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How to file Insurance Claims
Knowing just what to do when you have a claim can
help you get the best value for your insurance dollars.
Insurance Companies pay more than $150 billion each year in claims from
policyholders. Those claims result from losses suffered during fires,
hurricanes, tornadoes, robberies, auto accidents, dog bites, falls and a
host of other traumatic incidents.
Instead of waiting until an accident strikes you or your family, save
time, money and anxiety by doing three important things now:
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Look through your policies to see what is - and
isn't - covered. The coverages and exclusions in your insurance
policies can differ significantly from those of your friends. The
best advice is to understand your policies before you have a claim.
Ask your local insurance agent or company representative to explain
anything you don't understand.
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Read and keep this brochure to learn exactly what
steps to follow when you have a claim.
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If you have an accident, be sure to talk to your
insurance company before you talk to a lawyer. The vast majority of
claims are settled without a lawyer.
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If you decide you need a lawyer, be sure you
establish what his or her fee arrangement is.
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Remember that when you hire a lawyer, you lose
your ability to represent yourself with the insurance company.
Auto Insurance Claims
Taking the time now to review the steps you should follow after an auto
accident will help reduce the anxiety surrounding the incident and avoid
costly and time-consuming mistakes.
Before You Have a Claim Be sure you know the answers to these
questions before you have to file a claim:
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How much liability insurance do you have? This
coverage pays for damage you cause to another vehicle or injuries to
other people.
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Does your state have no-fault insurance? What
coverages does it provide?
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If you have collision and/or comprehensive
coverage, what is your deductible (the amount you've agreed to pay
out of your own pocket if you suffer a loss)?
At the Scene
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Stop your car and get help for the injured. Have
someone call the police of highway patrol. Tell them how many people
were injured and the types of injuries. The police can then notify
the nearest medical unit. Give whatever help you can to the injured
but avoid moving anyone so you don't aggravate the injury. Covering
an injured person with a blanket and making that person comfortable
usually is as much as you can do.
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Provide the police with whatever information they
require. Ask the investigating officer where you can obtain a copy
of the police report, which you may need to support any claim you
submit to your insurance company.
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Try to protect the accident scene. Take
reasonable steps to protect your car from further damage, such as
setting up flares, getting the car off the road and calling a tow
truck. If necessary, have the car towed to a repair shop. But
remember, your insurance company probably will want to have an
adjuster inspect it and appraise the damage before you order repair
work done.
Make notes. Keep a pad and pencil in your glove compartment. Write
down the names and addresses of all drivers and passengers involved
in the accident. Also note the license number, make and model of
each car involved and record the driver's license number and
insurance identification of each driver. Record the names and
addresses of as many witnesses as possible, as well as the names and
badge numbers of police officers or other emergency personnel. If
you run into an unattended vehicle or object, try to find the owner.
If you can't, leave a note containing your name, address and phone
number.
Filing Your Claim If your car is involved in an accident, if it is
damaged by fire, flood or vandalism, or if it is stolen, put your
insurance to work for you by following these steps in filing your claim:
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Phone your insurance agent or a local company
representative. Do it as soon as possible even if you're far from
home and even if someone else caused the accident. Ask your agent
how to proceed and what forms or documents will be needed to support
your claim. Your company may require a "proof of loss" form, as well
as documents relating to your claim, such as medical and auto repair
bills and a copy of the police report.
Supply the information your insurer needs. Cooperate with your
insurance company in its investigation, settlement or defense of any
claim, and turn over to the company immediately copies of any legal
papers you receive in connection with your loss. Your insurer will
represent you if a claim is brought against you and defend you if
you are sued.
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Keep records of your expenses. Expenses you incur
as a result of an automobile accident may be reimbursed under your
policy. Remember, for example, that your no- fault insurer usually
will pay your medical and hospital expenses, and possibly such other
costs as lost wages and at least part of your costs if you have to
hire a temporary housekeeper.
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Keep copies of your paper work. Store copies of
all paper work in your own files. You may need to refer to it later.
Home Insurance Claims
Those crumbs in your toaster start a fire in your kitchen....Little Suzy
from next door falls out of the tree house in your backyard ....A
tornado damages your home, forcing you to move temporarily to a
motel....
Your homeowners policy provides insurance coverage for each of these
situations and many more because it is a "package" of insurance for (1)
your house, furniture and personal belongings, (2) your liability to
others and (3) additional living expenses you may incur if your home is
severely damaged.
Before You Have A Claim
Be sure you know the answers to these questions before you have to
file a claim:
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Is your home insured for at least 80 percent of
its replacement value? (If you have less coverage, you may not be
fully reimbursed for any partial damage.)
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Are your belongings insured for actual cash value
(replacement cost of an item minus depreciation) or replacement cost
(the amount it would take to replace the item at current prices)?
Most policies provide compensation on an actual cash value basis
rather than a replacement cost basis. Talk with your agent to
determine whether purchasing replacement cost coverage is worth the
extra premium.
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What liability coverages are provided in your
homeowners policy? If you have questions, now is the time to ask
your insurance representative for answers.
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What amount of medical payments coverage is
included in your homeowners policy? This type of coverage pays for
medical expenses of a guest injured in your home, regardless of
fault. A medical payment claim begins, as do others, with a call to
your insurance representative.
Filing Your Claim
Here's what to do when you have a home insurance claim:
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Report any burglary or theft to police.
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Phone your agent or company immediately.
Insurance policies place a time limit on filing claims. Ask
questions. Am I covered? Does my claim exceed my deductible? (Your
deductible is the amount of loss you agree to pay yourself when you
buy a policy.) How long will it take to process my claim? Will I
need to obtain estimates for repairs to structural damage?
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Follow up your call with an explanation of what
happened in writing, at the request of your agent or company.
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Make temporary repairs and take other steps to
protect your property from further damage. Save receipts for what
you spend and submit them to your insurance company for
reimbursement.
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Prepare a list of lost or damaged articles. Save
receipts from any additional living expenses you incur if your home
is so severely damaged that you have to find other accommodations
while repairs are being made.
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Provide needed information to the insurance
representative assigned to handle your claim.
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Talk things over with your agent and adjuster if
you are dissatisfied with the settlement offer. Check your policy to
see what settlement steps it outlines.
This Section has been reprinted from the Insurance Information
Institute through written permission. The world's premier entity in
Insurance visit them at www.iii.org
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