Los Angeles Claims Adjuster Property and Causality Practice Exam

What is an insurance claim?

1. A request for the cancellation of an insurance policy

2. A formal request for a payment based on insurance policy terms

3. A demand for a loan from the insurance company

4. A request for policy adjustments

The correct answer is: A formal request for a payment based on insurance policy terms

An insurance claim is a formal request for payment based on the terms outlined in an insurance policy. This process occurs when the policyholder experiences a loss or damage covered by their insurance and seeks compensation from the insurer. The claim must detail the incident and the losses incurred, allowing the insurance company to assess the validity of the claim in accordance with the policy provisions. This definition captures the essence of what a claims process entails, emphasizing the contract-based nature of insurance where policyholders expect financial support as agreed upon in their policy. Understanding this concept is crucial for anyone involved in property and casualty insurance, as it lays the groundwork for how claims are managed and addressed by insurance companies.