Overview
Loss adjusting plays a critical role in the insurance claims process by providing an independent and professional assessment of losses. Loss adjusters investigate claims, determine the extent of damage, evaluate policy coverage, and support fair and accurate claims settlements.
This course provides practical knowledge of the principles and practices involved in loss adjusting across various types of insurance claims. Participants will develop an understanding of how losses are investigated, assessed, documented, and reported in order to support informed claims decisions.
The programme also highlights the importance of professionalism, objectivity, and technical competence in conducting loss assessments and ensuring fair outcomes for both insurers and policyholders.
Who Should Enrol
This course is designed for professionals involved in insurance claims and loss assessment, including:
- Loss adjusters and claims investigators
- Insurance claims officers and claims administrators
- Insurance underwriters seeking understanding of loss assessment processes
- Insurance brokers and intermediaries supporting clients during claims
- Risk and insurance professionals involved in claims management
- Professionals seeking foundational knowledge in loss adjusting practices
What You Will Learn
Participants will gain practical knowledge and understanding of:
- The role and responsibilities of loss adjusters in the claims process
- Principles of loss investigation and damage assessment
- Documentation and reporting requirements in loss adjusting
- Policy interpretation in claims assessment
- Coordination with insurers, policyholders, and other stakeholders
- Best practices for conducting professional and objective loss assessments
Learning Pathway
This course forms part of the IIEA E-Academy Learning Pathway Framework™ for Advanced Insurance Professionals, designed to strengthen technical expertise across key areas of insurance practice.
Certification
Participants who successfully complete the course requirements will receive a Certificate of Achievement recognising their successful completion of the programme.
This course complements other claims and investigation programmes such as:
- Claims Fundamentals
- Claims Handling Fundamentals
- Motor Claims Investigations
and helps develop practical expertise in loss investigation and claims assessment across different insurance lines.
Learning Outcomes
By the end of this course, you should be able to:-
- Obtain information on the loss to be adjusted
- Determine the customer’s position now that the loss has occurred
- Carry out an appropriate assessment of the claim arising from the loss
- Report on the loss in accordance with the assignment instructions.
Course Outline
- 1.1: Learning Outcomes
- 2.1: Adjuster or assessor?
- 2.2: Case study: Assessor or adjuster?
- 2.3: A brief history
- 2.4: Engaging a loss adjuster
- 2.5: The role of the loss adjuster
- 3.1: The core skills of a loss adjuster
- 3.2: Case study: Thinking outside the box — a loss adjuster’s solution
- 3.3: The customer
- 3.4: Insurance codes and legal requirements
- 3.5: Code of Practice
- 3.6: Professional and representative bodies
- 3.7: Statutory and regulatory requirements
- 4.1: Case study: The contra proferentem rule
- 4.2: Categories of insurance
- 4.3: The assignment
- 4.4: Case study: Conflict of interest
- 4.5: Specialist services
- 5.1: The steps involved in the loss adjusting process
- 5.2: Conducting the investigation and validating the claim
- 5.3: Assessing the amount of the loss
- 5.4: Negotiating, settlement and recovery
- 5.5: Case study: Fine Fashions Outlet