What is the difference between an insurance adjuster and an insurance investigator?

In North Carolina, an insurance adjuster and an insurance investigator are both important players in the insurance law process. Both have the ability to evaluate, approve, and deny insurance claims based on the laws and regulations of the state. An insurance adjuster is an individual who works for an insurance company. This person is responsible for analyzing and evaluating claims to determine if they should be paid out. Adjusters may also negotiate settlements with claimants, review policy documents, and review medical records to make sure they meet the criteria set out in the policy. An insurance investigator, on the other hand, is a private investigator who is hired by the insurance company or its attorney to investigate fraud or other wrongdoing. They are typically used to investigate suspicious claims to determine whether or not the claimant is telling the truth. The investigator may also be responsible for gathering evidence, interviewing witnesses, and creating a report of their investigation. To sum it up, an insurance adjuster is responsible for evaluating and approving claims, while an insurance investigator is responsible for investigating potential fraud or other wrongdoing before claims are approved or denied. Both individuals have the same objective, which is to ensure the insurance company pays out the correct amount for a valid claim.

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What is the difference between an insurance adjuster and an insurance investigator?

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