What’s the role of the insurance adjuster in my claim?

Answer

The insurance adjuster is the single person typically assigned to your case, and their job is to make sure you’re getting everything you’re entitled to under the Workers’ Compensation Act. That’s the ideal. But adjusters also work for a for-profit insurance company, which means that when something is a close call regarding your entitlement, there is often explicit or implicit pressure to make decisions that benefit the insurance company financially rather than you. So, there are two sides to it: many adjusters do a good job handling claims, but ultimately, they serve their employer—the insurance company—and that can sometimes mean delays or denials that prevent you from receiving what you deserve as promptly as you should.

This is why you should always have someone on your side watching over your claim—your lawyer. While an insurance adjuster is working in the insurance company’s best interest, your lawyer is focused on protecting yours. For additional clarity on how these situations unfold, you can review our workers compensation lawyers in Rhode Island resource or visit the RI workers’ comp benefits. You may also find it helpful to explore related issues such as insurance-ordered medical exams or benefit interruptions.

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