When must an adjuster inform the claimant of a claim denial?

The adjuster must inform the claimant of a claim denial as soon as the decision has been made because timely communication is essential in the claims process. This approach aligns with best practices in claims handling, ensuring that claimants are not left in the dark about the status of their claims. Prompt notification allows claimants to understand the reasons for the denial, which can be crucial for their next steps, whether that involves gathering additional information to support their claim or deciding on an appeal process.

This requirement emphasizes the importance of transparency and accountability in the claims adjusting process. By providing immediate notification, the adjuster demonstrates professionalism and adherence to fair claims practices, fostering trust between the insurer and the claimant.