my qualifications and potential for growth when making your decision."
Written by Krista Wenz on June 19th, 2023
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Problem Solving
27. Can you give an example of a particularly challenging claim you handled and how you resolved it?
Why the Interviewer Asks This Question
The interviewer asks this question to gauge your problem-solving skills, ability to adapt to difficult situations, and level of experience in handling claims. You should be prepared to provide a detailed example of a challenging claim you handled in the past and how you resolved it. This will give the interviewer a better understanding of your abilities and how you might handle similar situations in the future. Remember to focus on the positive outcome and the steps you took to get there, rather than dwelling on the challenges you faced.
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"As an entry-level claims adjuster, I understand that handling challenging claims can be daunting, but I believe in following a systematic approach to resolve any issues. First, I would carefully review the policy and all documentation related to the claim to ensure I clearly understand the situation. Then, I would consult with my supervisor and any relevant experts to gather additional information and discuss possible solutions. Throughout the process, I would communicate clearly and respectfully with all parties involved to ensure transparency and build trust. Ultimately, my goal would be to find a fair and equitable resolution that satisfies all parties and upholds the integrity of the insurance industry."
Written by Krista Wenz on June 19th, 2023
Answer Example
"Of course. I recently had a particularly challenging claim. A customer had filed a claim for damages to their car, alleging that another driver had hit it in a parking lot. However, upon investigating the claim, I discovered that the damage appeared to have been caused by a collision with a fixed object, such as a pole or barrier.
The customer strongly denied this, insisting they had not hit any objects and that the other driver must have caused the damage. However, there was no evidence to support this claim, and the other driver had not reported any accidents or incidents in the parking lot.
After much back-and-forth with the customer, I decided to consult with a third-party expert who could provide an unbiased assessment of the damage. The expert confirmed that the damage was consistent with a collision with a fixed object and not another vehicle.
Armed with this information, I denied the claim and explained to the customer why it was not covered under their policy. While the customer was understandably disappointed, I provided them with a clear and transparent explanation of our decision-making process, which helped build trust and maintain our relationship."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"One of the most challenging claims I handled in my career was a case where a fire severely damaged a client's house. The client had lost almost everything they owned and was understandably upset and emotional. My job was to be empathetic and understanding while assessing the damage and determining the appropriate course of action.
To resolve the claim, I worked closely with the client to ensure they had the necessary resources and support to get back on their feet. This included coordinating with contractors to begin the rebuilding process and working with the insurance company to make sure the client received the full benefits they were entitled to.
Throughout the process, I constantly communicated with the client, keeping them informed of our progress and addressing any concerns they had. In the end, we were able to successfully resolve the claim and help the client get their life back on track. It was a challenging experience but ultimately a rewarding one, as I was able to help someone in a time of need."
Written by Krista Wenz on June 19th, 2023
Problem Solving
28. Can you tell me about your experience in handling complex claims?
Why the Interviewer Asks This Question
As a claims adjuster, you may encounter cases requiring special attention and expertise, such as those involving high-value claims or unique circumstances. These could also include claims involving multiple parties, claims that involve complex legal issues, or claims where the extent of the damage is hard to ascertain. Additionally, claims that involve specialized industries or unique types of damage can also be challenging. By asking about your experience with such claims, the interviewer can understand your skill level and how you might handle similar situations in the future. To demonstrate your proficiency, it's essential to be honest about your capabilities and provide specific examples of past cases you've handled.
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"As a new claims adjuster, I plan to handle complex claims by thoroughly investigating and analyzing all available evidence and information. I will work closely with the insured party and any other involved parties to gather all relevant details and ensure that all aspects of the claim are properly documented. I will also consult with experienced colleagues and supervisors to gain additional insight and guidance as needed. Ultimately, my goal will be to provide fair and accurate assessments of complex claims while prioritizing the insured party's needs and interests."
