The Initial Phone Call with the Claims Adjuster: What to Say and What to Hold Back

Topics > Work with the Claims Adjuster

The first call with the claims adjuster sets the tone for your entire claim. It is not a friendly chat. It is a recorded, fact-gathering interview that the insurance company will use to decide how much to pay you or whether to pay you at all. You need to treat this call like a deposition, not a therapy session. Go in prepared, stick to the facts, and say nothing you do not have to say.

Before you pick up the phone, gather every piece of relevant information. This includes the date, time, and location of the incident, the names and contact details of any other people involved, the police report number if one exists, and any photographs or videos you have taken. Write down a short, chronological timeline of what happened. Do not guess or fill in gaps. If you do not remember something, say you do not remember. Guessing can create contradictions that the adjuster will use against you later.

Your tone on the call should be calm, cooperative, and brief. Do not volunteer extra details. Answer only the specific question asked. For example, if the adjuster asks “How fast were you going?“ you answer “About 30 miles per hour.“ You do not add “but I was slowing down because the light was yellow and the other car came out of nowhere.“ That extra information is speculation and opinion, not fact, and it can be twisted to suggest you were distracted or at fault.

Avoid any statements about fault or blame. Do not say “I’m sorry” or “I guess I should have been more careful.“ Even a casual apology can be interpreted as an admission of liability in many states. Stick to objective facts. Say “I was stopped at the red light. The other vehicle struck my driver’s side door.“ Do not say “I think the other driver ran the light.“ Let the police report and evidence speak to fault.

Do not discuss your injuries in detail over the phone. If the adjuster asks how you are feeling, say “I am still being evaluated by my doctor” or “I am following my treatment plan.“ Do not say “I’m fine” or “It’s just a little sore.“ Insurance adjusters are trained to record any statement that downplays your injuries and use it later to reduce your settlement. If you say you are fine, they will argue you do not need compensation for pain and suffering.

Do not give a recorded statement without legal advice. Some adjusters will ask for a recorded statement early in the process. You have the right to say no or to request that your attorney be present. If you do not have an attorney, you can still decline. Say “I am not comfortable giving a recorded statement at this time. I am still gathering information.“ They may push back, but you are not legally required to provide one in most cases. If they insist, ask them to put the request in writing so you can review it.

Take notes during the call. Write down the adjuster’s name, direct phone number, claim number, and the date and time of the call. Note any promises they make, such as “I will call you back by Friday” or “I will send a check in the mail.“ If they fail to follow through, you have documentation. Also note any questions they asked that seemed unusual or leading. This information can be helpful if you later need to file a complaint or hire an attorney.

Do not accept a settlement offer on the first call. The adjuster may offer you a quick check to “make this go away.“ This first offer is almost always lower than what your claim is worth. You have not yet completed your medical treatment. You do not know the full extent of property damage. You have not calculated lost wages. Say “Thank you. I will review this with my doctor and get back to you.“ Do not sign anything and do not cash any checks until you are sure the amount covers all your damages.

If the adjuster seems aggressive or tries to pressure you, stay calm. Do not argue. Do not raise your voice. Simply repeat that you are still evaluating your damages and will respond in writing when you are ready. You can end the call by saying “I appreciate your time. I will send you the documents I have and follow up after I speak with my doctor.“ Then hang up. You are in control of the pace of the claim.

The initial phone call is your opportunity to present a clear, factual story without adding clutter or emotion. Stick to what you know, keep it short, and never give away information that can be used against you. This is not being dishonest. It is being smart. The insurance company has lawyers and adjusters who do this every day. You are up against professionals. Acting like one yourself is your best defense.

Search

Topics

Recent Articles

When a Pressure Cooker Explodes: Your Rights Under Product Liability Law

Understanding the Proof of Loss: A Critical Step in the Insurance Claim Process

Third-Party Liability for Contractor Injuries After a Hit-and-Run

Tags

FAQ

Frequently Asked Questions

What makes me legally responsible for a slip and fall on my property?

You are responsible if your negligence caused the dangerous condition. This means you knew or should have known about a hazard—like a broken step, icy walkway, or wet floor—and failed to fix it or warn visitors about it in a reasonable time. Simply owning the property where someone falls does not automatically make you liable. The key question is whether you acted with reasonable care to keep your property safe for guests, customers, or other expected visitors.

Your responsibility depends on the claim’s outcome and your insurance. If you are found legally responsible, you typically pay your insurance deductible first. Your insurance policy covers costs up to its limit. You are personally responsible for any settlement or judgment amount that exceeds your policy limits. This is why having adequate coverage is critical. Costs can include the other person’s medical bills, repair costs, lost wages, and their “pain and suffering,“ as determined by negotiation or a court.

You must clearly state the facts of what happened, why the defendant is legally responsible, and the specific harm or loss you suffered. Crucially, you must detail the compensation you are seeking, itemizing all costs and damages. Include full, correct names and addresses for everyone involved. Missing or vague information can cause delays or lead to your claim being rejected outright by the court.

In most cases, a hit-and-run claim under your uninsured motorist or collision coverage should not cause your rates to increase, as you are not at fault. However, insurance regulations vary by state and company. When you report the claim, you can directly ask your agent, “Will filing this hit-and-run claim affect my premium?“ Get a clear answer before proceeding if you are concerned.