What is the difference between a claim and a complaint?

The primary difference between a claim and a complaint is the purpose. A claim is a formal request made to an insurance company by an individual or business for a payment or services rendered. A claim provides details of an insurance event, including when it happened, how it happened, and why a payment or service is due. A complaint is a statement made to an insurance company that alleges wrongdoing or illegal activity. It often includes a request for restitution or compensation. In Washington, a complaint is the only way to report to the state insurance commissioner if you feel that your insurance company has not acted responsibly or provided a fair settlement for your claim. The Washington Insurance Commissioner has the power to review complaints and may order an insurance company to change its practices or take other corrective action. When filing a claim or complaint in Washington, you should follow the specific instructions outlined by the insurer in the form of a letter, document, or online submission. You should be sure to provide statements, evidence, or any other documentation that will support your case. Additionally, you must provide your insurance company with all information that will prove your claim and/or support your complaint.

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What is the difference between a claim and a complaint?

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