The "Claims Adjusting Standard Operating Procedures (SOP) Manual" brings forth several commendable aspects in the field of insurance claims management. Firstly, it establishes a standardized and efficient framework for processing claims, ensuring consistency and accuracy in assessments. The SOP manual proves invaluable for employee training, offering clear guidelines on claims procedures, documentation, and customer interactions, leading to a high level of expertise and customer satisfaction. It contributes significantly to risk management, minimizing errors, and enhancing the overall efficiency of the claims adjusting process. Additionally, the manual aids in regulatory compliance, ensuring adherence to industry standards and legal requirements. By providing a comprehensive guide for ethical practices, communication strategies, and dispute resolution, it fosters professionalism and trust in the claims adjusting process. Ultimately, the Claims Adjusting SOP Manual serves as a cornerstone for operational excellence, accuracy, and ethical conduct in the dynamic field of insurance claims.

Top 50 Standard Operating Procedures (SOPs) for Claims Adjusting

SOP-279-001: Standard Operating Procedure for Initial Claim Intake
SOP-279-002: Standard Operating Procedure for Claim Documentation
SOP-279-003: Standard Operating Procedure for Claim Investigation
SOP-279-004: Standard Operating Procedure for Claim Evaluation
SOP-279-005: Standard Operating Procedure for Loss Assessment
SOP-279-006: Standard Operating Procedure for Policy Review
SOP-279-007: Standard Operating Procedure for Contacting Insured Parties
SOP-279-008: Standard Operating Procedure for Gathering Witness Statements
SOP-279-009: Standard Operating Procedure for Scene Inspection
SOP-279-010: Standard Operating Procedure for Subrogation Assessment

SOP-279-011: Standard Operating Procedure for Claim Adjuster Assignment
SOP-279-012: Standard Operating Procedure for Legal Compliance
SOP-279-013: Standard Operating Procedure for Fraud Detection
SOP-279-014: Standard Operating Procedure for Documentation Review
SOP-279-015: Standard Operating Procedure for Estimation Software Usage
SOP-279-016: Standard Operating Procedure for Appraisal Process
SOP-279-017: Standard Operating Procedure for Claim Negotiation
SOP-279-018: Standard Operating Procedure for Settlement Offers
SOP-279-019: Standard Operating Procedure for Mediation Procedures
SOP-279-020: Standard Operating Procedure for Litigation Support

SOP-279-021: Standard Operating Procedure for Subcontractor Coordination
SOP-279-022: Standard Operating Procedure for Loss Adjustment Expenses
SOP-279-023: Standard Operating Procedure for Customer Communication
SOP-279-024: Standard Operating Procedure for Claim Denial Procedures
SOP-279-025: Standard Operating Procedure for Salvage Disposition
SOP-279-026: Standard Operating Procedure for Total Loss Assessment
SOP-279-027: Standard Operating Procedure for Claim Reserves
SOP-279-028: Standard Operating Procedure for Claim Audits
SOP-279-029: Standard Operating Procedure for Catastrophic Event Response
SOP-279-030: Standard Operating Procedure for Auto Claims Handling

SOP-279-031: Standard Operating Procedure for Property Claims Handling
SOP-279-032: Standard Operating Procedure for Liability Claims Handling
SOP-279-033: Standard Operating Procedure for Workers' Compensation Claims Handling
SOP-279-034: Standard Operating Procedure for Health Insurance Claims Handling
SOP-279-035: Standard Operating Procedure for Environmental Claims Handling
SOP-279-036: Standard Operating Procedure for Business Interruption Claims
SOP-279-037: Standard Operating Procedure for Claim Closure
SOP-279-038: Standard Operating Procedure for Claim Reporting
SOP-279-039: Standard Operating Procedure for Claim Data Entry
SOP-279-040: Standard Operating Procedure for Claim Payment Authorization

SOP-279-041: Standard Operating Procedure for Quality Assurance Checks
SOP-279-042: Standard Operating Procedure for Technology Integration
SOP-279-043: Standard Operating Procedure for Continuing Education
SOP-279-044: Standard Operating Procedure for Customer Satisfaction Surveys
SOP-279-045: Standard Operating Procedure for Third-Party Administrator Coordination
SOP-279-046: Standard Operating Procedure for Regulatory Reporting
SOP-279-047: Standard Operating Procedure for Vendor Management
SOP-279-048: Standard Operating Procedure for Claim File Retention
SOP-279-049: Standard Operating Procedure for Environmental Impact Assessment
SOP-279-050: Standard Operating Procedure for Disaster Recovery Planning

