Which process evaluates a claim and determines liability?

The process that evaluates a claim and determines liability is claim adjustment. This involves a thorough investigation of the claim, assessing the evidence and circumstances surrounding the incident to determine the insurer's responsibility. During claim adjustment, an adjuster will gather information, interview involved parties, and analyze documentation to ascertain the validity of the claim and the extent of the liability of the insurer.

While claim submission refers to the initial step where a claimant presents their claim to the insurance company, and claim negotiation involves discussions between insurers and claimants to agree on settlement terms, claim settlement specifically pertains to the conclusion or agreement reached regarding the claim amount after the evaluation has taken place. Understanding these distinctions helps clarify why claim adjustment is considered the core process in evaluating claims and determining liability.