Menu Menu Search print MockQuestions.com Logo MockQuestions
MockQuestions.com Logo
Sign in
Upgrade
Career Interviews
Interviews by Category
Close

Top 35 Claims Adjuster Interview Questions

Question 1 of 35
Have you had to contact a doctor before on a questionable claim?
Professional Answers Preview
"Just last week I was asked to research a claim which called for a conversation with the physician. I was able to simply relay the information to him and he confirmed and denied any parts of the claim. I find that with physicians, you need to be fast paced and concise in your communication as they are very busy."
As a claims adjuster, it is important to be professional and organized as you will be required to clearly communicate with other professionals such as physicians. Talk to the interviewer about a time where you had to work directly with a doctor on a claim.
More professional answers available after the upgrade
Upgrade
Question 2 of 35
Explain to me some of the career movement on your resume.
Professional Answers Preview
"My most recent position was a lay off when my firm was acquired by a competitor. With company XYZ, I left because I received a more competitive offer from company ABC. Leaving company ABC was not a good decision on my part because the growth would have been stronger there."
Before your interview you should be prepared to explain all of the career movement on your resume. Most hiring managers will consider more than 2 positions in the last 5 years to be a lot of movement. If you have more than that, it is a red flag and you must have strong reasoning behind the movement. Be honest! If you were terminated - own it.
More professional answers available after the upgrade
Upgrade
Question 3 of 35
What motivates you to do a good job as a claims adjuster?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 4 of 35
Are you efficient with your time?
Professional Answer
Want to see the answer?
Upgrade
Upgrade

Practice More Interviews

Behavioral
We all have some behaviors that are typical of us and which sometimes results in ...
Common
There are some questions that employers ask at almost every interview. The questions ...
Communication
Communication skills are essential for any workplace to function efficiently. However, ...
Leadership
If you are interviewing for any type of leadership role; prepare with our leadership ...
Management
Our management questions are designed for any interview for a position that has authority ...
Teamwork
This set of questions aims to ascertain what your idea of teamwork is and whether ...

Related Career Interviews

Building Inspector
Building inspectors conduct investigations of residential and commercial buildings to ensure that they comply with current quality and safety standards. Their main aim is to ensure that all new constructions, ...
Appraiser
Appraisers work in the real estate industry where they are responsible for estimating the value of properties. This valuation may be for sales, insurance, tax, development or financing purposes. In order ...
Cost Estimator
Cost estimators are employed by companies to estimate the money, time, labor and materials required to manufacture a product or provide a service. They do this by collecting and analyzing data on various ...
Assessor
Assessors, otherwise known as real estate appraisers, estimate the value of land and the buildings on the land. This information supports the sale of the land, the development of the real estate, as well ...
Automotive body and glass repairer
Automotive body and glass repairers have the specialist knowledge and skills required to repair the framework, body, window glass and windshields of vehicles. An automotive body and glass repairer's job ...
Fire Inspector
Fire inspectors are responsible for inspecting buildings and structures to ensure that they are in compliance with local, state and federal fire codes. During their inspection, they identify potential ...
View More Careers
Question 5 of 35
What was the most difficult period in your career so far and how did you deal with it?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 6 of 35
What steps do you go through when you investigate a claim?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 7 of 35
What types of programs and software are you well versed in?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 8 of 35
What are you currently working on for self development?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 9 of 35
Tell me about a fraudulent claim you discovered. What action steps did you take?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 10 of 35
When you have difficulty persuading someone to your point of view, what do you do?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 11 of 35
Have you researched our company? What attracted you to our organization?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 12 of 35
What experiences do you have talking with legal counsel on claims?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 13 of 35
What are your salary expectations?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 14 of 35
We were initially looking for someone with 5 years' experience in a similar role. Considering you have just 2 years' experience, would you be willing to accept this position at a lower salary?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 15 of 35
If you could re-do any of your insurance courses, which one would you choose and why?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 16 of 35
Describe your leadership skills.
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 17 of 35
When entering a new job, describe how you build relationships with your new coworkers and supervisors.
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 18 of 35
Outside of work, what type of creative activities do you like to pursue?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 19 of 35
How often do you discuss work with your colleagues in order to think up new systems and styles of working?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 20 of 35
Tell me about yourself.
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 21 of 35
What challenges are you looking for in this position?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 22 of 35
When would you be available?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 23 of 35
Tell me about your post-secondary education. What was your best course, and which one gave you the most difficulty?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 24 of 35
How well do you understand the insurance industry?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 25 of 35
If hired by us, what would your goals be as an adjuster?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 26 of 35
What kinds of communication situations cause you difficulty? Give an example.
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 27 of 35
Why did you choose to become a Claims Adjuster?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 28 of 35
What are your three greatest strengths?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 29 of 35
In your opinion, what makes you the best candidate for this job?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 30 of 35
Where do you see yourself in 5 years?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 31 of 35
Do you consider yourself highly organized?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 32 of 35
Tell me about a time that you went out of your way to assist a colleague. What satisfaction did you get from your actions?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 33 of 35
When have you dealt with an angry customer before? How do you handle such situations?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 34 of 35
As a Claims Adjuster, most of your customers will be in some distress. What qualities do you possess that tell me you are capable of handling communication with individuals in distress?
Professional Answer
Want to see the answer?
Upgrade
Upgrade
Question 35 of 35
I'm interested in knowing more about the culture and type of work you are seeking. What is your ideal position at this time?
Professional Answer
Want to see the answer?
Upgrade
Upgrade

