How to File an Insurance Claim in 5 Easy Steps (2024)

Over the years, insurance has gained popularity because of its ability to provide financial support when required. It works as an umbrella that gives financial cover to you and your family during any emergency. You get a range of insurance policies from health insurance, vehicle insurance to life insurance to cover various risks. However, many dread the insurance claim process, assuming it as a daunting task. Here is a comprehensive guide to take you through the process in a simple and straightforward manner. So, you can easily file an insurance claim in just a few steps.

Step-by-step procedure to file a claim

  1. Contact your insurer. The first step of claim process is to contact your insurer and intimate about the claim.
  2. Fill your claim form and attach the relevant documents.
  3. A surveyor conducts damage evaluation.
  4. Acceptance of your claim.
  5. Get the claim amount.

Contact your insurer

The first step ofinsurance claim process is to contact your insurer and intimate about the claim. Be it a life, health, or property insurance claim; it is essential to inform your insurer at the earliest. Generally, you need to inform the insurer within 48 hours from the incident if you opt for cashless health insurance. For reimbursem*nt claim, you need to contact the insurer and submit the documents within 10-15 days. You will find the deadline for making a claim mentioned in the policy document, which may differ from insurer to insurer. A delay in claim intimation will only make the process more time-consuming and cumbersome.

Fill your claim form and attach the relevant documents

Once intimated, the insurance company will send youan insurance claim process form. You can also log in to the insurer's website and download the form. Make sure you fill it with utmost accuracy. You need to attach certain documents along with the claim form.

For example, when making a health insurance claim, you need share documents like hospital bills, discharge summary, and doctor’s prescriptions. Similarly, for a motor insurance claim, you need to submit the invoice, FIR copy in case of an accident along with the claim form. You may also have to submit the evidence to prove the accidental damages.

You will find the entire list of the documents required for claiming the policy benefits on the insurancepolicy document. This will help you to raise the claim hassle-free.

A surveyor conducts damage evaluation

For motor insurance, the insurance company may send a surveyor to investigate the validity of yourinsurance claim. The surveyor will evaluate the authenticity of the claim with due diligence. For life and health insurance, the insurer will start processing the claim settlement request upon receiving and verifying all the documents.

Acceptance of your claim

If everything is in order following the policy's terms and conditions, the claim will get accepted and processed quickly. However, the claim may get rejected if the insurer finds that the policyholder has given incorrect information or hidden any vital information.

Hence, it is essential to provide accurate information in the proposal as well asin the insurance claim process form. Any discrepancy in the claim form will lead to claim rejection and defeat the very purpose of insurance.

Get the claim amount

For cashless claim, the insurers will directly settle the bills with the network service providers. For reimbursem*nt claim, insurance companies usually process claims within 10-30 days. You get the payment via NEFT into the registered bank account. In some cases, you may receive a check. You can also track your insurance claim status online. Make sure to give the correct phone number and email ID to receive regular updates.

Steps for third-party claim

Here are the steps you need to take to make a successful claim:

  • Exchange details with the other driver, including their registration number and insurance details.
  • Gather evidence, such as photos and witness statements.
  • Contact your insurer to begin the claims process. They will ask for the other driver's details and evidence of the accident.
  • The insurer will investigate the accident and determine who was at fault.
  • If the insurer decides that the other driver was at fault, they will pursue a claim against that driver's insurance company.
  • If the claim proves authentic, your insurer will cover the costs of any repairs up to the value of your vehicle.

Car insurance claim process for a stolen car

Here are the steps to ensure a smooth insurance claim process in case of car theft:

  • Inform the police of the theft and obtain a crime reference number for your insurance claim.
  • Contact your insurance company immediately and provide all the necessary information, including the police report.
  • Your insurer will investigate the theft and assess the damage to your car.
  • If the car is found, the insurer will arrange for it to return to you. If the car is not found, they will determine the extent of your loss.
  • If the car suffers total loss, the insurer will pay out the market value of your vehicle at the time of the theft.
  • Complete any necessary paperwork and provide all the relevant documents required by your insurer.

Most insurers ensure hassle-free claim settlement process for the policyholders. However, you can check the insurer’s claim settlement ratio when buying an insurance policy to know the company’s efficiency in settling claims. Insurance companies also provide 24x7 customer services to assistpolicyholders to complete the insurance claim process correctly. However, you must ensure to provide accurate information and right documents to make the claim settlement procedure seamless and hassle-free.