Written by Krista Wenz on June 19th, 2023
Answer Example
"Sure. I have a fair amount of experience handling complex claims. In my previous job, I worked as a claims adjuster for several years. During that time, I dealt with a wide range of claims, some of which were very complex. I found that the key to handling these types of claims was to remain calm and focused. I also made sure to carefully review all of the relevant documentation and to consult with other experts in the field when necessary. My experience has prepared me well for handling any complex claims that might come my way."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"Well, I've had quite a bit of experience handling complex claims over the past ten years. I have worked on all kinds of claims, from car accidents and property damage to medical malpractice and wrongful death cases. Each is unique and requires careful investigation, analysis, and negotiation to ensure the claimant is treated fairly and receives the best possible outcome. I take pride in my ability to communicate clearly and effectively with all parties involved and to use my expertise and knowledge of the industry to achieve the best possible outcome for my clients."
Written by Krista Wenz on June 19th, 2023
Role-Specific
29. How would you describe your relationship with your clients?
Why the Interviewer Asks This Question
The interviewer is interested in understanding how you approach customer service and how you handle difficult situations with clients. They want to know how you build rapport and trust with clients and navigate challenges and conflicts that may arise. Your answer will give them insight into your ability to communicate effectively and manage relationships with clients, which is an important skill for a claims adjuster to have. It's important to be honest and provide specific examples of how you have successfully managed client relationships in the past.
Written by Krista Wenz on June 19th, 2023
Entry Level Example
"As I am newer to my career as a claims adjuster, I have only had a handful of clients, so I spend a lot of time working with them. Because of my level of focus and support, I get along very well with them."
Written by Krista Wenz on June 19th, 2023
Answer Example
"My customer and client relationships are best described as open and honest. I believe the more upfront and transparent you are with your clients, the more likely they will return. I most definitely value my clients and am sure to nurture those relationships as much as possible."
Written by Krista Wenz on June 19th, 2023
Experienced Example
"I have strong relationships with my clients and customers. I treat them respectfully and use their feedback to improve myself and the claims process. As a claims adjuster, I understand how important it is to build a trusting and professional relationship with my clients. I strive to always provide clear and honest communication while empathizing with their situation. By listening to their needs and concerns, I can offer personalized solutions that meet their specific needs. My goal is to always make the claims process as smooth and stress-free as possible for my clients while ensuring they receive the excellent customer service they deserve."
Written by Krista Wenz on June 20th, 2023
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Role-Specific
30. How do you ensure that claims are processed in a timely and efficient manner?
Why the Interviewer Asks This Question
The interviewer is interested in knowing how you prioritize your workload and manage your time effectively to ensure that claims are processed promptly. As a claims adjuster, you must have excellent time-management skills and handle multiple tasks simultaneously without compromising the quality of your work. Additionally, identifying and resolving potential issues that may cause delays in the claims process is also crucial. By asking this question, the interviewer is looking to gauge your ability to handle the demands of the job and ensure that customers' needs are met promptly and efficiently.
Written by Krista Wenz on June 20th, 2023
Entry Level Example
"As a new claims adjuster, I will process claims promptly by utilizing a streamlined and well-organized system for submitting and handling claims. This system will include clearly defined procedures for submitting claims and working with my dedicated team of professionals trained to handle them quickly and accurately. I am excited for the opportunity to demonstrate my time-management, communication, and organizational skills with your company."
Written by Krista Wenz on June 20th, 2023
Answer Example
"As a claims adjuster, I prioritize efficiency when it comes to processing claims. One way I ensure timely processing is by thoroughly reviewing all necessary documentation and following up with any missing information as quickly as possible. I also strive to communicate clearly and effectively with both clients and colleagues to prevent any delays or misunderstandings. Additionally, I am always looking for ways to streamline processes and improve our overall workflow to increase efficiency. Ultimately, my goal is to provide prompt and accurate resolution to every claim while maintaining a high level of customer service."
Written by Krista Wenz on June 20th, 2023
Experienced Example
"As an experienced claims adjuster, I have found that the key to processing claims in a timely and efficient manner is to stay organized and prioritize tasks. It is important to gather all necessary information and documentation as quickly as possible and to communicate clearly with all parties involved. I also try to stay up-to-date on industry practices and regulations to provide the most accurate and efficient service possible. By staying focused and staying on top of my workload, I can ensure that claims are processed as quickly and fairly as possible."
