What is an investigative report in claims adjustment?

An investigative report in claims adjustment is a comprehensive document that outlines the findings of a claim investigation. This report typically includes various elements such as evidence gathered, interviews conducted, analysis of the circumstances surrounding the claim, and assessments of damages. By detailing the facts and findings, an investigative report serves as a crucial tool for adjusters to make informed decisions about claim validity, coverage applicability, and appropriate settlements.

It's important to distinguish this from other types of documents related to insurance claims. For instance, a summary of an insurance company's financial status provides insights into the company's overall health and operations rather than specific details about an individual claim. Similarly, a document preparing the claimant for legal action focuses on the legal aspects rather than the factual aspects of the claim itself, and a form filled out by the claimant typically serves to collect information on their reported losses instead of analyzing and summarizing the investigation results. Thus, the investigative report stands out as a significant resource that directly supports the claims adjustment process.