User-Submitted Interview Answers

Question 1 of 35
Have you had to contact a doctor before on a questionable claim?
User-Submitted Answers
1.
Yes because I believe in team work when making difficult decisions.
2.
I have not had that opportunity to experience any contact with a doctor.
3.
I have not had to speak with a doctor.
4.
I have not had to speak with a doctor.
5.
Sorry, I don't have this experience. If this come across.
6.
No, but I have had to investigate a claim or claims that a wine was.
7.
No, but I have had to call wineries when customers have made questionable claims about a wine.
8.
I have investigation skills and experience which are the core function of the company and I am looking forward to help the company to reach its goals.
9.
No, but I did consulted a doctor for a doctor's report on one of my cases.
10.
Not at all, though I consult doctors on various case dockets regarding the bed letters or hospital file not in questionable claims as I''ve never worked with claims before.
11.
The place that I work I had to deal with different doctors.
12.
I would read the claim first to see if the doctor needs to be contacted.
13.
No, but I would be exited to have the opportunity to do so.
14.
No, I would evaluate the injuries reported against the entire claim and profile of the customer.
15.
Yes, many times. Sometimes they were helpful and sometimes they were not. It all depends on the place or doctor.
Question 2 of 35
Explain to me some of the career movement on your resume.
User-Submitted Answers
1.
It didn, t offer me the relevant environment towards discharging my duties due to lack of cooperation with the staff.
2.
I wanted to move closer to other family members and get back to my home town.
3.
I am currently still in my current job, but I am looking for a position with more of a challenge.
4.
There are only two reasons, I was laid off from two of my previous jobs and some of my bosses retired. So that I seek for another higher salary job.
5.
I wanted to pursue a career in outside sales.
6.
I want to better growth and I am looking for good opportunists. So I want to change my job.
7.
I am still employed by the SAPS as a detective but I am looking for a position with new challenges.
8.
I am still working but I am looking for another position with more challenges and grows as a person in another field.
9.
I am looking for a challenging career and feel that my current employment is unable to advance me any further.
10.
I am still working as an investigator but I am looking for a position with more of a challenge.
11.
I am still working but I am looking for a position which is more of a challenge.
12.
I am still currently working for the Saps as a detective.
13.
I reached the ceiling and had no further room for growth.
14.
The last job I left, I got laid off.
15.
I have gone as far as I could go with that company.
Question 3 of 35
What motivates you to do a good job as a claims adjuster?
User-Submitted Answers
1.
Claims is a variable foeld and each claim can bring challanges, it has intersting moments.
2.
Challenges involved because the bring me right to area I may have neglected.
3.
I enjoy looking into a policy to see if the customer has coverage for their claim and helping the customer out to get their property fixed. It has a rewarding feeling when you can help someone out.
4.
My motivation come from getting the problem solved.
5.
I enjoy liaising with clients. I also enjoy helping clients to solve their problem. If clients feel satisfied, I feel satisfied too.
6.
Customer service and goal focused.
7.
Problem solving that motivates me if I do my best and help resolve a problem and if the client is cestisfied I am certisfied too.
8.
Customer satisfaction, challenging situations.
9.
Motivation comes from getting a problem solved. I has a rewarding feeling when you help a client and solves the problem, if a client is happy I am happy too. I like helping people out.
10.
My motivation comes from helping a person solves his or her problem. I like helping people out.
11.
My motivation comes from helping other people and solve their problems. If a client is happy I am happy too.
12.
To reach a fair and equitable settlement.
13.
I have always seen the reward given for hard work in claims. Also the desire to help customers have a smooth claims process. I have been on the other side of claims and have had a bad claims experience.
14.
The excitement of dealing with multiple situations and people.
15.
Being able to offer customers hope and let them know that everything is going to alright.
Question 4 of 35
Are you efficient with your time?
User-Submitted Answers
1.
I have very clear time management skills and am able to efficiently allocate sufficient time to the most prioritised case.
2.
Yes I like to gather data and will not stop until I find a solution.
3.
Yes, I am able to prioritize my work load and I always start with the most important task.
4.
Yes, I have learned how to prioritize my tasks in order to meet deadlines.
5.
Sure I keep my time management with plan, priority of task and do list.
6.
Yes, I am very efficient and organized with time. I am good at multitasking and prioritizing to get work done quickly and accurately.
7.
Yes, utilize my time by prioritizing my work each day.
8.
Yes I am, I even hold a leadership position in time management.
9.
Yes. Daily best practices to handle my caseload.
10.
Yes. I am. I am able to manage time well giving thought in advance to the time each task might take.
11.
Yes I'm a Mutal tasked plus I can be the job done.
12.
Yes I have to be in my current role and I am very good at time management.
13.
I have the skills needed for the position. I am familiar with your company and feel I would be a perfect match to this roll.
14.
One of my pet hates is being late for an appointment.
15.
I am efficient with my time due to being organized and orderly.
Question 5 of 35
What was the most difficult period in your career so far and how did you deal with it?
User-Submitted Answers
1.
Professionally I had to transition form medical yo insurance but I remained upbeat and was successful in both careers.
2.
My brother drowning at a nearby dam. I reacted fast to remove him since I had good swimming skills.
3.
When I lost my dad. I wasn't born yet when he died so I wasn't able to deal with it at the time but I have had to deal with it my whole life. I deal with it by talking to him and leaning on other family members for support and for them to tell me stories about how he was.
4.
The most difficult period of my life was having two family members who were terminally ill at the same time. The way I dealt with it was one day at a time.
5.
It was the first time I was laid off from a job which I worked for almost 10 years. I really like that job and I missed my ex-colleagues. Fortunately the paid my a long-service pension which was 10 months of my monthly salary. I used these money to join a cooking course. Since I always worked overtime before and never have time to cook, I started to cook from that period of time till now. Cooking becomes part of my daily live.
6.
