Knowledge base · When the time comes

Common hold-ups in a claim – and how to prevent them

Most claims run through smoothly – but if one does get stuck, there are typically a few recurring reasons why. The good news: nearly all of them can be prevented in advance, in a calm moment, within minutes.

In brief:
  • The most common hold-up is a request for additional documents: one missing paper or incorrect detail can add days or weeks.
  • An outdated beneficiary designation and an untraceable policy are the two most painful – and most easily prevented – causes.
  • In a stuck case, the broker helps where he can – but prevention is worth even more.

1. The additional-documents loop

The case is submitted, then a letter arrives: one more document is needed. This is the most common thing that slows things down – and it’s typically caused not by the insurer’s strictness, but by an incomplete package. Prevention: submit everything together, in an orderly way, using the document list, and ask when filing: “is everything here now?” If you are already caught in the loop: it’s worth replacing the requested document exactly as asked, and requesting confirmation that it has arrived.

2–3. Incorrect data, an outdated designation

Incorrect data: a mistyped account number, an old address, a name that doesn’t match – small things that cost days. Prevention: checking your details on the policy anniversary. Outdated designation: the named beneficiary has since died or can’t be reached – the case then needs legal clarification, and the fast route is lost. Prevention: updating the designation whenever life changes – this is the main message of the article on the designation.

4–5. The untraceable policy and the contract no one knew about

Untraceable policy: the family knows there was a contract but can’t find it – the insurer can also search for the contract using the deceased’s details, though this takes time. Contract no one knew about: the most painful case – the contract exists, but no one knows about it, and it never surfaces. Both are prevented the same way: the one-place-for-papers principle and keeping the family informed. A contract is only worth as much as the family knows about it.

If the case is still stuck

First step: ask through the insurer’s phone line exactly what’s missing and what the next step is – typically that’s enough. If the case is stuck for no real reason, or the family isn’t getting a clear answer, my clients can also bring me in: I review the case, and if needed, help with the steps of the formal complaints process too – where I can. This is covered in the next article: help from the broker.

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This article is for general information only and does not constitute an offer or insurance advice. The precise content of insurance policies is determined by the insurers’ terms and conditions in force at any given time.

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