When should reserves be reviewed by a disabling adjuster?

Reviewing reserves upon receipt of significant medical information is crucial in the claims adjusting process. This is because new medical data can have a direct impact on the evaluation of a claim. It may provide insights into a worker's condition, prognosis, treatment requirements, and overall impact on their ability to work. These factors are significant in determining the appropriate level of reserves needed to cover potential future costs associated with the claim.

By evaluating reserves in light of this new information, the adjuster can ensure that the funds set aside for the claim reflect the most current understanding of the worker’s situation. Regular review based on significant updates is essential for accurate financial planning and responsible management of the claim throughout its lifecycle. This proactive approach prevents underfunding or overfunding of reserves, ultimately improving claim outcomes for both the worker and the insurer.