I had an incident where I suffered a severe head injury. I was in and out of consciousness for 4 days. When I was back to reality I had some minor external injuries but had a moderately severe cerebral edema. I had long term memory, and immediate short term memory but no memory of people around me that I didn't have not just daily but multiple interactions with on a daily basis. Head full of noise, mom walking down street, cal-trans worker buying his co-worker an oranch soda. I couldn't add 2+2. I mean I would know the answer, but I just couldn't get it to compute in my head to what the answer was. I thought to myself "well Allen", this is what its like to be dumb. Now you know. And it was so odd, because I would think to myself "well Allen, you're going to dumb for the rest of you life" but I couldn't bring myself to care. I was just "oh well", as if I was too dumb to care that I was dumb. It took around 6 months for my head to clear and regain most of my mid term memory back and return to work. It was at this point that I began to really examine my life and what I was doing. I had a greater appreciation for people, a greater appreciation of life itself and actually living it. It was then that after looking at what I was doing for work, even though I was really good at, I liked my job, I liked my co-workers. I thought to myself I want to be out in the world mingling with the public every day. I don't want to be in an office all day long. So I decided to pursue a career in outside sales. I didn't do that over night. I worked another 3 months to be certain I didn't just have some type of temporary brain damage that was causing me to think that. I wanted to allow myself to get back into the routine of my job and see if I just didn't click back in. But I still had the same feelings and so I looked around to see what I might want to do. My girlfriend made the suggestion "you like wine" why don't you look at that and what it takes to be a wine salesperson". So I did. I gave a 90 day notice to allow sufficient time to find a replacement and at the end of that I was off and into the wine business.
7.
Work related- I was having this challenge whereby a certain family was having those individuals who were not willing that a postmortem be conducted to their family member, I was suppossed to intervene to deal with this situation. I tried to explain to their elders the importance of the postmortem, I manage to knock some sense into their minds and the postmortem was conducted.
8.
Looking after my children alone juggling a job day to day life and gaining my degree. I'm still here to live another day so quite well really.
9.
Work related: I had a challenge with my serious dockets as I am investigating serious and violence crimes, so those dockets are under a thread of being stolen or get lots, I therefore came up with a plan of making duplicates on each docket and keep the original in a safe place, that is how I dealt with that challenge.
10.
Work related: I had a challenge with my serious dockets being under threat of being stolen or get lots therefore I had to come up with a solution of making duplicates of all my dockets and keep the originals in a safe place. That's how I dealt with that challenge.
11.
Work related, I had a challenge of my serious dockets to be under a threat of being stolen or lost, I then came up with a solution by making duplicates and keep the original in a safe place.
12.
When my wife tore her achilles tendon when our son was less than two years old. I worked hard and just kept pushing.
13.
When my father passed. I look to him when I was younger for advise on a lot of life changing things like buying a house. It was hard at first but I managed to wipe the tears and move forward one day a time.
14.
Going through a divorce. Having to be a weekend father to my children. I stayed positive and stayed involved in there lives as well as maintained a family unity even after seperation I continue to include my ex in on important gatherings for the benefit of the children.
15.
Right now is the most difficult period in my life and I am working upwards of five jobs to get by.
Question 6 of 35
What steps do you go through when you investigate a claim?
User-Submitted Answers
1.
Registration of claims into the system. 2. Checking and confirming membership validity and benefits (from the scheme benefits file) 3. Handling of coverage simple enquiries with brokers, providers, members etc 4. Vetting and confirming validity of the service given by the service provider in relation to the benefits covered, treatment given, adherence to provider panel rules and cost of treatment 5. Preparing for return of claims inadequately documented, claims for which members are not covered after verifying with underwriters 6. Liaising with the underwriting section on scope of cover for various schemes 7. Advising the approver on any peculiarities noted in the claims from group providers 8. Support of 24 hour emergency helplines.
2.
I havn't had the experience of being a claims adjuster in the past so I am not sure what the steps are from start to finish. But I would start with contact with the insd and clmt if there is one involved and work through the coverage that is on the policy to get the property damage fixed. I would keep in contact with the insd/clmt as new information becomes available. I would took lots of notes so when I return to the claim, I know what is going on.
3.
I don't have the idea as I don't have the experience in that field but I think it is more or less the same when I receive the docket. I think first thing the claim must be registered on the system, check the membership and the validity, contact the policy holder, gather as much information that is needed, process the claim, decline or settle the claim.
4.
Read all facts in detail, confirm claim, recheck with lead hand if unsure and proses application.
5.
I don't have a clue on claims but I think it is more or less the same when I receive a docket. I think firstly the claim had to be registered on the system, check the membership and verify the validity, contact the client if possible, contact the stakeholders, visit the scene, take photos of the scene if possible, obtstatements from witnesses if there are any, process the claim, decline or settle the claim. That's I think I can do when investigating the claim.
6.
Gather all information and form an opinion.
7.
The facts related to the claims and policy regulating the requirements that need to be met to properly indemnify the claimant .
8.
Contact the customer, schedule an interview on site, take photos and document the claim, write a detailed report, follow up with the customer.
9.
I do not have any prior experience as a claims adjuster.
10.
Read and understand the claim.
11.
Collect the documentation than following with client, explained how important is to have this.
12.
After loss notice is received, this process involves interviewing all necessary parties and witnesses, examining related documents, including hospital and police records. You'll use the collected information, including any photographs or statements, to make up a report that you'll use for evaluating the claim. Once you determine the claim to be legitimate, you'll then negotiate and settle the claim with the policyholder. However, if the claim is questionable, you can deny payment and assist attorneys to defend the insurance company's position.
13.
I check coverage damage and liability.
14.
