“Is the adjuster is on my side?” we all like to think so. It’s supposed to be a self-executing statute.
But in reality, in a defense to them a little bit, I think they’ve got too many files. They’ll carry a couple hundred files, they can’t get to you, and the squeaky wheel gets the oil, which is what we do. I’ve got a staff that’s calling, emailing, following up on time to keep you in front of that adjuster.
The adjuster, just like in an auto case, is meant to keep the claim expenses down. So when you go back to work and the less medical care you get, the less money they spend on you. That’s their objective.
How do you move up with an insurance world? By not paying as much on a claim as you should. You don’t know that.
That’s what’s going on behind the scene.
So whereas we’d like to be in the noble side of course, in reality, we need to be very careful of the adjuster or the nurse case manager. They are employees of the employer and the carrier, who are on the opposite side of you.