Article 20. Adjuster
On insurance activities (LRU-730-son) · Date: 23.11.2021 · In force
An adjuster shall be defined as a legal entity that has relevant specialists on its staff, or an individual with professional knowledge and skills who provides the following services on behalf of the insurer, the insurant and other customer:
inspection and survey of the object of insurance after the occurrence of an insured event;
analysis of the facts and risk circumstances of an insured event;
determination of the causes of damage to the object of insurance and the occurrence of an insured event;
if an insured event has occurred — determination of the degree and amount of damage caused as a result of the insured event;
determination of the amount of the insurance indemnity (insurance benefit) to be paid;
preparation of an opinion on the insured event.
The adjuster shall carry out its activities in accordance with the contract concluded with the insurer, the insurant and other customer.
The adjuster shall not have the right to:
conduct insurance and reinsurance operations as an insurer;
carry out intermediary insurance activities;
hold shares in the charter funds (charter capitals) of insurers;
receive the amount of the insurance indemnity (insurance benefit) as a representative of the insurant.
The results of the provision of the adjuster service shall be drawn up in the form of a report that can be used by the insurer in indemnification and dispute resolution.
The conclusions contained in the adjuster's report may be reviewed in the course of an independent insurance examination.