Once coverage has been established. I contact all parties, getting statements and gathering information. I gather copies of police reports, medical records, videos, pictures, time sheets and everything I can that involves the claim. Develop an action plan to determine reserves and estimated time frame for closure. Set diaries to follow up for updated statuses and action plans. Once all parties have been paid, claim settled or the claim no longer active then set diary to close claim.
15.
As soon as I am assigned the claim, I go through the application form, review the coverage eligibility, status of the policy, request the necessary documents and medical records, send the records for review to registered nurse, determine benefit eligibility and recommend claim for approval or denial. At each and every stage I do meticulous documenting.
Question 7 of 35
What types of programs and software are you well versed in?
User-Submitted Answers
1.
I bring experince in claims, medical knowledge and a postive attitude.
2.
I have skills viable to work in your organisation as I look forwaard to achieving your goal as that of mine.
3.
I want to advance my career into a job that is challenging and rewarding. I enjoy helping people out. I am a organized persona and am friendly and enjoy talking with people. I am a fast learner and like learning new things.
4.
I am a motivated person who wants to advice in my career. I am a caring person and enjoy a challege.
5.
I am a motivated person who wants to advice in my career. I am a caring person and enjoy a challege.
6.
You should hire me because I know how to manage diverse relationships, I am an effective listener, I am organized and I am a problem solver with integrity.
7.
I am mature and stable. I will not give up my job once I am trained. I want to use my skill and experience in my job. I am interested in this job because I used to negotiate and liaise with clients. I have job satisfaction when I can persuade them.
8.
I'm an industrious and dependable person. I'm very positive and affable which goes a long way in dealing with the public. I have a very solid and grounded work ethic and I don't like to complete a task any less than perfect. I'm very practiced in problem or complaint resolution, being able to quickly diffuse a rough situation, quickly ascertain the underlying cause of the complaint or problem and work diligently to find a workable solution that is agreeable and beneficial to all parties involved.
9.
I'm a self motivated and positive person. I'm industrious, dependable and accountable. I am practiced in dealing with the public and have excellent problem and complaint resolution skills. I also have a great depth of experience in working with complex processes and matrixes and I work extremely well in a fast paced and even a chaotic environment.
10.
Good company to learn, earn and grow.
11.
Share your knowledge and work experience, Skill related job and career goals.
12.
I think that I would be a great fit for the organization and the position available. I come from another insurance background, I understand the importance of helping clients in a time when they need it the most. I am able to quickly learn and adapt to new situations with no supervision.
13.
I have investigation skill which I think are in line with the comany's requirements or demand as I am looking forward to achieve the company's goal as that of mine and advance my career in a job which is challenging and rewarding.
14.
I will go the extra mile and endure all claims are handled in a timely manner.
15.
I have investigation skills and eperience which I think are in line with the company's requierements for this position as a claims adjuster.
Question 8 of 35
What are you currently working on for self development?
User-Submitted Answers
1.
1. Starting my work as when it appears, 2. Obeying my seniors without questions the job the give to me. 3. Consulting others before making my decision.
2.
I am a hands on type of learner, so I may not understand something fully till I get to start doing it myself. I also need to take lots of notes when learning something new until I understand what I am doing. I can be shy when put into a room full of people until I start knowing those people.
3.
Delegation, Perfectionist and straight talker.
4.
Sometimes I work with a sense of urgency, I feel let down by people who are not willing to work with the pace I am working with and sometimes I am not enjoying to just sit and do nothing yet I saw that I can do something to help but that task maybe was not given to me.
5.
Overdoing things, not relaxing,
6.
Time is my greatest weakness it is the one thing that brings about limitation. reading peoples minds . making everyone happy isnt always possible.
7.
My greatest weaknesses is I multitaske my work.
8.
My strength is my weakness and my weakness is my strength, example to seek and to resolve the issue with new perspective but again there may be resolution issue that may impact on the result.
9.
My three greatest weaknesses are: I often become consumed with my work and don't allow myself a break, At times I focus too much on small details which might slightly elongate the time I take to work on a project, I am also working on controlling my body language so that I do not accidentally offend anyone.
10.
Delegating - I often have a hard time allowing other to help me because I don't know if they will be through enough or do as good of a job. Speaking in front of large groups - I'm ok doing this but I do get really nervous. Too thorough - if I'm not careful it can slow me down sometimes.
11.
1. Get nervous when speaking in front of large groups . 2. Very critical of my own work 3. people pleaser.
12.
I am an impatient person. I'm too friendly.
13.
Tend to expect coworkers to be as passionate about the job as I am. creative and always looking for ways to do things faster and not always the best solution.
14.
I may lack some skills but I'm eager to learn. Sometimes with my family I become to sensitive I want them to succeed and I get disappointed. In some aspects I may be to strong will but with mAturity I'm working on it .
15.
Take on too much, putting undue stress on myeself for things not within my control, being a perfectionist.
Question 9 of 35
Tell me about a fraudulent claim you discovered. What action steps did you take?
User-Submitted Answers
1.
A person uses another clients name and successful obtains the clients details but upon screening the serial number was different... In such a case one report to relevant institution/department to deal with the case as stipulated by the organization charter/rules.
2.
I havn't had the experience with discovering any fraudulent claims since I havn't had much experience with a claim after it has been reported. I did though happened to discover that a customer of ours had a previous claim on his vehicle and a current one as well. It looked like in the photos from the previous claim to the current claim that the damage sustained in the first claim was not fixed. I had asked an adjuster would happens if the damage wasn't fixed and then damaged again, so I could understand what did happen. I was told that we do not pay for the damage again but may have to take a percentage of the repairs costs for a certain part off for the previous damage if there was more damage caused to that certain area of the vehicle.
3.
The fraudulent was about to be committed though a case docket was opened of house breaking and theft whereby a certain guy reported that his laptop was stolen at his house while asleep and after a thorough interviewing he was not putting his facts straight and he later admitted that the laptop was not stolen it fell down and stopped functioning and when he took that laptop to the shop, he said he was adviced to opene a case so that he can claim from the insurance, that case was closed as false.
