What is the basic of an insurance evaluation claim process?

Question

What is the basic steps and process of the insurance evaluation claim process for an injury? If they have all the required documents(records...bills...etc), do the evaluation take long?

Answer 1

It shouldn't be too long.  But each carrier is different.  You want a reputable company and then you can expect a fast claims turnaround.  If you are dealing with a company like Geico, don't hold your breath.  Some states set guidelines on how long the process can take and when the carrier has to initially contact you after you submit a claim.  Your best bet is to contact the adjuster, if you have already been assigned one and ask them the average amount of time.

Answer 2

The claims adjuster needs to complete a liability investigation to assess fault.  Statements are taken from all parties involved.  Let's assume that this has been completed, and the adjuster has accepted liability on behalf of his insured.  

Once the adjuster has received all of the supporting documentation to include all medical reports, lost wage info and medical bills, he/she reviews them.  If additional information needs to be requested, the adjuster will do so.  This could delay the claim.  

An injury claim is evaluated based on the nature and extent of your injury, disability, treatment and permanency, if any.  

There is no set time frame on how long it takes to evaluate a claim.  One claim could take 10 minutes and another could take all day or longer.  

Most adjusters have certain set settlement authority levels.  If the settlement value exceeds their authority, a supervisor must approve the settlement.  

If you have been waiting for a while, I suggest that you contact the adjuster and ask for the status of your claim.  Some states like MA require demands to be acknowledge within 30 days.

Answer 3

consult with an insurance advisor.