Dolphin Claims

Ch 4 · Filing the Claim

Module 4.4

Adjuster Types — Staff, IA, Desk, Field

5 types of adjusters touch your claim. Whose paycheck depends on what. How to handle each. Quick handling matrix.

10 min read

What you'll learn

The 4 types of adjusters who'll touch your claim. Whose paycheck depends on what. How to handle each. The single one who actually represents you.


4.4.1 The 4 carrier-side adjuster types

TypeRolePay tied toWhere they work
Field adjusterInspects your propertyCarrier (staff or IA)Your driveway
Desk adjusterReviews file, issues decisions, writes paymentsCarrierOffice (you may never speak to them)
Staff adjusterW-2 carrier employeeCarrier (salary + closing-rate metrics)Carrier's office
Independent adjuster (IA)Contractor working for the carrierCarrier (per-claim fee)IA firm or in field

Plus the 5th — the only one who works for you:

| Public adjuster (PA) | Represents the policyholder | Settlement amount (capped by FL statute § 626.854) | Anywhere |


4.4.2 Field adjuster

The person who shows up at your property to inspect.

Who they are: typically a staff adjuster (carrier W-2) or independent adjuster (carrier contractor). Field adjuster is a role, not a license type.

Their job:

  • Inspect the damage
  • Photograph
  • Build an estimate (often in Xactimate)
  • Write a report for the desk adjuster

Their incentive:

  • Staff: speed + closing rate. Bonus tied to claims processed per week.
  • IA: rehires from the carrier. Writes too high → no future contracts.

Both are aligned with the carrier. The field adjuster is rarely the decision-maker, but their report shapes everything that follows.

How to handle the field adjuster

  • Be present for the entire inspection. Don't let them walk through alone.
  • Walk them through every area. Don't assume they'll find things.
  • Photograph their inspection. Public space, your property — your right.
  • Provide your own contractor estimate at or before the inspection.
  • Be polite, professional, prepared. Friction with field adjuster slows the claim.
  • Note their name + contact info for follow-up.

If the field adjuster spends 15 minutes and says "I'll write it up" — push back. "Let's walk through every area together. I want to make sure nothing's missed."


4.4.3 Desk adjuster

The person who actually decides your claim.

Who they are: carrier staff (sometimes outsourced to TPAs in catastrophe events).

Their job:

  • Review the field adjuster's report + estimate
  • Apply policy provisions (coverage, exclusions, sub-limits, deductibles)
  • Issue payment, denial, or request additional info
  • Communicate the decision in writing

Their incentive:

  • Carrier loss ratio targets
  • Closing rate
  • Compliance with statutory deadlines (so the carrier avoids fines)

You may never speak to them by name. Most carrier communications come from a generic claims address or a rotating cast of associates.

How to handle the desk adjuster

  • All formal communication in writing. Email, certified mail, portal — never just phone.
  • Cite policy + statute in disputes. They respond to specifics.
  • Reference the field adjuster's findings when arguing scope.
  • Demand the line-item Xactimate estimate + photos + reports the field adjuster generated. § 627.7142 entitles you.

4.4.4 Staff adjuster

A direct W-2 carrier employee. Can be field or desk.

Pros for the homeowner:

  • Generally more knowledgeable about specific policy + carrier procedures
  • More accountability (they have a manager you can escalate to)

Cons:

  • Carrier loyalty
  • Closing-rate pressure
  • Less negotiating flexibility (have to follow company guidelines)

4.4.5 Independent adjuster (IA)

A licensed adjuster working as a contractor for the carrier — often through an IA firm.

The "independent" in the name is misleading. They're independent from any single carrier — but they're hired by carriers. An IA who consistently writes large estimates does not get rehired.

Common in:

  • Catastrophe events (hurricanes — when staff capacity is overwhelmed)
  • Out-of-state claims (carrier doesn't have local staff)
  • Rural areas (no staff coverage)

Pros for the homeowner:

  • Often more responsive than staff (per-claim fees incentivize speed)
  • Sometimes less rigid than staff

Cons:

  • Same carrier alignment as staff
  • Variable quality (depends on the IA firm + individual)
  • Catastrophe IAs are often overwhelmed

How to handle an IA

Same as staff. Be present, document, push back politely, demand line-item detail.

