How is an insurance claim investigated?
An insurance claim investigation is a process used by insurance companies to evaluate and determine the validity of an insurance claim. In North Carolina, this process begins when the claimant (person filing the claim) contacts their insurance company to report a loss. The insurance company will then send an adjuster to the scene of the incident to assess the damages and collect any evidence that will be needed to substantiate the claim. The adjuster will then review any photographs, witness statements, or other documentation that might be pertinent to the claim and formulate a report. We then move onto the investigation phase. This is where the investigation team will interview witnesses, evaluate any physical evidence, or review any statements that were made in relation to the incident. The investigation team may also consult with medical specialists or law enforcement, depending on the nature of the claimed incident. The purpose of the investigation is to determine whether or not the incident as reported is the cause of the damages or injury. Finally, the insurance company will make a determination as to the merit of the claim and the amount of the payment that will be awarded. Once the claim is approved, the claimant will be contacted with the details of the claim settlement, including the amount of money that they will be receiving and how the money will be paid out. The claim investigation process is an important part of the insurance claims process and is intended to protect both the insurance company and the claimant.
Related FAQs
What is the difference between an insurance policy and a benefit?What is an insurer's duty of good faith?
What is a first-party insurance claim?
What is an insurance adjuster’s duty?
What is required for an insurance company to act in good faith?
What is a liability limit?
What is the difference between a claim and a lawsuit?
What steps are involved in the insurance claim process?
What are the benefits of filing an insurance claim?
How do I understand an insurance policy?
Related Blog Posts
Navigating the Claims Process: A Guide to Insurance Claims Law - July 31, 2023A Beginners Guide to Understanding Your Rights Under Insurance Claims Law - August 7, 2023
Tips for Filing an Insurance Claim and What You Need to Know About Insurance Claims Law - August 14, 2023
Common Mistakes to Avoid When Submitting an Insurance Claims Law Claim - August 21, 2023
Appealing an Insurance Claim Denial? Learn What Your Rights Are Under Insurance Claims Law - August 28, 2023