Insurance Claims Support Process Checklist

Ensure fast, accurate insurance claim resolutions and boost customer satisfaction with this comprehensive checklist. From initial report to final payout, streamline your support process and minimize errors. Reduce response times and keep claimants informed every step of the way. Download now and transform your insurance support!

This Template was installed 4 times.

Claim Initiation & Validation

1 of 9

Verify claim details, policy coverage, and required documentation.

Claim Number

Claimant Type

Date of Loss/Incident

Policy Type

Policy Number

Brief Description of Incident

Documentation Review

2 of 9

Assess completeness and accuracy of supporting documents (e.g., police report, medical records).

Narrative Description of Loss

Police Report (if applicable)

Medical Records/Bills (if applicable)

Document Completeness

Number of Pages Reviewed

Date of Document Review

Coverage Determination

3 of 9

Confirm policy coverage based on claim type and circumstances.

Policy Type

Coverage Level

Coverage Limit Amount

Endorsement Status

Notes on Coverage Specifics

Policy Effective Date

Loss Assessment & Estimation

4 of 9

Evaluate the extent of loss and estimate repair/replacement costs.

Estimated Repair Cost

Estimated Replacement Value

Description of Damage/Loss

Damage Photos/Videos

Assessment Method

Date of Assessment

Salvage Value (if applicable)

Fraud Detection & Prevention

5 of 9

Implement fraud prevention measures and investigate suspicious activity.

Potential Fraud Indicators Present?

Describe any suspicious circumstances observed.

Claimant's Reported Loss Amount (USD).

Select any relevant fraud risk factors:

Witness Involved?

Upload any supporting documents (e.g., police report, surveillance footage).

Claim Payment Authorization

6 of 9

Secure necessary approvals for claim payment and disbursement.

Claim Amount

Deductible Applied

Recovery Amount (if applicable)

Payment Method

Authorization Level Required

Authorization Date

Authorizing Manager Signature

Authorization Notes

Claim Payment & Notification

7 of 9

Process claim payment and notify claimant of approval and amount.

Claim Payment Amount

Payment Method

Payment Notes (if applicable)

Payment Issue Date

Payment Issue Time

Notification Message to Claimant

Notification Delivery Method

Claimant Confirmation Received (Yes/No)

Claim Closure & Record Keeping

8 of 9

Finalize claim, update records, and archive supporting documentation.

Claim Closure Date

Total Claim Amount Paid

Summary of Closure Notes

Claim Status

Final Documentation (if applicable)

Claim Adjuster Signature

Internal Reference Number

Communication & Follow-up

9 of 9

Maintain clear and consistent communication with claimant throughout the process and address any follow-up inquiries.

Last Communication Date

Communication Method

Summary of Last Communication

Number of Follow-up Attempts

Follow-up Status

Next Follow-up Date

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