Title: Insurance investigator
Content:  An insurance investigator examines insurance claims that are suspicious or otherwise in doubt. Investigators in this field have differing specialties and backgrounds. Some insurance companies have their own in-house investigation teams while other companies sub-contract the work to private investigators or private investigation firms. Although such investigations are usually conducted to combat fraud, very often investigators will be working simply to establish the circumstances of a particular claim (for example, in a multi-vehicular road accident involving various parties, claims and insurance companies).
Title: Insurance
Content:  Claims and loss handling is the materialized utility of insurance; it is the actual "product" paid for. Claims may be filed by insureds directly with the insurer or through brokers or agents. The insurer may require that the claim be filed on its own proprietary forms, or may accept claims on a standard industry form, such as those produced by ACORD. Insurance company claims departments employ a large number of claims adjusters supported by a staff of records management and data entry clerks. Incoming claims are classified based on severity and are assigned to adjusters whose settlement authority varies with their knowledge and experience. The adjuster undertakes an investigation of each claim, usually in close cooperation with the insured, determines if coverage is 
Title: California Department of Insurance
Content:  The CDI is charged with responsibility for investigating and arresting those who commit insurance fraud, in order to protect the public from loss and distress. Claimant, agent, and insurance company fraud is investigated and prosecuted by the agency. The agency maintains criminal investigators in many parts of the state. Investigators from the CDI work closely with the internal investigators at insurance companies in cases of suspected claimant and agent fraud. After concluding an investigation, the CDI will either close the case or refer the matter to the prosecuting agency in the jurisdiction where the alleged misconduct occurred.
Title: Claims adjuster
Content:  A claims adjuster, desk adjuster, field adjuster, or general adjuster (claim adjuster, claims handler, claim handler or loss adjuster in the United Kingdom, Ireland, Australia, South Africa, the Caribbean and New Zealand) investigates insurance claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the insurance company's liability. Other claims adjusters who represent policyholders may aid in the preparation of an insurance claim.
Title: Insurance fraud
Content:  try to negotiate the claim down to the appropriate amount. Suspicious claims can also be submitted to "special investigative units", or SIUs, for further investigation. These units generally consist of experienced claims adjusters with special training in investigating fraudulent claims. These investigators look for certain symptoms associated with fraudulent claims, or otherwise look for evidence of falsification of some kind. This evidence can then be used to deny payment of the claims or to prosecute fraudsters if the violation is serious enough. When an insurance company's fraud department investigates a fraud claim, they frequently proceed in two stages: pre-contact and post-contact. In the pre-contact stage they analyze all available evidence before they contact the suspect. 
Title: Claims adjuster
Content: Notifying the insurer of a covered loss as defined under the policy of insurance ; Responding to claims in a timely manner ; Filing paperwork ; Communicating with policyholders ; Investigating liability ; Assessing damages ; Researching, detailing, and substantiating each aspect of the claim, including building damage, contents, and extra living expense claims ; Preparing a detailed damages report based on monthly updated insurance cost software for the purpose of making an offer of settlement to the insured ; If needed for specialty cost coding, negotiating with product/service providers on time and cost of repairs for the purpose of making an offer of settlement to the insured ; Ensuring accurate procedures ; Protecting the interest of the insurance company the 
Title: Public insurance adjusting
Content:  Public insurance adjusters represent the policyholder during the insurance claims process. These individuals or companies can inspect property damage, but cannot advise homeowners on questions of the law. They also help in building the case that is argued against the insurance company. Adjusters mostly represent clients who have been victim to property damage or loss. Most cases involve disasters including: fires, floods, hurricanes, frost damages, burglaries, and earthquakes.
Title: Insurance
Content:  insured (either inside "house" counsel or outside "panel" counsel), monitor litigation that may take years to complete, and appear in person or over the telephone with settlement authority at a mandatory settlement conference when requested by the judge. If a claims adjuster suspects under-insurance, the condition of average may come into play to limit the insurance company's exposure. In managing the claims handling function, insurers seek to balance the elements of customer satisfaction, administrative handling expenses, and claims overpayment leakages. As part of this balancing act, fraudulent insurance practices are a major business risk that must be managed and overcome. Disputes between insurers and insureds over the validity of claims or claims handling practices occasionally escalate into litigation (see insurance bad faith).
Title: Insurance
Content:  under the terms of the insurance contract, and if so, the reasonable monetary value of the claim, and authorizes payment. The policyholder may hire their own public adjuster to negotiate the settlement with the insurance company on their behalf. For policies that are complicated, where claims may be complex, the insured may take out a separate insurance policy add-on, called loss recovery insurance, which covers the cost of a public adjuster in the case of a claim. Adjusting liability insurance claims is particularly difficult because there is a third party involved, the plaintiff, who is under no contractual obligation to cooperate with the insurer and may in fact regard the insurer as a deep pocket. The adjuster must obtain legal counsel for 
Title: Insurance investigator
Content:  on an insurance policy for injuries sustained before the policy came into effect. For example, in a road accident, a person may claim to have sustained a debilitating back injury. On investigation, however, it transpires that the injury had been sustained in an incident some months or even years before. Very often insurance companies and investigators will study medical reports and history to eliminate this possibility, as well as searching for evidence of previous claims or accidents. There are also many forms of fraud involving property, for example when a person with valuable assets (property, for example) deliberately destroys them, often through arson, with the intention of then claiming the value back through insurance. Another form would be an art collector insuring a high value piece and then having it 'stolen' - claiming the money for themself and keeping the art piece in the process.

Question: who represents the insured in the investigation of a claim?
Answer: Public adjusters.
Claims adjuster.