Claims adjustment
Some actions may only be performed by claims adjusters while others can also be carried out by service providers, specialists or employees over the phone who are authorized to settle claims pursuant to the guidelines of the Autorité des marchés financiers.
The Claims Adjuster:
- Is the project supervisor managing the entire claims adjustment process;
- Investigates the loss, appraises the damage and negotiates the settlement;
- May mandate service providers or specialists to carry out specific activities which are exclusive to the claims adjuster, though the adjuster remains ethically responsible for such work.
The service providers or specialists mandated by the claim adjuster must:
- Perform solely the work requested from them by the claims adjuster;
- Remain within their field of speciality and refrain from acting beyond those limits.
The Claimant's Handbook
This guide aims to help claimants understand the claim settlement process, encourage them to participate in the decision-making process, and follow up adequately with the players involved in the settlement, among other things.
The handbook includes:
- A checklist and an action follow-up chart that claimants may complete with the help of their claims adjuster if needed
- A list of the players who may be involved in the claim settlement process along with their roles and duties
- The steps to follow in the event of a claim, with some tips and advice
- A list of the main documents required that a claimant may be asked to sign for a settlement
- A glossary specifying some of the technical terms common to damage insurance
- Options in the event where the claimant is dissatisfied with the settlement process
Customize and share your Claimant’s Handbook!
Whether it needs to be used in prevention or following a damage, ChAD encourages brokers, agents and claims adjusters to share this guide with your clients to raise their awareness about the claims adjustment process. Firms may also customize it with their logo on the cover page for distribution to clients. Contact ChAD at info@chad.qc.ca to learn more about customizing this guide.
Tools and resources to help you
Sharing of Roles and Responsabilities
This table takes into account the implementation guideline Directive d’application de l’Autorité des marchés financiers en regard de la définition d’expert en sinistre et des activités qui lui sont exclusives.
The Claimant’s Handbook
This guide aims to help claimants understand the claim settlement process, encourage them to participate in the decision-making process, and follow up adequately with the players involved in the settlement, among other things.