4.
A company offering sample products and withdrawing extra cash from accounts which lead to banks freezing all transactions.
5.
A vehicle came in and they claimed that it had just been in an accident and there was evidence of heavy rust formation where the paint was broken.
6.
Cleints tring to get fauls claim.
7.
I never had this experience, but remember with the past company insured had brought false documents.
8.
I had a work comp claim where this man claimed to have hurt his back on the job when lifting a heavy piece of material. Only to find out, he injured it at home when he was putting a deck up in his backyard. I found out he had been treated a few months ago at a hospital for the same injury, which was stated from putting a deck up at home. He didn't have medical insurance and was trying to get work comp to pay for it.
9.
The client did not pay his premiums but he put in a claim.
10.
That has never happen before.
11.
Discovered that the client bought the vehicle a month prior to insuring it places it on cover, vehicle trace showed that the client insured a different colour vehicle then the one that was bought, client could not produce any repair certificates nore receipts.
12.
I worked on a claim that was previously placed months before, same kind of damages, on a vandalism claim. Compared the damages and paid for only the new ones observed.
13.
I've never been in the industry. But Ive heard friends always egar to push the envelope on claims.
14.
If anything ever came through that appeared fraudulent regarding a policy, or claim I would contact underwriting and advise them of the issue. They would look into it, get back to me, and I would move my claim based on the outcome of underwriting. I would also contact SIU if I needed to.
15.
Make a report and with evidence submit to my superior for opinion before giving it to our client the insurance company.
Question 10 of 35
When you have difficulty persuading someone to your point of view, what do you do?
User-Submitted Answers
1.
I listen to the person and try to incorporate the persons thoughts towards my view thereby making the best decision.
2.
I would look for facts to help get my point across. I would be persuasive in my point and not back down.
3.
I research and produce evidence of my point to show the validity of my side.
4.
Listen to them and come to mutual agreement.
5.
I listen to the person and try to incorporate the person's thoughts into my view and thereby make the best decision.
6.
Talk calm and clear not getting flustered rethink the situation and try a different approach.
7.
I listen to that person and try to incorporate the person's thoughts into my point of view and thereby making the right decision.
8.
Try and see things from their point of view and work my way back.
9.
I dont usually have that type of a problem but if I did I might offer some middle ground that we can compromise and come up with a realistic solution.
10.
I listen to what they have to say and see if I may have missed anything that may help me to persuade them again.
11.
I try to ask them what about my point of view they don't agree with or understand and try to address each point one-on-one in hopes that I can persuade them.
12.
Discuss it along with another co worker.
13.
Listen someone's view first and discuss what will be the result of that view and explain what will be the result of my view these are the positives coming.
14.
I stay calm and try to put myself in their shoes. Once I understand where they are coming from, I can form a mental plan of how to answer all of their concerns and persuade them to see things my way.
15.
I put myself in their shoes and say what I would want to hear.
Question 11 of 35
Have you researched our company? What attracted you to our organization?
User-Submitted Answers
1.
1. Vision. Being the best insurance company the the region.
2.
I would for it, its a great company.
3.
Established in 1937 and hold core values of integrity, respect, excellence, goals and profit.
4.
It is a fast growing company with the vision of helping people out from their crisis and it is an authorised financial providers.
5.
The company has various department and is a world wide organisation that offers fantastic opportunities for its employees and promotes cpd.
6.
I listen to that person and try to incorporate the person's thoughts into my point of view and thereby making the right decision.
7.
I researched it and know that it has been in business for over 60 years and that it strives to provide excellent service.
8.
I have worked with adjusters in the past from this company and have always had a positive experience with them.
9.
I know it was formed in 1933 and the corporate office is in Columbus and you have been voted one of the best places to work for the past three years.
10.
Allstate is the largest personal insurer companies in the nation and they have are a company that really invests in not only their employees through offering employee resource groups but also the community through programs like, Safe driving for Teens and Domestic Violence advocacy for women.
11.
The company deals with all insurance products and help clients the their claim as soon as possily.
12.
Is a market leader distribution through 4 different agencies and culture of the company is best fitted what I know for me.
13.
Established in 1937, you are one of the largest providers of car insurance in the US. You pride yourself on being one step ahead of the insurance industry. You value Integrity, Respect, Ambition, Excellence, and Profit.
14.
It has been in the market for a long time and it has good customer service ratings.
15.
I know that you are a multimillion dollar company that was first established in 1878 with revenue of over 2.3 billion each year and one of the top rated insurance providers in the world.
Question 12 of 35
What experiences do you have talking with legal counsel on claims?
User-Submitted Answers
1.
I have studied law in my bachelor degree course thereby getting the knowledge on laws relation to insurance which incorporate Claims.
2.
I do not have any experience with legal counsel on claims but I have had lots of contact with attorneys from my previous job and had to talk with them frequently about a person's property and/or Wills. I feel comfortable talking with attorneys and look forward to speaking with them about claim situations as well.
3.
I've never been in contact with legal counsel regarding claims but I do have contacts with the legal counsiel including prosecutors and advocates, I think with that experince and contacts I won't have any difficulties should the client is not certisfied with his or her claims and decide to take the company to court, I will deal with that and present my facts in the court of law.
4.
I have none but am willing to undertake any training provided to become successful within the company.
5.
I listened to the person and try to incorporate the person's thoughts into my point of view and thereb2making the best decision.
6.
Not many. But have had many years of dealing with claims handlers . And dont believe I would have a problems understanding there legal obligations to the consumers as owed a pre loss indemnification.
