A Complete Overview of the Insurance Claims Process
The insurance claims process begins when a policyholder reports a covered loss to the insurer. Timely reporting is critical, as delays can affect claim eligibility. After notification, the policyholder must submit required documentation to support the claim.
The insurer then evaluates the claim through investigation and verification. This may involve adjusters, medical professionals, or repair specialists. The goal is to confirm the cause, extent, and validity of the loss.
Once the evaluation is complete, the insurer issues a decision. Approved claims result in payment or service provision, while denied claims come with written explanations and appeal options. Understanding this process helps policyholders navigate claims confidently and efficiently.