What is the primary role of a claims personnel in an insurance company?

The primary role of claims personnel in an insurance company is to handle the settlement of claims. This involves evaluating claims that are submitted by policyholders, investigating the circumstances surrounding those claims, and determining whether the claims are valid based on the terms of the insurance policy. Once the assessment is complete, claims personnel work to ensure that valid claims are settled promptly and fairly, facilitating payment to the policyholder when appropriate. This role is critical because it directly impacts customer satisfaction and the company's reputation for service reliability.

In contrast, assessing risks before underwriting primarily pertains to the underwriter's responsibilities, where the focus is on evaluating potential customers' risks and pricing policies accordingly. Negotiating terms with brokers falls within the scope of sales or distribution functions rather than claims. Advising on policy wording involves the responsibilities of product development or regulatory compliance, ensuring that the policies are clear and legally sound. Thus, while all these roles are crucial in their own contexts, they do not align with the specific functions carried out by claims personnel.