Definition of "Claim report"

Report furnished by the adjuster to the, insurance company (insurer) that documents the amount of payment the insurer is legally obligated to pay to or on behalf of the insured under the terms of the policy. This report includes the following items:

  1. Is there an INSURABLE INTEREST did the person who submitted the claim have expectation of a monetary loss?
  2. Is there a coverable cause of loss was the source of the loss an insured peril ?
  3. Is the property covered was the damaged or destroyed property insured?
  4. What is the location of the loss was the occurrence of the insured peril within the geographical scope of the policy?
  5. What is the date of the loss did the loss occur while the policy was in effect?
  6. What are the applicable EXCLUSIONS was the loss caused by a peril specifically excluded by the policy?
  7. What are the applicable CONDITION (S) and WARRANTY (S) were the condition (s) and warranty (s) under the policy complied with by the insured?
  8. What is the SALVAGE value of the damaged property is there a portion of the damaged property that can be salvaged and how does the value of the salvageable property affect the total dollar amount of the loss?
  9. What is the status of any OTHER INSURANCE in force are there any other insurance policies in force carried by the CLAIMANT covering the loss?
  10. What is the status of SUBROGATION are there any third parties responsible for a covered loss against which the insurer can take legal action?
  11. Was there any MISREPRESENTATION (FALSE PRETENSE) and CONCEALMENT involved did the insured falsify or withhold material facts from the insurer?
  12. What is the status of the availability of documentation are there photographs available of the damaged or destroyed insured property? Does the insured have receipts or other pertinent records relating to the damaged or destroyed insured property?

image of a real estate dictionary page

Have a question or comment?

We're here to help.

*** Your email address will remain confidential.
 

 

Popular Insurance Terms

Average interest earned by an insurer on its investments after investment expense, but before federal income tax. ...

Part of the Balanced Budget Act of 1997 that permits medicare recipients to select coverage among various private health care plans to include HMOS, PPOS, POINT-of-SERVICE (POS), MEDICAL ...

Life insurance that pays the balance of a mortgage if the mortgagor (insured) dies. Coverage is usually in the form of decreasing term insurance, with the amount of coverage decreasing as ...

Individual who retains title to property that is being transferred on a temporary basis to the care, custody, and/or control of another. ...

Rate of return computed by dividing the current annual dividend (if a stock) or annual coupon amount (if a bond) by the amount paid for that financial instrument. ...

Utilization of life insurance to make annual gifts into a trust in order to produce the largest tax-free death benefit possible to the trust beneficiaries. ...

Death from other than accidental means. ...

Amendment to a will that adds or modifies clauses in that will, such as adding an additional beneficiary or piece of property. ...

Bureau insurer that files its statistical and underwriting experience with a rating bureau. ...

Popular Insurance Questions