Written by Krista Wenz on June 20th, 2023
Role-Specific
31. Can you walk me through your process for investigating a claim?
Why the Interviewer Asks This Question
When an interviewer asks you to walk them through your process for investigating a claim as a claims adjuster, they want to understand your approach and methodology. They want to know how you gather and analyze information, what steps you take to ensure accuracy and fairness, and how you make decisions based on the evidence you gather. It's essential to demonstrate your ability to be thorough, objective, and systematic in your approach while also showing empathy and understanding for the parties involved. Overall, the interviewer wants to assess your skills and judgment as a claims adjuster and determine if you are a good fit for their organization.
Written by Krista Wenz on June 20th, 2023
Entry Level Example
"As an entry-level claims adjuster, my process for investigating a claim will begin with gathering information from the claimant and any witnesses. I will ask detailed questions to clearly understand what happened and the extent of the damages or injuries involved.
Once I have all the information, I'll review any relevant policies, contracts, or agreements to determine coverage and liability. If necessary, I may also consult with other experts, such as medical professionals, engineers, or lawyers to help me make an informed decision.
Throughout the process, I will always strive to be fair and objective, considering all the facts and evidence before making a determination. And, of course, I prioritize safety and security at all times, ensuring all parties involved are treated with respect and confidentiality."
Written by Krista Wenz on June 20th, 2023
Answer Example
"Sure, I'd be happy to walk you through my process for investigating a claim. First, I gather all relevant information about the claim, including any documentation or photos the policyholder has provided. Then, I review the policy to see what is covered and what is not. Next, I may need to interview witnesses or other parties involved in the claim to better understand what happened. From there, I will typically visit the scene of the incident, inspect any damages or injuries, and take notes and photographs. Finally, I will use all of this information to make a determination on the claim and communicate my decision to the policyholder. It's a thorough process, but it's important to ensure we make fair and accurate assessments of each claim."
Written by Krista Wenz on June 20th, 2023
Experienced Example
"Of course, I would be happy to walk you through my process for investigating a claim. First, I start by reviewing the claimant's initial report and any supporting documents they have provided. I then conduct a thorough investigation, gathering evidence and speaking with any witnesses or parties involved in the incident. I also take photos and document any damages or injuries. Once I have all the necessary information, I analyze and evaluate the claim to determine its validity and the appropriate course of action. Throughout the process, I remain objective and fair, always keeping the best interest of all parties involved in mind."
Written by Krista Wenz on June 20th, 2023
Salary
32. What are your salary expectations?
Why the Interviewer Asks This Question
When answering this question, it is important to do your research beforehand. Look into the average salary range for a claims adjuster in your region and review the job posting to see the salary range listed. Based on your experience and skills, come up with a range that you feel is fair and reasonable. It's also important to consider other benefits and perks that may be offered, such as health insurance, retirement plans, and vacation time. When discussing your salary expectations with the interviewer, be confident and assertive but also open to negotiation.
Written by Krista Wenz on June 20th, 2023
Entry Level Example
"As I am new to my career and this industry, I am happy to negotiate my earnings based on your typical salary for this role. I see you have a range of $55,000 to $65,000 per year based on experience, so I would expect compensation somewhere in that range."
Written by Krista Wenz on June 20th, 2023
Answer Example
"Currently, I earn a base salary of $45,000 per year plus a potential 20% annual bonus. Last year my earnings were $52,000, and I would like to stay in the same range or slightly higher."
Written by Rachelle Enns
Experienced Example
"I am currently making $80,000 per year with two bonus opportunities based on the cases I have closed and successfully negotiated. I am looking for compensation that is aligned with the role and provides an opportunity for growth."
Written by Krista Wenz on June 20th, 2023
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Technical
33. What types of claims-related programs and software are you well versed in?
Why the Interviewer Asks This Question
The interviewer wants to know what types of claims-related programs and software you are well-versed in because it indicates your experience and expertise in the field. It also helps them determine how quickly you could adapt to their specific software systems and processes if you were to be hired for the position. Additionally, knowing specific programs and software could give you a competitive edge over other candidates who may not have the same level of proficiency. It's always best to be honest about your skills and experience, as it can help you and the interviewer make informed decisions.
Claims adjusters use a variety of programs and software to process and manage claims. Some common examples include claims management systems, document management software, and billing software. Other programs and tools may include database software, customer relationship management software, and communication tools such as email and instant messaging. The specific programs and software used may vary depending on the organization and the type of claims being processed. Describe what programs you are proficient in and explain how you learn quickly if you will be required to learn new software in this role.
