• An adjuster is someone who settles insurance claims. This usually includes investigating losses and determining the extent of coverage. In the context of first party insurance (eg property insurance), the adjuster negotiates a settlement with the policyholder. In liability insurance, the adjuster coordinates the insured’s defense and participates in settlement negotiations. Adjusters can be employees of the insurer (in-house adjusters) or independent adjuster bureaus (independent adjusters), which represent insurers and self-insurers on a contractual basis. Government adjusters are consultants who specialize in helping policyholders make claims against insurance companies in a way that maximizes their recovery.

  • Administrative law is a body of law created by federal or state administrative bodies with the consent of the respective legislatures. This law usually takes the form of rules and regulations similar to those promulgated by government insurance departments.

  • An administrative order is a legal document issued by an administrative body, such as the Environmental Protection Agency (EPA), directing an individual, business, or other entity to take corrective action or refrain from doing something. It describes violations and actions that need to be taken and that can be enforced in court. Such orders may be issued, for example, as a result of an administrative complaint, according to which the defendant is ordered to pay a fine for breaking the law.

  • An administrative consent order is a legal agreement signed by an administrative agency, such as the Environmental Protection Agency (EPA), and an individual, business, or other legal entity through which the infringer agrees to pay for the correction of violations, take necessary corrective action, or clean up. or refrain from activity. It describes the actions to be taken, may be subject to a comment period, applies to civil actions, and can be enforced in court.

  • Administrative Services Only (ASO) is a group health self-insurance program for large employers in which the employer assumes all risks by purchasing only administrative services from the insurer. Such administrative services include activities such as preparation of administrative guidance, communication with employees, determination and payment of benefits, preparation of government reports, preparation of short plan descriptions, and accounting. Most employers would also purchase stop loss insurance to protect against catastrophic losses.

  • An Eligible Company is a company that is licensed or authorized to sell insurance to the public. In the United States, eligible companies are licensed on a state-by-state basis and are distinct from excess line insurers who are allowed to sell insurance in a state without admission.