Which role does a claims adjuster NOT have in the insurance industry?

A claims adjuster's primary role in the insurance industry revolves around managing claims once they have been filed. This includes evaluating insurance claims to determine liability, which involves assessing the details of the incident to ascertain who is at fault and to what extent the insurance coverage applies. Investigating the circumstances of a claim is crucial for gathering information and evidence that supports the claim's validity, allowing the adjuster to make informed decisions. Furthermore, communicating decisions regarding claims to insured individuals is an essential part of the claims process, ensuring that policyholders understand the outcome and any actions they may need to take.

In contrast, setting premiums for policies falls outside the professional duties of a claims adjuster. The responsibility for determining premiums typically lies with underwriters, who assess risk factors and statistical data to establish appropriate pricing for insurance coverage. This distinction highlights the specific functions within the insurance industry and clarifies the limited role of the claims adjuster in the overall scheme of policy management and pricing.