Insurance (2024)

FAQs

How to answer insurance claim questions? ›

As a rule of thumb, stick to the facts. You should never lie when filing or discussing a claim with any insurer, as doing so may compromise your claim and lead to serious legal trouble down the line. However, you should also protect your interests by only providing the information you are required to by law.

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company.

Stick to what you know for sure and be clear and concise in your answers. If you do not know the answer to a question, say so, rather than guessing or making assumptions. “I can't be sure, but I'll bet the other driver was on the phone” is classic speculation that is best left out of a statement.

Give your name, address, policy number, and the date and time of your loss. Make sure to tell your insurance agent where you can be reached, especially if you are unable to stay in your home. Follow up the call with a letter detailing the problem. Keep a copy of the letter.

Do Not Admit Fault. You do not want to say anything to an insurance adjuster that could be taken as an admission of fault. To recover compensation, you'll need to show that someone else was responsible for your injuries.

Insurance is a legal agreement between two parties – the insurer and the insured, also known as insurance coverage or insurance policy. The insurer provides financial coverage for the losses of the insured that s/he may bear under certain circ*mstances.

“Honesty is the best policy” is a famous English proverb.

In the insurance world there are six basic principles that must be met, ie insurable interest, Utmost good faith, proximate cause, indemnity, subrogation and contribution. The right to insure arising out of a financial relationship, between the insured to the insured and legally recognized.

Insurance adjusters are trained to find flaws in your story and ask certain leading questions that may end up with your recorded statement being used against you later. For example, they may ask you how you were injured in the crash, how you are feeling now, and what the extent of your injuries are.

Is it good to give your own statement to an insurance? ›

The main reason to avoid making a recorded statement after an accident, even to your own insurance company, is that a recorded statement is much less precise than a written one.

Examples from Collins dictionaries

The insurance company paid out for the stolen jewellery and silver. We recommend that you take out travel insurance on all holidays. The country needs a defence capability as insurance against the unexpected.

To be strong and effective, a claim should be debatable, focused, and specific. In other words, it ought to be something that can be argued with reasons and evidence, and it ought to be narrow enough to properly support or prove in the space and format available.

Be brief. Answer the allegations in the complaint with one or two sentences. Again remember that the statements you make in your answer can be used as admissions against you. Your response to the allegations in the complaint may admit part of the statement in the specific paragraph and deny part.

I am writing to request a review of your denial of the claim for treatment or services provided by name of provider on date provided. The reason for denial was listed as (reason listed for denial), but I have reviewed my policy and believe treatment or service should be covered.

I was motivated to become a Claims Adjuster because I've always been interested in helping people navigate difficult situations and ensuring they receive fair treatment from their insurance policies. Question #2.