How to File an Insurance Claim: Everything You Need to Know (2024)

Insurance

Auto Insurance

9 Min Read | May 28, 2024

How to File an Insurance Claim: Everything You Need to Know (1)

By Ramsey

How to File an Insurance Claim: Everything You Need to Know (2)

How to File an Insurance Claim: Everything You Need to Know (3)

By Ramsey

There you were, just minding your own business—and then wham!

An emotionally compromised teenager was texting their BFF while driving, ran a red light, and smashed into your car. A thief broke into your apartment while you were off on vacation and stole a bunch of your stuff. Your washing machine went on the fritz and flooded your living room.

Whatever the case may be, it’s never fun when Murphy’s Law rears its ugly head and causes damage with a bunch of dollar signs attached to it.

But that’s what insurance is there for, and having the right types of insurance in place protects you from financial ruin after the unthinkable happens. And, depending on what kind of damage you’re facing, filing an insurance claim might help relieve some of the financial stress.

What Is an Insurance Claim?

When you file an insurance claim, you’re making a formal request to your insurance company to receive money to help you pay for repairs and other expenses caused by a policy event (like a car accident or a home burglary) that is covered by your insurance.

After you file all the paperwork, the insurance company usually sends an insurance adjuster to investigate what happened. And then, if the claim is validated and approved, you’ll receive a check in the mail to cover your losses.

According to the Insurance Information Institute, about one in 20 insured homeowners file a claim each year.1 And with Americans driving more and more each year, car insurance claims are also rising—about 6% of all drivers with collision coverage filed a claim in 2017.2 So if you’re not filing a claim now, you probably will at some point in the future!

But do you always need to file an insurance claim when you get into an accident?

When to File an Insurance Claim

To file, or not to file? Shakespeare never had to deal with insurance claims, but that is the question we need to ask after an accident. And the answer is: It depends.

A general rule of thumb is that if your damages are less than your deductible (or just a couple hundred bucks above it), it’s probably not worth going through the trouble of filing a claim for a very small payout—if you get one at all.

It’s also important to remember that when you file a claim, there’s a chance your insurance company will raise your premium rates. Yes, even if the other driver was at fault or you can’t control the weather. There’s even a chance they might cancel your policy under certain circ*mstances.

Let’s say you accidentally crash your car into a tree. You have a $1,000 deductible on your collision coverage, and it would cost you $1,200 to repair your car. Is it worth going through the insurance claim process for a $200 insurance payout and higher insurance premiums? Probably not. In that case, you’re better off using your emergency fund to cover the repairs—that’s what it’s there for. Once you start to feel the pain financially, that’s when you should probably file a claim.

Here are three specific scenarios when you should strongly consider filing a claim:

1. When someone is injured.

If you’re in a car accident and you, the other driver or a passenger in either car gets hurt, that’s an automatic reason to file a claim.

2. When it’s not clear who is at fault.

Sometimes there’s some confusion about who’s to blame for an accident. In that case, you’ll let the insurance companies for both parties figure it out.

3. When you suffer a “total loss” or can’t afford to pay for the damages.

When your car is completely totaled, you’re probably staring at thousands of dollars in damages. Those are some pretty hefty costs you probably won’t be able to handle yourself. So filing a claim makes sense.

Every situation is different, so it’s important to get in touch with a representative from your insurance company or an independent insurance agent to help you weigh the pros and cons of filing a claim in your case.

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How to File an Insurance Claim

So, let’s say you’ve just been in a huge car accident and the front of your car is smashed in like a broken accordion. You’re okay, thank goodness, but it’s pretty clear your car is going to probably be a total loss and you’ll need to file an insurance claim.

What exactly do you do? We’re glad you asked! Here are some important steps to take in order to file your insurance claim.

Step 1: Call the Police if Necessary

If a crime was committed, someone was hurt in an accident, or there is significant damage, don’t just stand there. Call 911 and get help! And while you don’t necessarily need a police report to make an insurance claim, it definitely doesn’t hurt to have one.

A police report will paint a picture of what exactly happened in an accident or at a crime scene, and include information that’ll make the insurance claim process much easier.

Step 2: Document Everything and Exchange Information

Now it’s time to document what you can from the scene of the accident and gather information from all the parties involved. Think of it as a scavenger hunt. Make sure you get the following:

  • Name, address and phone number of the other driver(s) and a photo of their driver’s license, if possible

  • Insurance policy numbers

  • Year, make, model and license plate numbers of all the vehicles involved

  • Photos of the accident from all sides and angles

  • Detailed notes from any conversations you had with the people involved with the accident

If you’re hurt and need medical attention, you’ll also want to hang on to any physician reports, medical bills and other documentation you receive for treatment of your accident-related injuries.

What about homeowners insurance claims? Take photos of damage done to your home or make a list of items that were damaged or stolen in a robbery. And if you have to stay at a hotel while repairs are being made to your house, keep the receipts as proof of costs.

Step 3: Contact Your Insurance Company

Once you and everyone involved in the accident are safe, get in touch with an agent from your insurance company and ask what else you’ll need to file your claim. Your agent knows the ins and outs of the claims process and will be able to give you the direction you need.