7.
I am excited to gain my first experience through you.
8.
I have frequently reached out to counsel for opinions on claims, especially in different states.
9.
Mostly advise and what the legalities would be should a particular decision be taken.
10.
I have a small amount of experience on that level.
11.
Fair bit of experience negotiating with BI claims.
12.
I had a personal flooring job where I had to defend my company in a claim.
13.
I would speak with our inside legal counsel on files. I would go over my file with them, and let them know why I made my liability decision. I would also negotiate claims with claimant's attorneys.
14.
Well actually I dont have any experience with it.
Question 13 of 35
What are your salary expectations?
Question 14 of 35
We were initially looking for someone with 5 years' experience in a similar role. Considering you have just 2 years' experience, would you be willing to accept this position at a lower salary?
Question 15 of 35
If you could re-do any of your insurance courses, which one would you choose and why?
User-Submitted Answers
1.
I worked in pip customer service before, and wish I could have the opportunity to work in that department again one day, so I can learn even more about insurance.
Question 16 of 35
Describe your leadership skills.
Question 17 of 35
When entering a new job, describe how you build relationships with your new coworkers and supervisors.
Question 18 of 35
Outside of work, what type of creative activities do you like to pursue?
Question 19 of 35
How often do you discuss work with your colleagues in order to think up new systems and styles of working?
Question 20 of 35
Tell me about yourself.
Question 21 of 35
What challenges are you looking for in this position?
Question 22 of 35
When would you be available?
Question 23 of 35
Tell me about your post-secondary education. What was your best course, and which one gave you the most difficulty?
User-Submitted Answers
1.
I have a two year assiciotes degree plus many many years in sales training, managemtn and real estate training.
2.
My best course is my psychology class because it's dealing with the mind, and the way people think has always fascinated me.
Question 24 of 35
How well do you understand the insurance industry?
User-Submitted Answers
1.
From carrier perspective there are lots of opportunity in this organization to grow myself and shows my potential within the company's outfit.
2.
Well fast pace trust with the customers.
3.
I am still learning the basics a great deal, but understand the need to exist and how it provides answers in need. I chose this industry based on skills that I found being underused in the past and very appealing to exercise.
4.
I'm only an outsider but I have been a customer for many different type of insurance. I have taken Insurance class in college and made an A. I feel like I have a good understanding for and outsider.
5.
I understand the insurance industry enough to handle claims.
Question 25 of 35
If hired by us, what would your goals be as an adjuster?
User-Submitted Answers
1.
1. Work hard to meeting deadlines as set by the organisation towards achieving organization goals by serving customers and stakeholders well. 2. Adhere to set out rules and regulations of the company. 3. Use the available opportunities to better my career.
2.
To learn as much as possible and exceed company expectations.
3.
I am looking forward to work hard by awarding genuine claims to genuine clients and reaching the company's goal as that of mine.
4.
To understand the key issues in the claims first to achieve the path to grow towards the success.
5.
Learn and grow and become the best.
6.
To be able to handle claims in a accurate, timely, efficient manner.
7.
Adding value and making a meningful contribution.
8.
Who is fault to claim and adijust how much we would pay a.
9.
Get claims completed accurately and efficiently.
10.
To become very proficient at resolving the claims effectively and timely.
11.
My goals would be to learn even more, so I could be a part of your management team, and one day retire from your company.
Question 26 of 35
What kinds of communication situations cause you difficulty? Give an example.
User-Submitted Answers
1.
Use of informal communication in areas where they are many communication barriers to pass a formal message. E. G. A manager giving me an important duties by verbal in a loud and congested area.
2.
People who are not open to listening to reason.
3.
I think when customer probably does not understand or may be having problems with languages.
4.
Unclear, vague. When someone expects me to know what they're thinking.
5.
Nothing really only when I done understand.
6.
When a person have a preconceived idea of the insurance co being against them, not for them.
7.
If someone is standing in my face being abusive that's difficult for me.
Question 27 of 35
Why did you choose to become a Claims Adjuster?
User-Submitted Answers
1.
This will help me utilize my learnt skills and gain more practical skills in your organisation.
2.
I want to make the claim experience more positive by achieving the goals set by the company.
3.
Claims Adjuster has lost of knowledge.
4.
To switch from the present position to claim to get more exposure.
5.
The job is very inspiring to me. I think it will be a great challenge in an area that I am interested in. I enjoy working hard and seeing results.
6.
Actually, I landed a job in the claims department at a young age through a friend of a friend. I learned the role and the skills that came with it. It was something it enjoyed and so I stayed in that area.
7.
I want to do something new and challenging I work with insurance everyday so I think it will be a nice transition for me.
8.
Flexivlity and the daily change of work.
9.
Because it's interesting, and fast paced.
Question 28 of 35
What are your three greatest strengths?
User-Submitted Answers
1.
1. I am a Disciplined persons. 2. Punctuality. I have a tendancy of working hard and meeting set deadlines. 3. Integrity. I do my job per the requirements as I work to achieving organization goals.
2.
I am a friendly person that is able to learn fast and not let situation bother me.
3.
Organized, Problem Solver and Good Communication.
4.
I am a descipline person, I've got a tendency of pushing myself to hard to meet deadlines set by the company and I work to my utmost best to achieve the task given by the manegement.
5.
Positivity, self motivation, happiness.
6.
My ability to recognize primary and secondary damage and follow the related impact of a collision, evaluate a repair solution . And know what will be required to be able to perform a pre loss repair. the ability to communicate this to a broad range of consumers and various personality . solve the many problems that arise from conflicts.
7.
I can work with great pressure.
8.
My weaness is my greatest strengths that helps me to find more effective solution that gives a most potential and poisitive result.
9.
I hold myself to high standards, I am respectful of other people and their feelings, I am ambitious, and I am constantly trying to improve myself.
10.
Interpersonal skills- I can do well in team environments. Adaptability- I can change my thinking or attitude to achiev a goal. Customer service- I can communicate well people of all backgrounds.
11.
