Insurance Claim

Glossary

Insurance Claim

A formal request submitted by a policyholder, or their healthcare provider, to an insurance company asking for payment for a covered loss or service. The insurer reviews the claim and, if it falls within the policy’s terms and limits, pays the benefit. Fraudulent claims are illegal and can result in policy cancellation and criminal prosecution. See Insurance Policy

Your A‑to‑Z Glossary of Financial Terms