Overview of the Claims Process
Every insurance claim follows a similar journey, regardless of the type of insurance. Understanding this process helps you navigate it efficiently and avoid costly mistakes.
- Incident occurs — An accident, theft, storm damage, or other covered event happens.
- Immediate action — Ensure safety first. Prevent further damage where possible (this is actually a policy requirement called the “duty to mitigate”).
- Notify your insurer — Report the incident within the timeframe specified in your policy (usually 24–72 hours). Late notification can result in your claim being denied.
- Claim registration — The insurer assigns a claim number and a claims handler to your case.
- Documentation — You provide evidence: photos, receipts, police reports, medical records, repair quotes.
- Assessment — A loss adjuster may visit to inspect the damage and verify your claim.
- Decision — The insurer approves, partially approves, or denies your claim.
- Settlement — If approved, payment is made to you or directly to the repairer/service provider.
The Role of Loss Adjusters
A loss adjuster is an independent professional appointed by the insurer to investigate and assess your claim. They will:
- Visit the site to inspect damage
- Review your policy to confirm coverage
- Assess the value of the loss
- Write a report recommending a settlement amount
Remember: the loss adjuster works for the insurer, not for you. Be cooperative and honest, but also ensure your interests are represented.