How do insurance adjusters determine damage?

Asked by: Efrain Hane  |  Last update: October 22, 2025
Score: 4.5/5 (24 votes)

They likely will try to limit how much the company should pay you. The adjuster looks at every inch of the car to view any damage. They review several photos of the accident. Then, the insurance representative uses a computer system to calculate the cost of repairs for accident-related damage.

How do insurance adjusters estimate damage?

The adjuster's assessment is vital in determining the claim's value. They inspect the car, interviewing involved parties, and scrutinizing accident reports. Adjusters may employ specific software to estimate repair costs, taking the vehicle's age, mileage, and pre-accident condition into account.

What not to tell a claims adjuster?

Some key phrases to avoid saying to an insurance adjuster include: “I'm sorry.” “It was all/partly my fault.” “I did not see the other person/driver.”

How do insurance companies determine pre-existing damage?

Adjusters often rely on photographic evidence from before and after the accident. Comparing these can help determine whether damages were pre-existing. Expert assessments. Sometimes, insurance companies will employ the expertise of mechanics or collision repair specialists to assess the vehicle's condition.

What do insurance adjusters look at?

Adjusters inspect property damage or personal injury claims to determine how much the insurance company should pay for the loss. They might inspect a home, a business, or an automobile. Adjusters interview the claimant and witnesses, inspect the property, and do additional research, such as look at police reports.

Insurance Adjuster says roof is repairable. 😂 See how this inspection is ignored & denied?

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How long does it take for an adjuster to make a decision?

Typically, under the terms of the insurance policy and/or by state law, the adjuster must complete an initial review and send a response within a reasonable amount of time – usually on the order of 30 days.

What will an insurance adjuster ask you?

If you're wondering how to talk to an insurance claims adjuster, understand they want to know basic information about the accident. They'll ask you to share details including what happened, where it happened, the types of vehicles involved, and perhaps the other driver's identity.

How to negotiate property damage with insurance company?

Here's what you need to know about negotiating a fair settlement for property damage in California.
  1. Know What You Want from the Insurance Company. ...
  2. Ask to See How the Insurer Valued Your Car. ...
  3. Don't Accept a Lowball Settlement Offer. ...
  4. Emphasize the Points in Your Favor. ...
  5. Document Everything Throughout the Process.

How do insurance companies decide what is covered?

Insurance companies determine what tests, drugs and services they will cover. These choices are based on their understanding of the kinds of medical care that most patients need. Your insurance company's choices may mean that the test, drug or service you need isn't covered by your policy.

How far back do insurance companies look for pre-existing conditions?

To determine if a condition is pre-existing, insurers examine medical history, treatment records, and diagnosis reports. They may use “look-back periods,” which are specific timeframes—typically six months to a year before coverage begins—to review medical history.

How do you beat claims adjuster?

What Is the Single Best Way to Scare an Insurance Adjuster?
  1. Write a convincing demand letter to your insurance company.
  2. Carefully review any settlement offers you receive.
  3. Reject a settlement offer in writing on your behalf.
  4. Counter your lowball settlement offer.

Should I talk to my insurance adjuster?

One of the most consequential things you'll do in the aftermath of a car crash is speak with an insurance adjuster. Take this conversation seriously because it will set the foundation for your claim and could affect how much compensation you can recover.

Why would an adjuster deny a claim?

If there is any indication that their policyholder isn't responsible the insurer will deny your claim. Claims may also be denied if there's evidence to show that the policyholder isn't entirely to blame for an accident. In California, anyone who contributes to an accident can be held responsible for resulting injuries.

What is the 80% rule in insurance?

The 80% rule means that an insurance company will pay the replacement cost of damage to a home as long as the owner has purchased coverage equal to at least 80% of the home's total replacement value.

Do insurance adjusters try lowball?

This strategy is very common in states that follow the principle of pure comparative fault, like California. Under California's laws, your damages will be reduced depending on your percentage of fault. By shifting some of the blame to you, the insurance company could get away with paying less than they should.

How long does a damage estimate take?

The Estimate Process

Depending on the extent of the car's damage, the estimated process can take 15 to 30 minutes. A technician will inspect your car and note obvious damage, such as dents and broken windows. They'll also look for hidden damage within the frame, suspension, and other areas.

How do insurance companies determine allowed amounts?

(Note: insurers determine allowed amounts based on what they deem the going rate for the service to be. They call these “usual, customary, and reasonable fees.”)

What are 3 factors that insurance companies look at to determine how much your insurance is going to cost?

What determines your car insurance rates
  • Location.
  • Driving record.
  • Credit history.
  • Gender.
  • Age.
  • Marital status.
  • Claims history.
  • Car make and model.

How does the insurance company determine what it pays?

Even if you have a replacement value policy, the first check you receive from your insurer will be based on the cash value of the items, which is the depreciated amount based on the age of the item. Why do insurance companies do this? It is to match the remaining claim payment to the exact replacement cost.

What home insurance adjusters won't tell you?

Adjusters may downplay the extent of the damage, offer lowball settlements, or employ various tactics to delay the claim settlement process. To navigate this challenge, homeowners must be prepared, well-documented, and persistent in advocating for their rights.

How to get the most from an insurance adjuster?

Maximize Your Insurance Claim Payout: 10 Tips for Understanding and Negotiating the Estimate
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.

Should I accept a home insurance settlement offer?

You do not have to accept the first, second, or third settlement offer—so long as the insurance company has not presented you with a fair amount. Even if your insurance adjuster tells you that they cannot raise the offer more, that is probably not true.

What not to say to insurance claim adjuster?

Eight things NOT to say to an insurance adjuster are:
  • admitting fault,
  • anything about your injuries,
  • anything on the record,
  • speculating about the crash,
  • that you do not have a lawyer,
  • providing unnecessary information,
  • accepting a settlement, and.
  • sharing medical records.

How do adjusters determine damage?

While the adjuster investigates an individual's claim, they assess every bit of damage to the vehicle. They look for whether a crack or dent occurred before or after an accident. They want to make sure the company pays for the repairs related to the traumatic event.

How do I prepare for an insurance adjuster visit?

Be Prepared: Before you talk to the insurance claims adjuster, make sure you're organized and have all your documentation in order. This preparation includes all relevant documentation that will support your claim, including police reports, medical records, and bills.