The claims management in insurance process involves several key steps:
Filing a Claim: It refers to the approach in which the policyholder makes a claim to the insurance company to inform it of a loss or damage incidence.
Claim Acknowledgment: The insurer receives the claim, and the first evaluation starts by recognizing that it has received it.
Investigation: The steps involved in the investigation of the claim embracing the coverage, evaluation of the damages or loss and collection of other relevant information.
Evaluation: It is the insurer’s responsibility to assess the claim with a view of establishing if the claim deserves to be paid or not and if it so, how much should be paid out.
Settlement: The process of bargaining with the policyholder involving the claim amount to be paid.
Payment: Payment of the negotiated amount to the policy holder.
Closure: The claim is considered effectively to be shut once all these processes are over.