insurance

Claim

A formal request by a policyholder to their insurance company for payment or coverage of a loss that may be covered under their policy. The insurance company then investigates and determines whether to approve, deny, or partially approve the request.

Example

After her car was damaged in a hailstorm, Sarah filed a claim with her auto insurance company and received $3,200 to cover the repairs.

Memory Tip

Think 'I'm calling for my money' - when you have a loss, you CLAIM what your insurance owes you under your policy.

Why It Matters

Claims are the primary reason people buy insurance - to receive financial protection when covered losses occur. Understanding how to properly file and manage claims can mean the difference between receiving full compensation and being denied coverage when you need it most.

Common Misconception

Many people believe that filing any claim will automatically raise their premiums or that they should avoid filing small claims. While frequent claims can affect rates, legitimate claims are exactly what insurance is designed for, and failing to report incidents promptly can sometimes void coverage entirely.

In Practice

John's home suffers $15,000 in water damage from a burst pipe. He immediately contacts his homeowner's insurance and files a claim. After an adjuster inspects the damage and confirms it's covered, the insurance company approves payment of $13,000 ($15,000 minus his $2,000 deductible). John uses this money to hire contractors and restore his home.

Etymology

From the Old French 'clamer' and Latin 'clamare' meaning 'to cry out' or 'to call,' reflecting the act of calling upon one's insurance for help.

Common Misspellings

cliamclaimeclainclam
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Related Terms

deductiblepremiumClaims Adjustersettlement

More in insurance

Other insurance terms you should know

deductibleThe amount you pay out-of-pocket before your insurance begininsurance premiumThe amount paid periodically to an insurance company in exchdeductibleThe amount a policyholder must pay out of pocket before insucopayA fixed amount paid by an insured person at the time of a mecoinsuranceA cost-sharing arrangement where the insured pays a percentaout-of-pocket maximumThe most an insured person will pay for covered healthcare s

See Also

Coverage
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