What should an adjuster do if new evidence arises after a claim decision?

When new evidence arises after a claim decision has been made, the appropriate course of action for an adjuster is to re-evaluate the claim based on the new evidence. This approach is crucial because insurance claims are typically based on the facts and circumstances present at the time of the evaluation. If new information comes to light that could impact the outcome of the claim, it's essential for the adjuster to reassess the situation.

Re-evaluating the claim ensures fairness and accuracy in the claims process, aligning with the ethical responsibilities of the insurance company to treat policyholders justly. Adjusters have a duty to thoroughly investigate and consider all relevant information before making a final decision. This process not only promotes transparency but also ensures that the policyholder's rights and interests are protected.

By doing so, the adjuster can make informed decisions that reflect the most current and complete understanding of the situation, which may lead to a different conclusion regarding the validity or amount awarded on the claim.