Insurance · Property Claims

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 Simply pay 50% of the claimed amount as a compromise
  2. B 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
  3. C Deny the claim for lack of documentation
  4. D Pay the claim immediately based on the insured's statement

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

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About this topic: Property Claims

Property claims are about the value of what was lost: actual cash value versus replacement cost, depreciation, coinsurance penalties and proof-of-loss requirements. These questions cover the calculations and the policy conditions that decide what is paid. This is one of 6 Insurance Adjuster questions on property claims, each with a full explanation on a single study page.

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