What is an insurance claim?

An insurance claim is a formal request you (the policyholder) make to your insurance company asking them to pay for a loss, damage, or service that is covered under your insurance policy.

✅ Simple Explanation

When something happens that your insurance policy covers—like a car accident, a hospital stay, theft, or property damage—you notify the insurance company and ask them to compensate you. This process is called filing a claim.

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✅ How an Insurance Claim Works

1. Incident Occurs
   (e.g., car accident, medical emergency, fire damage)
2. You Notify the Insurer
   You inform the insurance company about the loss.
3. Provide Documentation
   Bills, photos, FIR, hospital records, repair estimates, etc.
4. Insurer Reviews the Claim
   Investigation, surveyor visit, document verification.
5. Approval or Rejection
   • If approved → They pay you or pay the service provider directly.
   • If rejected → They give a reason based on policy terms.

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✅ Types of Insurance Claims

• Cashless Claim
  Insurer directly pays the hospital or repair center.
• Reimbursement Claim
  You pay first, insurer reimburses later.

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✅ Examples

• You meet with a car accident → Claim for repair costs.
• You get hospitalized → File a cashless or reimbursement health claim.
• Your phone gets stolen (if covered) → Claim for replacement/compensation.

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✅ Why Claims Are Important

Because an insurance policy is useless unless claims are paid. Claims are the main benefit you get in exchange for paying premiums.