What Is an Insurance Claim?
An insurance claim is a formal request by a policyholder to an insurance company
for coverage or compensation for a covered loss or policy event. The insurance
company validates the claim (or denies the claim). If it is approved, the insurance
company will issue payment to the insured or an approved interested party on behalf
of the insured.
Insurance claims cover everything from death benefits on life insurance policies to
routine and comprehensive medical exams. In some cases, a third-party is able to
file claims on behalf of the insured person. However, in the majority of cases,
only the person(s) listed on the policy is entitled to claim payments.