What is the difference between a claim and a complaint?

A complaint and a claim are related but different concepts in Insurance Claims Law in Arizona. A claim is a formal request for compensation from an insurance policy. In some cases, an insured may not be satisfied with the response or outcome of the claim. In these circumstances, the insured may file a complaint with the Arizona Department of Insurance. A complaint is a formal allegation or statement of dissatisfaction with the services or decisions of an insurance company or other party involved in the claim. Complaints can be filed to allege bad faith or unfair treatment in an insurance claim process. The Arizona Department of Insurance investigates complaints when they are filed. This investigation may result in a resolution or finding that the insurance company acted appropriately or inappropriately. A complaint can also be referred to as a grievance in Arizona. Filing a complaint does not guarantee that the outcome of the claim will change, but it may lead to additional investigation and possible remedies. Complaints must be filed within two years from the date of the claim. Insurance Claims Law in Arizona requires that complainants providing false information can be held liable for any damages caused by their false statement. It is important to understand the differences between a claim and a complaint before filing either.

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