SOP ToolBox: If you are reading these lines, I am sure you are looking for Standard Operating Procedure guidelines or SOPs itself. In both the cases, searching in internet will not be yielding any great help. Because no company shares their SOP Development Process and certainly don’t share their SOP Documents. The best way to develop an SOP is creating one for yourself. At Fhyzics, we write SOPs day-in and day-out for companies across the globe including some of the Fortune 500 organisations. Our charge ranges from USD 5000 to USD 50000 depending upon the number of processes to be covered. Certainly, this is not affordable to small and mid-size organisations. Hence, we decided to create this SOP ToolBox to disseminate our 8-Step SOP Development Life-Cycle and best practices at an unbelievably low price.

I always say, writing an SOP is somewhere between art and science. So far you may be clueless on where to start and how to progress on an SOP? This will not be the case after you diligently go through this SOP ToolBox. We have summarised all our secrets here to get you started and to deliver a stunning SOP to your management.

The North American Industry Classification System (NAICS) has grouped services and activities associated with Claims Adjusting under the NAICS industry code 524291. The following list shows some activities that are associated with industry 524291,

Cause-of-loss investigators, insurance.
Claims adjusting, insurance.
Fire investigators.
Insurance claims adjusting.
Insurance claims investigation services.
Insurance settlement offices.
Loss control consultants.

Some of the international association of Claims Adjusting:

The National Association of Public Insurance Adjusters (NAPIA).
Association of Claims Professionals (ACP).
Canadian Independent Adjusters Association (CIAA).
National Association of Independent Insurance Adjusters (NAIIA).
Ontario Insurance Adjusters Association (OIAA).
The California Association of Independent Insurance Adjusters (CAIIA).
American Association of Public Insurance Adjusters (AAPIA).
Florida Association of Public Insurance Adjusters (FAPIA).
National Association of Catastrophe Adjusters (NACA).
Georgia Association of Public Insurance Adjusters (GAPIA).
Agricultural Claims Association (ACA).
Oregon Claims Adjusters Association (OCAA).
New Hampshire Adjusters Association (NHAA).
The California Association of Public Insurance Adjusters (CAPIA).
Arizona Insurance Claims Association (AICA).
Massachusetts Association of Public Insurance Adjusters (MAPIA).
International Claim Association (ICA).
Texas Windstorm Insurance Association (TWIA).
Louisian Claims Association (LCA).
Insurance Education Association (IEA).
Atlanta Claims Association (ACA).
Canadian Insurance Claims Managers Association (CICMA).
South Florida Claims Association (SFCA).
Greater Kansas City Claims Association (GCCA).
Central Jersey Claims Association (CJCA).
Houston Claims Association (HCA).
Puget Sound Adjusters Association (PSAA).

International standard for this industry:

ISO 9001: 2015

Few of the World’s best companies in this industry are,

Sedgwich CMS Holdings Inc | Memphis | United State of America | www.sedgwich.com |
Crawford & Company | Peachtree Corners | United State of America | www.crawco.com |
Claims Worley Services LLC | Hammond | United State of America | www.worleyco.com |
Fox Hill Holdings Inc | Parsippany | United State of America | www.foxhill.com |
Cunningham Lindsey US LLC | Tampa | United State of America | www.jacksonlewis.com |
Custard Insur Adjusters inc | Peachtree Corners | United State of America | www.custard.com |
York Risk Services Group Inc | Parsippany | United State of America | www.yorkrisk.com |
Martin Engle & Associates Inc | Atlanta | United State of America | www.englemartin.com |
Claims Administration Corp | Rockville | United State of America | www.firsthealth.com |
Tm Claims Service Inc | Jersey City | United State of America | www.tmamerica.com |
LJRH Inc | New York | United State of America |
Engle Martin and Associate Inc | Atlanta | United State of America | www.englemartin.com |
Bem Systems Inc | Chatham | United State of America | www.bemsys.com |
Central Adjustment Co Inc | Louis | United State of America | www.cacionline.net |