Claims Northwest
Orca breaching in Puget Sound with the Olympics behind
Claims Northwest LLC · Independent Adjusting & TPA

One firm for the whole claim — from first notice to final award.

A family-owned, multi-line independent adjusting and third-party administration firm serving policyholders and carriers across the Pacific Northwest and nationwide since 2005.

Public Adjuster Appraiser Umpire TPA Expert Witness
What We Do

Five ways we handle a claim.

Multi-line experience across auto, property, contents, and heavy equipment — represented from any seat at the table, with the credentials to back it up.

01

Public Adjuster

We represent policyholders in first-party property claims — documenting the full scope of loss, building a defensible estimate, and negotiating a fair settlement directly with your carrier.

WA Public Adjuster · WAOIC 725391
02

Appraiser

Named in thousands of appraisals across auto, property, contents, and heavy-equipment losses. We serve as appraiser for policyholders or carriers in appraisal-clause disputes, building market-based, well-documented valuations.

WIND-Certified Appraiser · Nationwide experience
03

Umpire

When two appraisers disagree, a neutral umpire renders the binding award. An evenly balanced caseload — roughly 50% policyholder, 50% carrier — means no structural bias toward either party, the defining quality of a sound umpire.

WIND-Certified Umpire · Auto & property lines
04

Third-Party Administration

Full-service TPA across property & casualty and healthcare benefit administration — claims processing, eligibility management, provider networks, compliance, and reporting handled as your administrative partner.

NFIP-Certified · FCN 70003130
05

Expert Witness

Repeatedly retained as an expert witness in valuation, diminished-value, and loss-of-use matters — providing court testimony, depositions, and arbitration support grounded in documented methodology.

Testimony 2015–2026 · Superior & small-claims courts
06

Investigations & CAT Response

SIU and fraud investigation, skip-trace, and recorded statements — plus catastrophe deployment for high-volume residential and commercial property losses, including NFIP flood and Xactimate 28 estimating.

SIU · NFIP Flood · CAT · Desk reviews
Third-Party Administration

Your administrative partner.

Claims Northwest delivers tailored TPA solutions across a wide range of claim types — from property and casualty adjusting to comprehensive healthcare benefit management — streamlining processes, ensuring compliance, and improving service quality for insurers, employers, and self-funded entities.

Claims Processing

Full management from adjudication to fraud review and provider payments.

Eligibility Management

Real-time enrollment updates and coverage verification.

Customer Service

Dedicated representatives for plan participants.

Benefit Plan Design

Customized plan creation and ongoing support.

Provider Network Management

Contract negotiation and access to leading networks.

Regulatory Compliance

HIPAA and ACA adherence, guaranteed.

Reporting & Analytics

Clear, actionable metrics you can act on.

Stop-Loss Coverage

Risk mitigation through smart insurance pairing.

Case & Utilization Review

Guidance toward efficient, effective healthcare use.

Why Claims Northwest

Family-owned. Genuinely neutral.

Two decades of multi-line practice, an even claimant/carrier balance, and the credentials that let us serve from any seat at the table.

01

Cost Savings

Lean operations and direct provider negotiation keep administrative spend down.

02

Proven Expertise

Industry professionals who know the regulations, lines, and complexities firsthand.

03

Less Burden

Focus on your core business while we handle the day-to-day claim work.

04

Better Experience

Responsive, plain-spoken service that builds trust with members and insureds.

Have a claim, dispute, or appointment in mind?

Tell us what you're facing and we'll point you to the right service — or schedule a consult with John directly.