If the IA is from a different state: be patient w/ scheduling but firm on Florida-specific policy provisions (matching statute, hurricane deductible, etc.).


4.4.6 Catastrophe (CAT) adjusters

Special case. After a hurricane or major event, carriers deploy thousands of CAT adjusters — typically IAs from across the country.

Quality varies wildly. Some are excellent. Many are inexperienced + overworked.

How to handle a CAT adjuster

  • Be EXTRA prepared. They're under time pressure. Your organized file = faster, better outcome.
  • Don't assume they know FL-specific rules (matching statute, hurricane deductible mechanics, code upgrade).
  • Insist on line-item detail. Catastrophe scopes are notorious for missing things.
  • Follow up in writing immediately after they leave. CAT adjusters rotate. Today's adjuster won't be the one writing your second-look estimate.

4.4.7 The public adjuster — the only one who represents you

Already covered in Module 1.0 — Foundations.

Quick recap:

  • Florida-licensed (3-20)
  • Works for the policyholder, not the carrier
  • Compensated only on settlement (capped at 10% emergency / 20% non-emergency under § 626.854)
  • The only adjuster type with a financial interest aligned with yours

When to bring in a PA: see Module 1.0.6 decision tree.


4.4.8 The carrier's attorney

Not an adjuster — but you'll meet them in serious claims.

When they appear:

  • Recorded statement coordination (in some carriers)
  • Examination Under Oath (EUO) — formal pre-litigation proceeding
  • After litigation begins
  • After CRN is filed and bad-faith setup is in motion

How to handle:

  • Treat every interaction as if it's on record (because it is)
  • Never do an EUO without your own attorney present
  • Never give a recorded statement directed by carrier's attorney without preparation

Detail in Module 8.5 — EUO.


4.4.9 The carrier's expert (engineer, etc.)

Brought in for complex causation questions:

  • "Was this damage from the hurricane or pre-existing wear?"
  • "Was this water damage sudden or long-term?"
  • "Does this roof have storm damage or is it failure of installation?"

The carrier-retained engineer's report often determines the outcome of the claim.

They are paid by the carrier. Their reports are written for the carrier.

How to handle a carrier-retained expert

  • Get your own expert. A pre-emptive independent expert report often produces a different conclusion. Whoever's report is in first usually anchors the analysis.
  • Be present during their inspection. Document what they look at.
  • Demand a copy of their report under § 627.7142 (carrier estimate-share rule applies broadly to claim documents).
  • Have your expert respond to theirs point by point.

4.4.10 Quick handling matrix

PersonTreat asCommunication
Field adjusterCarrier-aligned, often the gatewayPolite, walk-through, document
Desk adjusterDecision-makerAll in writing, cite policy + statute
Staff adjusterCarrier employeeSame as desk
Independent adjuster (IA)Carrier contractorSame as staff
CAT adjusterTime-pressured IAExtra-prepared file, immediate follow-up
Public adjusterYour representativeHonest + responsive
Carrier's attorneyPre-litigation/litigationNever alone — your attorney too
Carrier's expertCarrier-aligned witnessYour own expert in response

4.4.11 Action steps

  1. The day you have a claim, identify each person you interact with by type (use this module's matrix).
  2. Note their name + role + contact info in your timeline.
  3. Treat each per the matrix.
  4. If a CAT event: extra-prepared. Organized file = better outcome.
  5. Bring in a PA when the matrix indicates carrier-aligned pressure isn't easing.

Chapter 4 complete. Next: 5.1 Building Your Scope of Damage.


Educational. Not legal advice. Adjuster license types + carrier procedures vary; verify against your specific carrier and Florida law (§ 626.854 governs PAs; § 626.864 governs adjusters generally).

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