Written by Krista Wenz on June 20th, 2023
Entry Level Example
"I have advanced skills in Microsoft Office Suite; however, being new to this industry, I do not have exposure to claims or insurance-related programs. I am eager to learn and can get a head start through online tutorials if you'd like."
Written by Krista Wenz on June 20th, 2023
Answer Example
"I am an expert-level user in CaseWorks Pro, FileTrac, and Logickull for industry-related software. Additional programs that I am well versed in include Excel, PowerPoint, and Word. My technical skills are strong, and I am confident I can quickly learn any of your programs."
Written by Krista Wenz on June 20th, 2023
Experienced Example
"I have seen many advancements in insurance-related software over the years and am trained in a variety of them, including FileTrac, Record360, and CaseWorks. I am also eager and willing to learn new systems. Could you share with me the programs that you use here?"
Written by Krista Wenz on June 20th, 2023
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Tough
34. How could our company improve?
Why the Interviewer Asks This Question
When the interviewer asks you how their company could improve, they are looking for feedback on their company culture, policies, and processes. This question is often asked to gain insight into how potential employees view the company and what changes could be made to make it a better place to work. It's important to be honest in your response but also constructive and diplomatic in your delivery. Remember, the goal is to provide helpful feedback that could potentially lead to positive changes within the company.
Written by Krista Wenz on June 21st, 2023
Entry Level Example
"I visited your company, spoke with several employees, and asked them about the company culture. After speaking with them, I believe your company could improve communication between departments. I've heard that sometimes there can be a lack of clarity or miscommunication between teams, leading to delays or mistakes in claims. Perhaps implementing regular meetings or check-ins between departments could help ensure everyone is on the same page and working towards the same goals. However, that was the only thing I heard that could use improvement. Overall, everyone seems happy with the company and highly recommended I apply here."
Written by Krista Wenz on June 21st, 2023
Answer Example
"After reading online customer reviews, I see one area where your company could improve. What comes to mind is the customer service experience. I read a few reviews where customers had some frustrating interactions with your support team, and I think addressing that could go a long way in improving overall customer satisfaction. I think this improvement could help your company build stronger customer relationships."
Written by Krista Wenz on June 21st, 2023
Experienced Example
"Thank you for asking me this question. Based on my observations and analysis, I believe there is an area where your company could improve. Your company could benefit from investing in more updated technology and tools. By staying up-to-date with the latest advancements, you could increase efficiency and productivity and provide better service to your clients. One area that's seen a lot of progress is using drones to survey damage. Drones can quickly and safely capture high-resolution images and videos of damaged properties, which can help adjusters assess claims more accurately and efficiently. Another technology that's gaining traction is artificial intelligence, which can be used to analyze large amounts of data and identify patterns that might not be immediately apparent to humans. This can help adjusters make more informed decisions and identify potential fraud. While there are upfront costs, I believe you would regain your investment in a short amount of time."
Written by Krista Wenz on June 21st, 2023
Tough
35. Have you ever broken a confidentiality agreement?
Why the Interviewer Asks This Question
Companies will have confidentiality agreements for a variety of reasons. These could be to protect their trade secrets or to ensure that you do not bring clients over when you leave their company. The interviewer may ask if you have ever broken a confidentiality agreement to ensure you are trustworthy and can keep sensitive information private. It's essential to be honest about any past incidents if you have inadvertently broken an agreement and explain how you have learned from them and improved your approach to confidentiality in the workplace. Confidentiality is a crucial element of many jobs, and maintaining it is essential to building trust with your colleagues and clients.
Written by Krista Wenz on June 21st, 2023
Entry Level Example
"No. I have only once had a confidentiality agreement and had no problem adhering to it. I would happily sign any confidentiality agreement if needed and assure you I am an honest and trustworthy individual."
Written by Krista Wenz on June 21st, 2023
Answer Example
"I never have, to my knowledge, broken a confidentiality agreement. Despite my reasons for leaving a position, I would never choose to hurt a previous employer in any way."
Written by Rachelle Enns
Experienced Example
"Confidentiality agreements are necessary and important to protect an insurance organization. I understand the need for confidentiality and take those factors very seriously. I have never broken the trust of my employer and will continue to be honest and ethical if chosen for this position."
Written by Krista Wenz on June 21st, 2023
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