claim processing

Claim processing is the way insurance companies review and manage requests for payment or coverage. When a policyholder submits a claim, the company verifies the details, examines the policy terms, and assesses the validity of the claim. They determine how much they should pay based on coverage limits and exclusions. The goal is to ensure the claim is legitimate and fair, then approve and pay the appropriate amount. Efficient claim processing helps policyholders get the coverage they’re entitled to promptly while maintaining the integrity of the insurance system.