I always try put myself in people shoes. Try to understand what others are going thu. I'm a good listener and I'm a hard worker.
12.
Street smart, listening skills and investigative ability and interviewing ability.
13.
Handle multiple task. Detail oriented. Handling of customer service.
14.
Commitment, adaptability, and relentlesness.
Question 29 of 35
In your opinion, what makes you the best candidate for this job?
User-Submitted Answers
1.
I have a unique combination of skill which a more relevant for this job.
2.
I am your best candidate because I am a organized problem solver who knows how to manage diverse relationships with integrity.
3.
I bring my privious exprices.
4.
My skill, talents, experience that I want to impart to this organization that make me a best assets of this company.
5.
High Standards, respect, ambition, desire to improve and change.
6.
I'm hard working and take direction will and willing to learn.
7.
I believe in myself and my investigative ability and I am a team player willing to learn on a daily basis.
8.
My willingness to learn and I am self motivated.
9.
My relentless commitment, my desire to improve each and every day, my passion to overcome challenges.
10.
Because I am an asset. I am licensed, loyal, willing to help out where I'm needed. Easy to get a long with, and love working in claims.
Question 30 of 35
Where do you see yourself in 5 years?
User-Submitted Answers
1.
I will rise up through the ladder of the organization hierarchy to being a manager to the medical department.
2.
In five years I expect to have moved up from the claims adjuster position to a supervisory position.
3.
I am looking forward to work hard by awarding genuine claims to genuine clients and reaching the company's goal as that of mine.
4.
Naturally I have to be where I have set my goal within the span to that ultimate success where I must be a leading person to motivate and help subordinates to resolve the claims and in decisional making process.
5.
Working for you and being the best at what I do.
6.
Happy, Healthy successful.
7.
Definately in a senior position or junior managemtn.
8.
I see myself graduated from college, and moving higher in the insurance industry.
Question 31 of 35
Do you consider yourself highly organized?
User-Submitted Answers
1.
Yes, I tend to create my own schedule to help me manage time and meet set timelines.
2.
Yes. Prioritizing and scheduling is very important in time management.
3.
I keep time managment as my goal and try to be within that circle of my time management.
4.
As a loss adjuster you always have to be on top of your game as time management is very important.
5.
Well, this would be my first job but if a customer irritated me I wouldn't show it. I would still treat them like everyone else and make sure they leave satisfied with their experience.
Question 32 of 35
Tell me about a time that you went out of your way to assist a colleague. What satisfaction did you get from your actions?
User-Submitted Answers
1.
Client met with an accident and was very up set, I calm down by letting them know that it was not his fault and we are going to help him asoon as possble.
2.
To resolve the total loss issue and help the person when he was really upset with the long proceedure expalined the reason of being delay.
3.
I help people daily. When I work hard towards finding a solution to help someone and we finally get the work done, I love seeing the excitement on their face or hearing it in their voice. That reaction is what keeps me coming back. I also enjoying the learning process; I learn from them and they learn from me.
4.
I try to help people everyday in small ways and it always makes me feel good.
5.
Knowing that my knowledge would be appreciated.
6.
In college made sack lunches to pass out. Made me feel good that I helped the homeless.
7.
All the time, to my friends and family, the satisfaction of making a difference in the world one person at a time.
8.
I had a co worker having difficulty with our new system and I showed her a few things I found helpful.
9.
I, m not sure If I ever help others for satisfaction but its my nature bend to be helpful and as I get older even be a mentor.
10.
I went out of my way to assist a colleague quite a few times by helping out with their first contacts. If they were backed up, I would stay late and help out. It brought me satisfaction to know that I helped out, and it removed some of her stress.
Question 33 of 35
When have you dealt with an angry customer before? How do you handle such situations?
User-Submitted Answers
1.
I very calm and listion to them.
2.
Keep patience, allow him to speak, calm your self, once he spoke enough, explain how you felt about his feelings and how you realy want to help him.
3.
Customers get upset sometimes I try to really listen to what they are saying repeat what they said to me so they know they are being heard then I trying to calmly let them know that I will do my best to help them with the situation. I also apologize to them for any inconvenience that they have experienced.
4.
By lettign the customer vent and make sure its not taken personal.
5.
Intern to the customer and advise how I can resolve this issue.
6.
I am very calm when dealing with angry customers. I inform them of their options if they have any.
7.
When I need to deliver the news that there's no coverage due to liability been adverse to them. I tried to reason as much as possible as to why I came to that conclusion.
8.
Client wasn't happy with settlement. I advised they could provide documentation to increase the value or he could obtain his own appraisal.
9.
Many time. I try my best never to be confirmtionl, and listen and to hear them out. I may agree on the little thing but have to stand firm and reach a middle ground.
10.
You run across a lot of angry customers in claims because it may be their first accident, and they don't understand the process. I make it my business to let them know I'm here to help, explain the process and get the claim moving forward.
Question 34 of 35
As a Claims Adjuster, most of your customers will be in some distress. What qualities do you possess that tell me you are capable of handling communication with individuals in distress?
User-Submitted Answers
1.
Be calm and listen to them first and advise them it will be dealt asap.
2.
Some sort of counselling, customers are most of the time unhappy with the delay, try to be quite and have patience and learned what customer realy want.
3.
I have been trained in the art of keeping calm through my experience as a musician.
4.
I'm patient, kind understanding and empathetic.
5.
By placeing yourself in the clients situation and make sure you trear clients are treated the way you want to be treated.
6.
My backgrounds working as a customer see rep.
7.
My sense of empathy: I can deliver effectively a sense of understanding and, when possible, an assurance that I can help.
8.
I'm a compassionate person and I listen and empathize.
9.
I think everyone wants to feel important so I need to give them respect. Again listen to their needs. I will be a listener and a problem solver.
10.
I'm pretty much a calm person. I let them vent for about two minutes. Let them know I understand they are upset. However, I need to explain the claim process, so we can move forward.
Question 35 of 35
I'm interested in knowing more about the culture and type of work you are seeking. What is your ideal position at this time?