How to File an Insurance Claim in 5 Easy Steps (2024)

FAQs

What are the 5 steps to file a claim? ›

Your insurance claim, step-by-step
  1. Connect with your broker. Your broker is your primary contact when it comes to your insurance policy – they should understand your situation and how to proceed. ...
  2. Claim investigation begins. ...
  3. Your policy is reviewed. ...
  4. Damage evaluation is conducted. ...
  5. Payment is arranged.

What are the 5 steps to the medical claim process? ›

The Five Vital Steps in Getting a Medical Claim Paid
  • Patient Demographics. Getting up-to-date patient and insurance information is essential to getting claims paid. ...
  • Charge Entry. ...
  • Payment Posting. ...
  • Working the Accounts Receivables. ...
  • Sending Monthly Patient Statements.
Mar 22, 2023

What are the steps of an insurance claim? ›

Six Steps in Making an Insurance Claim
  1. Step One: Contact Your Agent Immediately. ...
  2. Step Two: Carefully Document Your Losses. ...
  3. Step Three: Protect Your Property from Further Damage or Theft. ...
  4. Step Four: Working with Adjustor. ...
  5. Step Five: Settling Your Claim. ...
  6. Step Six: Repairing Your Home.

How do you answer insurance claim questions? ›

Below are some best practices to consider:
  1. Contact a lawyer. ...
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. ...
  3. Ask specifically that your statement not be recorded. ...
  4. Give brief answers. ...
  5. Don't volunteer information. ...
  6. Answer only the question asked.

What is a claim checklist? ›

It functions as a to-do list, giving you an overview of the tasks required for each claim, along with labels, the due date, the assigned person and the action required.

What are the five type of claims? ›

The six most common types of claim are: fact, definition, value, cause, comparison, and policy. Being able to identify these types of claim in other people's arguments can help students better craft their own.

What are the three most common mistakes on a claim that will cause denials? ›

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:
  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

What is the first step in filing an insurance claim? ›

Notify your agent and/or your insurance company immediately. If anyone is injured or the vehicle damage exceeds $750.00, you must report the accident to the Department of Motor Vehicles within 10 days. Failure to notify the DMV may result in the suspension of your driver's license.

What is the best way to make an insurance claim? ›

Need to know
  1. Read your policy's product disclosure statement (PDS) so you know what you're covered for.
  2. Submit necessary proof of purchase documents and photo evidence to avoid delays.
  3. Regularly review your policy to make sure you're covered for the right amount, and have agreed to an affordable excess.

What not to say when talking to an insurance adjuster? ›

When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

What is insurance best answer? ›

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company.

What is insurance claim in simple words? ›

An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.

What are 3 important things to do when you file a claim? ›

Here are some important steps to take in order to file your insurance claim.
  • Step 1: Call the Police if Necessary. ...
  • Step 2: Document Everything and Exchange Information. ...
  • Step 3: Contact Your Insurance Company. ...
  • Step 4: Filing Your Insurance Claim.

What evidence do you need to make a claim? ›

This evidence might include the following:
  1. The names and contact details of anyone involved in the accident, including any witnesses to the event.
  2. The type and location of the accident.
  3. What type of injury or injuries you suffered as a result of the accident.
  4. The date and time of the accident.

What 4 things do you need to write a strong claim? ›

What Is a Main Claim Statement:
  • A claim must be arguable but stated as a fact. It must be debatable with inquiry and evidence; it is not a personal opinion or feeling.
  • A claim defines your writing's goals, direction, and scope.
  • A good claim is specific and asserts a focused argument.
Mar 13, 2018

What are the 3 parts of claim? ›

  • PARTS OF A CLAIM.
  • a. THE PREAMBLE.
  • b. TRANSITIONAL PHRASE.
  • c. THE BODY.

References

Top Articles
Latest Posts
Article information

Author: Carlyn Walter

Last Updated:

Views: 6580

Rating: 5 / 5 (50 voted)

Reviews: 89% of readers found this page helpful

Author information

Name: Carlyn Walter

Birthday: 1996-01-03

Address: Suite 452 40815 Denyse Extensions, Sengermouth, OR 42374

Phone: +8501809515404

Job: Manufacturing Technician

Hobby: Table tennis, Archery, Vacation, Metal detecting, Yo-yoing, Crocheting, Creative writing

Introduction: My name is Carlyn Walter, I am a lively, glamorous, healthy, clean, powerful, calm, combative person who loves writing and wants to share my knowledge and understanding with you.