Adjuster Caseload & Workload Estimator

Estimates the optimal caseload per adjuster and total staffing needs based on claim volume, complexity, and available work hours per period.

Total Claims per Month

Average Hours to Close One Claim

Claim Complexity Factor (1.0 = standard, >1 = complex)

Adjuster Available Work Hours per Month

Adjuster Utilization Rate (%) — time spent on claims vs. admin

Claim Reopen / Supplement Rate (%)

Current Number of Adjusters on Staff

1. Effective Claims = Total Claims × (1 + Reopen Rate / 100)

2. Adjusted Hours per Claim = Avg Hours to Close × Complexity Factor

3. Total Claim Hours Required = Effective Claims × Adjusted Hours per Claim

4. Productive Hours per Adjuster = Available Work Hours × (Utilization Rate / 100)

5. Required Adjusters = ⌈ Total Claim Hours / Productive Hours per Adjuster ⌉

6. Optimal Caseload = Effective Claims / Required Adjusters

7. Current Staff Utilization = Total Claim Hours / (Current Adjusters × Productive Hours) × 100

8. Staffing Gap = Required Adjusters − Current Adjusters

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