About Claims Adjuster

February 12th, 2017

A Claims Adjuster is also referred to as an Insurance Adjuster or Claims Handler. An Adjuster is responsible for assessing policyholder claims that come through an insurance company. Investigating the policyholders claim is the beginning of a Claims Adjuster's role and may include negotiating a payout from the insurance company to the claimant. A Claims Adjuster can find employment with any Insurance Agency.

Professional mannerisms and great communication skills are key to the success of a Claims Adjuster. An Adjuster may need to work directly with Physicians, Law Enforcement, Lawyers and other professionals who may be required to give their professional opinion on the health and well-being of a claimant or the state of their property.

A Claims Adjuster is required to perform investigatory related tasks associated with car accidents and personal injury, for example. A strong memory and keen eye are some characteristics that may be important for an Adjuster to possess. Negotiation skills are a must-have as a Claims Adjuster must make recommendations for insurance payout amounts based on each individual policy and situation. Claims Adjusters should be very detail oriented since organization and precision are vital to a claim's accuracy. Every single detail matters when it comes to an insurance claim.

A post-secondary degree can greatly improve one's ability to gain employment as an Adjuster. A degree in Business, Finance, or Administration may be desired. A post-secondary degree may not always be required to gain employment as a Claims Adjuster; however, one must always be properly licensed. Licensing may change between States so it's important to check for policies and regulations when moving from State to State.

Print all Claims Adjuster Interview Questions