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All About Insurance Claims

by Santo Jafet
4 years ago
Reading Time: 2 mins read
0

An insurance claim is when a policyholder asks his or her insurance provider to pay out for a situation that is covered by his or her insurance policy (auto or any other kind of insurance policy). In this case, there is a procedure to be followed. The insurance company sets it down for correct notification concerning a claim.

What Is the Procedure for You to Make A Claim?

This process could differ from one insurance company to another. The process for each particular case should be found in the insurance contract, so if you have doubts about yours, review your contract for clarification.

Generally, when making a claim, there are some things you will be expected to satisfy. You should fulfill all legal requirements about reporting an accident and should follow all local and state regulations about this matter. You should supply, if necessary, the specifics concerning any other party affected by the claim. You should also give detailed information about the accident and how do you see the accident from your own perspective.

How Does an Insurance Company Deal with A Claim?

In case you have to make a claim, the insurance company hires a claims adjuster. This expert will be responsible for evaluating the accident and the authenticity of your claim and any other claim that other parties could make. Then, the claim adjuster will give the insurance company a recommendation concerning how the claim is settled. The insurer could follow this recommendation, or they could seek a different opinion.

How Much Can I Claim on My Insurance as Maximum?

It does not matter if you buy cheap car insurance under $50 a month, or expensive insurance, the limit of a claim needs to be fixed in your insurance policy. They could be defined in different ways: a per-claim basis, per-policy basis, or both. When there is no per-claim definition in your policy, then the per-policy limit will apply.

If you think your per-claim limit does not give you acceptable coverage, you should contact your car insurance company and discuss with them what to do to increase this limit. Frequently, you can do it by paying a small extra fee.

Could A Claim Be Refused?

The answer is yes. When you have made an auto insurance claim, and it doesn’t fit the coverage defined in your insurance policy, then your insurance company could reject your claim. Before making a claim, you should be sure about what is written in your contract and what are the benefits that your insurance could give you.

When you outdo your policy limits, both per-claim or per-policy, your insurance provider will refuse to pay any extra money over these previously defined limits. In this case, you will be legally responsible for paying the difference to make up the amount of the claim. So, as we have said already, if you think your limits are not high enough, contact your insurance provider and discuss your options.

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