A formal request made by a policyholder to an insurance company for payment or compensation for a covered loss or event. The claims process typically involves reporting the incident, providing documentation, having the damage assessed by an adjuster, and receiving payment according to the policy terms.
Understanding claim is important for Canadian insurance consumers because it directly affects how your coverage works and what you can expect when you need to use your insurance. Knowing how this works can help you navigate the claims process more effectively and ensure you receive fair compensation.
If you have questions about how claim applies to your specific insurance needs, speaking with a licensed insurance broker can help clarify your options and ensure you have the right level of protection.
A person who investigates insurance claims to determine the extent of the insurer's liability. Adjusters may be employed directly by the insurance company (staff adjusters), work independently (independent adjusters), or be hired by the policyholder (public adjusters). They assess damage, review policy terms, and negotiate settlements.
The amount of money a policyholder must pay out of pocket before the insurance company begins to pay on a claim. Higher deductibles generally result in lower premiums. For example, if you have a $1,000 deductible and file a $5,000 claim, you pay the first $1,000 and the insurer covers the remaining $4,000.
The legal right of an insurance company, after paying a claim, to pursue recovery from a third party who is responsible for the loss. For example, if your parked car is damaged by another driver, your insurer may pay your claim and then seek reimbursement from the at-fault driver's insurer. Subrogation helps keep insurance costs down for all policyholders.
A licensed insurance broker can explain how claim applies to your specific situation and help you find the right coverage.
Find a Broker