Insurance · General

An adjuster is examining a burglary claim. The homeowner reports $15,000 in stolen electronics. The adjuster discovers the insured has no purchase receipts, no photos of the items, and no model/serial numbers. What should the adjuster do?

Correct answer

Request all available documentation and use reasonable methods to establish value — police report, credit card records, store purchase history, independent valuation of similar items; work with the insured to substantiate the claim before making a payment determination

  1. A Pay the claim immediately based on the insured's statement
  2. B Deny the claim for lack of documentation
  3. C Request all available documentation and use reasonable methods to establish value — police report, credit card records, store purchase history, independent valuation of similar items; work with the insured to substantiate the claim before making a payment determination
  4. D Simply pay 50% of the claimed amount as a compromise

Why this is the answer

DOCUMENTATION AND PROOF OF LOSS: The insurer has the right to require reasonable proof of loss — the insured must demonstrate that the claimed items existed and establish their value. INVESTIGATION APPROACH: Request police report (contemporaneous listing of reported stolen items); credit card/bank statements showing purchases; retailer purchase history; photos/videos (social media, cloud backups); homeowner app inventory records; witness statements; independent pricing research for claimed items; ADJUSTER'S ROLE: Work COLLABORATIVELY with the insured to substantiate the claim — not adversarially; help identify available documentation sources; apply reasonable valuation methods when perfect documentation doesn't exist; CAUTION: Fraud is a consideration but not the default assumption; many legitimate claims lack documentation; adjuster must document their valuation methodology clearly for any payment or denial.
Source: Insurance Adjuster — Property Claims, Burglary Documentation