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Major Group

Professionals

Sub-Major Group

Business and Administration Professionals

Minor Group

241

Finance Professionals

Unit Group

2411

Accountants and Auditors

Minor Unit Group

MASCO Code

2411-07

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Adjuster

TVET

TVET scope is based on recognized occupational standards, with emphasis on practical components, psychomotor skills and exposure to training in the industry

Adjuster investigates and evaluates an insurance claim to determine the extent of compensation, examining damages to property, vehicles, or businesses. They assess losses, review relevant documentation, interview the claimant and witnesses, and negotiate settlements within policy limits. The role includes ensuring the claim is processed fairly and promptly, maintaining accurate records, and preparing detailed reports in accordance with legal and regulatory requirements.

Tasks

Investigate insurance claims by inspecting damaged property, vehicles, or business-related losses to assess the extent of damage and loss.

Gather, verify, and analyse claim evidence, including photographs, reports, estimates, and witness statements.

Review insurance policies to determine coverage, exclusions, liability, and applicable claim conditions.

Interview and liaise with claimants, witnesses, insurers, legal representatives, and other relevant parties to clarify claim information.

Assess repair estimates, replacement costs, and other verified financial losses related to claims.

Determine claim compensation in accordance with policy terms, verified damages, and relevant legal and regulatory requirements.

Prepare detailed claim investigation and assessment reports with findings and settlement recommendations.

Negotiate claim settlements with claimants or third parties within policy limits and organisational guidelines.

Maintain accurate claim documentation and records, and ensure claims are processed fairly, promptly, and in compliance with legal, regulatory, and organisational requirements.