INSURANCE CLAIM SOLUTIONS
Insurance Claims Management Process
Insurance Claim Process is complex and it has to be followed quite carefully. We can help you manage the entire process starting with the assessment of your loss through to filing the claim and negotiating the settlement.
Insurance Claim Management Process Steps
Insurance Claim Management Process is complex and it has to be followed quite carefully to ensure that the claim is processed as fast as possible and that you receive the full compensation for your loss.
These are general steps making up claim management process, however these steps may vary depending on the type of claim and on the individual circumstances.
As they say the devil is in the detail and each claim will be quite different.
If you would like Insurance Claim Solutions to help you with any aspect of your Claim Management Process, please call us on 086 357 1713.
1.
DOCUMENT THE DAMAGE
The Loss Assessor will visit your property to assess and document the loss. He may take some pictures, videos, or use specialised equipment to capture a 3D image of the damage. He may also call for a specialist consultation from a materials expert, a structural engineer etc.
2.
INSPECT YOUR POLICY WORDING
The Loss Assessor or Claims Management Expert will read carefully the small print in your policy to see which aspects of your loss are covered by your policy and which ones might be excluded. He will also make note of any special clauses and excesses that will impact your payout.
3.
FORMULATE AN APPROACH
Based on the gathered evidence of the damage and depending on your policy wording, the Claim Manager will then formulate a plan as to how the claim is going to be presented to the insurance company. He will then discuss this plan with you and also advise you on any policy exclusions and potential emergency works.
4.
COMPLETE CLAIM FORM
Claim Manager will then complete the claim form and all supporting documentation e.g. any expert opinions or tests that will support your claim. He will double-check that nothing is amiss, as it would delay or invalidate the claim.
5.
FILE THE CLAIM
Once the Claim Form is completed and all supporting documentation is in order, the Claim Manager will then notify your insurers and file the claim on your behalf.
6.
MEET WITH LOSS ADJUSTER
After receiving the claim, your insurer will appoint a loss adjuster to independently verify the damage and agree on the scope of repairs. Our Claims Manager will meet with the Loss Assessor and justify the claim, pointing out the damage that may not be immediately obvious.
7.
COLLECT & SUBMIT REPAIR QUOTES
Based on the agreed scope of repairs, the Claim Manager will then collect quotes from your preferred repairers, or if you don’t have any, he will use his own extensive network of reliable tradesmen.
8.
NEGOTIATE CLAIM SETTLEMENT
Once he receives all repair quotes, your Claim Manager will then negotiate with your insurers the best possible settlement of your claim.
9.
RECEIVE CLAIM PAYOUT
Once the settlement is agreed upon with your insurer, you will receive a letter of confirmation and a cheque in full and final settlement of the claim. Then, and only then, you will be liable for paying the fee to your Claim Manager for the work done to-date in assessing the loss and managing the whole claim process.