Staff Adjuster
An insurance carrier or TPA employee who handles claims internally as part of the company's permanent claims department.
FAQs
- What is the difference between a staff adjuster and an independent adjuster?
- A staff adjuster is a direct employee of the insurer or TPA, compensated by salary; an independent adjuster is a contractor paid per claim or per day. Staff adjuster costs are unallocated LAE; independent adjuster fees are allocated LAE.
- How many claims can a staff adjuster handle at once?
- Workloads vary by line and complexity, but a typical auto staff adjuster might carry 80 to 150 open files. Workers' compensation adjusters typically handle fewer files due to the long-tail nature and ongoing management intensity of those claims.
- Do staff adjusters need a license?
- Licensing requirements vary by state. Many states exempt staff adjusters from individual licensing because their employer (the carrier) holds the relevant license, but some states require individual staff adjuster licenses regardless of employer.
Related Terms
Independent Adjuster
A claims professional working as an independent contractor hired by insurers on a fee or per-claim basis to investigate, evaluate, and settle claims.
Unallocated Loss Adjustment Expense
Overhead claims handling costs not attributable to a specific claim, such as staff adjuster salaries, office overhead, and claims system costs.
Claims Leakage
Measurable overpayment on claims relative to the theoretically correct settlement, resulting from process failures, errors, or inadequate investigation.
Litigation Management
The carrier's structured process for controlling legal defense costs, outcomes, and strategies on claims that have entered the court system.
