Making a Claim

When you make a claim, you are officially asking the insurer to pay you for a loss or event covered under the terms of your insurance policy. For advice on dealing with a claim, contact the Consumer Advocate for Insurance.

Before submitting a claim, check your policy’s terms and conditions, as well as any exclusions, to see if your loss is covered.
Insurance companies will pay only for the specific losses described in your policy. Your insurer will review your policy and advise you whether your claim is eligible under the terms of your contract.

Contact your insurance agent, broker or insurance company promptly about your claim.
Most insurers have time limits within which you must submit your claim. The limit usually varies from 90 days to 12 months from the date of the loss or event. The insurer may investigate the circumstances surrounding your claim to confirm that no fraud was involved. For example, the insurance company may request medical records or police accident reports. They will use this information to determine whether they will pay your claim.  When submitting your claim to your insurer, make sure to provide all supporting documents.  Your policy lists the specific claims procedures you will need to follow.

Making a claim may increase your premiums. This is often the case for home and auto insurance. Since you must pay the deductible if you make a claim, consider whether you can afford to pay for the claim yourself if the amount is very close to your deductible.  If the claim amount is close to what you will have to pay for the deductible, you may save money in the long run because some insurance companies offer a discount if you have not made any claims under your policy.  

Source: Understanding Insurance Basics, page 2-27, Financial Consumer Agency of Canada, 2012. Reproduced with the permission of the Commissioner of Financial and Consumer Agency of Canada, 2013.  

The FCNB does not endorse any designation or profession. You should always verify the person’s qualifications before seeking advice. It is critical that you check an individual’s registration or licence status, and the types of products or services they are registered or licensed to sell.

Downloadable Resources

The Claimant’s Handbook can help you navigate the claim settlement process. (External website)

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