Types of Insurance Claims: How Insurance Claims Are Paid


There are various types of insurance claims. And for knowledge purposes and for the benefit of those who do not know about it, I will be sharing some of these types of insurance claims if not all with you. To therefore get the piece of information you currently seek, you will need to continue reading.

Types of Insurance Claims

Types of Insurance Claims

Below are the types of insurance claims there are;

Health Insurance Claim

The Health Insurance claim does not include the costs for surgical procedures or inpatient hospital stays. Individual or group health policies indemnify patients against financial burdens that may cause financial burdens and damages. Health insurance claims filed with carriers by providers on behalf of policyholders require little effort from patients; the majority of medical are adjudicated electronically.

Policyholders must file paper claims when medical providers do not participate in electronic transmittals but charges result from rendered covered services. Ultimately, an insurance claim protects an individual from the prospect of large financial burdens resulting from an accident or illness.

Life Insurance Claims

To file for a Life insurance claims you must fill and submit a claim form, a death certificate, and the original policy. The procedure for life insurance claims, especially for large face value policies, may require in-depth examination by the carrier. This is to ensure that the death of the insured did not fall under a contract exclusion. This includes suicide (usually excluded for the first few years after policy inception) or death resulting from a criminal act.

Generally, the process takes maximally 30 to 60 days without extenuating circumstances affording beneficiaries the financial wherewithal to replace the income of the deceased or simply cover the burden of final expenses.

Property And Casualty Claims

A house is typically one of the largest assets an individual will purchase in their lifetime. A claim filed for damage from covered perils is initially routed via the Internet to a representative of an insurer, commonly referred to as an agent or claims adjuster.

Unlike health insurance claims, the onus is on the policyholder to report damage to a deeded property they own. An adjuster, depending on the type of claim, inspects and assesses damage to property for payment to the insured. Upon verification of the damage, the adjuster initiates the process of compensating or reimbursing the insured.

How to Fill Your Insurance Claim

Preparing and filing an insurance claim is very easy, it can be either short or large of a claim to be filed. Use the guidelines below to file a claim:

  • For homeowners, safety First is very important, in case of disaster at home, the safety of the family is very paramount before thinking about property damaged.
  • Also, to file for your homeowners insurance claim, seek for a reputable contractor. It’s just that, some contractors prey on clients fears and anxiety about the event. While some will remain honest, and assist you through the process.
  • Car Insurance Claims. When filing for an auto insurance claim, you will need to follow the basic process to successfully file your auto insurance claim. You start from deciding if you should file to expecting the call from the insurance company till the last steps.
  • Life and health insurance claims. When a loved one dies, filing the life insurance claim most times could be difficult and confusing. First, you will have to present the insurance policy. It’s worst especially when you’re a beneficiary and you can’t find the policy.

Filling an insurance claim is meant to assist you to replace, repair, or medically use for treatment and property covered by the insurance policy.

How Insurance Claim Are Paid

The payment of insurance claims is majorly determined by the type of coverage an insured undertakes. Insurance claims are mostly paid by the actual cash value settlement or replacement cost settlement.

The Actual Cash Value Settlement entails clients that have insured their property base on the actual cash value basis of claims settlement will not receive enough money in a claim to replace the item lost. However, if the property is insured on an actual cash value basis, you will only get the depreciating value at the time of loss.

Replacement cost settlements are more convenient and favorable for policyholders than the actual cash value settlement. Replacement cost basic payment may bring back a policyholder on feet before disaster occurred. It provides coverage for repairing or replacing lost items insured. But you must ensure that the policy covers is still valid at the time of loss to cover the costs.

In conclusion, when you have a claim. Speaking to your insurance representative will enable you fully understand the insurance claim and its impact on your policy and premium.  When you lack the knowledge you could lose a claim-free discount, or the insurance company could be concerned about your frequent claims and the risk of your property. For further reading visit here or here.


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