Claims Process

Notification of Claim:

• The process begins when the policyholder experiences a covered loss or damage to their home. They should promptly contact their insurance company to report the claim. This can usually be done through a dedicated claims hotline or online portal.

Assignment of Claim Adjuster:

• Upon receiving the claim notification, the insurance company will assign a claim adjuster to the case. The adjuster is responsible for assessing the damage and guiding the policyholder through the claims process.

Record and Acknowledge Claim:

• The insurance company will record all the details provided by the policyholder, including the date and cause of the loss, the extent of damage, and any relevant policy information. They will also acknowledge receipt of the claim and provide the policyholder with a claim number for reference.

Initial Action and Documentation:

• The assigned claim adjuster will contact the policyholder to discuss the claim further. They may request additional documentation and evidence, such as photographs, repair estimates, or police reports, to support the claim.

Investigation:

• The insurance company will conduct an investigation to assess the validity and extent of the claim. This may involve an on-site inspection by the claim adjuster or third-party experts (e.g., contractors, engineers) to determine the cause and cost of the damage.

Negotiation and Settlement:

• Once the investigation is complete, the insurance company will make an initial settlement offer to the policyholder. This offer is based on the findings of the investigation and the terms of the insurance policy.

• Policyholders have the right to negotiate the settlement with the insurance company. They can provide additional evidence, estimates, or arguments to support their case.

• The negotiation process may involve back-and-forth communication between the policyholder and the insurance company until a mutually acceptable settlement is reached.

Payment and Settlement:

• After both parties agree on a settlement amount, the insurance company will issue a payment to the policyholder. This payment typically covers the cost of repairs or replacement, minus any applicable deductibles.

• In some cases, payments may be made directly to contractors or repair shops, depending on the arrangement and the terms of the policy.

Resolution and Closure:

• Once the settlement is reached, the claim is considered resolved and closed. The policyholder should ensure that all repairs or replacements are carried out as agreed.

• The insurance company will also update its records and close the claim file.