Here are some basic questions you’ll want to ask your insurance agent:

1. Who do I report my claim to?

If you’re in a car accident and the other driver is at fault, you’ll likely file a claim with their insurance company. But, in most other cases, you’ll file a claim with your own insurance provider. No matter the case, you’ll still want to call your own insurance company and keep them in the loop.

2. How long do I have to file a claim?

Depending on your insurance company and the type of policy you have, you can have as little as 30 days or as long as three years to file an insurance claim. Either way, once you get a good handle on the damage done and have all the necessary information you need, you should file try to file your insurance claim as soon as reasonably possible.

3. What will I need to file an insurance claim?

When you file a claim, you’ll be asked to provide some basic details, such as where and when the accident or incident took place, contact information for everyone involved and a description of what happened. You might also be asked to give an estimated cost of the damage from the accident—if you have that available.

When you’re making a homeowners insurance claim, you’ll need to fill out a Proof of Loss statement and list any items that were stolen or damaged and how much it would cost to replace them.

Step 4: Filing Your Insurance Claim

Okay, you’ve called all the right people. You’ve gathered all the information you could. Now it’s time to actually file your claim.

Most insurance companies will allow you to file a claim online or through a mobile app, by phone with one of their agents, or by filling out a claims form and sending it to them via email or fax. It’s your choice!

What to Expect After Filing an Insurance Claim

Now what? After you file your claim, the insurance company may send an insurance adjuster to investigate the accident and the damage done. Think of an adjuster as the insurance version of Sherlock Holmes—minus the pipe and weird hat.

During the investigation, the insurance adjuster will take a look at all the facts to get to the bottom of what happened. After they determine the cause of the accident, the adjuster will make a recommendation for how much the insurance company should pay for the loss.

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Oh, and one more thing: If you’re dealing with another insurance company’s adjuster, remember their goal is to spend as little money as possible. That’s why it’s critically important to thoroughly document the accident and be completely honest about your injuries and all parts of the accident—just in case they try to downplay your losses.

Talk to An Insurance Pro

Whether you’ve just been in an accident or haven’t had one in years, it’s important to be prepared. That means making sure you have the right coverage in place.

Our independent insurance Endorsed Local Providers (ELPs) are professionals who can review your existing policy and shop around for the best coverage at the right price. That way, you’ll be ready no matter what life throws your way.

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About the author

Ramsey

Ramsey Solutions has been committed to helping people regain control of their money, build wealth, grow their leadership skills, and enhance their lives through personal development since 1992. Millions of people have used our financial advice through 22 books (including 12 national bestsellers) published by Ramsey Press, as well as two syndicated radio shows and 10 podcasts, which have over 17 million weekly listeners. Learn More.

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How to File an Insurance Claim: Everything You Need to Know (2024)

FAQs

How to File an Insurance Claim: Everything You Need to Know? ›

Think deeply about the exact question the agent asked, and only provide that specific information. Never admit to fault. Never admit to even being partially at fault. Never admit that you are uninjured.

How to answer insurance claim questions? ›

Think deeply about the exact question the agent asked, and only provide that specific information. Never admit to fault. Never admit to even being partially at fault. Never admit that you are uninjured.

What not to say when filing a homeowners insurance claim? ›

What Not to Say to An Insurance Adjuster
  1. Don't Admit Fault. What should you not say in a claim? ...
  2. Don't Downplay Damages. Victims who downplay their damages give insurance adjusters a chance to downplay the settlement offers they make. ...
  3. Don't Give a Recorded Statement. ...
  4. Don't Accept the Initial Settlement Offer.
Mar 22, 2023

What should you say in an insurance statement? ›

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.

What is a claim checklist? ›

It functions as a to-do list, giving you an overview of the tasks required for each claim, along with labels, the due date, the assigned person and the action required.

What not to tell a claims adjuster? ›

5 Things You Should Not Say to Car Insurance Adjusters
  • Do Not Admit Fault. ...
  • Do Not Minimize Personal Injuries to Adjuster. ...
  • Do Not Describe Your Injuries. ...
  • Do Not Hypothesize What Happened During the Accident. ...
  • Do Not Provide a Recorded Statement.

How to value items for an insurance claim? ›

When it comes to the value of specific items, condition is more important than age. An older item that's in excellent condition should be depreciated less than a newer item that's frequently used or one that's regularly exposed to water, sun, wind, etc.

What to say when making an insurance claim? ›

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.

What questions do insurance investigators ask? ›

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.

What is a good sentence for the word insurance? ›

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.

How should I file a claim? ›

Step-by-step procedure to file a claim
  1. Contact your insurer. The first step of claim process is to contact your insurer and intimate about the claim.
  2. Fill your claim form and attach the relevant documents.
  3. A surveyor conducts damage evaluation.
  4. Acceptance of your claim.
  5. Get the claim amount.

What do you say when appealing an insurance claim? ›

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.

How do I argue an insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

How do you explain an insurance claim? ›

An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.

Why do you want to be a claims adjuster answer? ›

Answer: 2. I pursued a career as a Claims Adjuster because I enjoy problem-solving, helping people, and working in a dynamic environment. The most rewarding aspect of my role is helping claimants navigate difficult situations and ensuring they receive a fair settlement in a timely manner.

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