Insurance company claims departments employ a large number of claims adjusters supported by a staff of records management and data entry clerks. Incoming claims are classified based on severity and are assigned to adjusters whose settlement authority varies with their knowledge and experience. The adjuster undertakes an investigation of each claim, usually in close cooperation with the insured, determines if coverage is available under the terms of the insurance contract, and if so, the reasonable monetary value of the claim, and authorizes payment.
Next, take a good hard look at your driving record and credit report, and clean both up if they’re not in good shape. Moving violations, citations for driving under the influence, accidents, and a low credit score all tell car insurance companies you’re at higher risk of being in an accident, making a claim, and costing them money. Some car insurance companies will give you a discount if you can prove you’re a safe driver by installing a tracking device in your car, which can lead to lower rates over time (however, if the tracker shows you routinely drive in an unsafe manner, your rates might go up). A few years without a citation or an accident, as well as a steadily improving credit score, can help you save on car insurance.
At the most basic level, initial ratemaking involves looking at the frequency and severity of insured perils and the expected average payout resulting from these perils. Thereafter an insurance company will collect historical loss data, bring the loss data to present value, and compare these prior losses to the premium collected in order to assess rate adequacy. Loss ratios and expense loads are also used. Rating for different risk characteristics involves at the most basic level comparing the losses with "loss relativities"—a policy with twice as many losses would therefore be charged twice as much. More complex multivariate analyses are sometimes used when multiple characteristics are involved and a univariate analysis could produce confounded results. Other statistical methods may be used in assessing the probability of future losses.
In a best-case scenario, you’ll never have to use your car insurance. After all, making a claim on your auto insurance means you’ve suffered some sort of loss, and no one wants that. However, going through life without ever having a fender bender or other damage to your car is unlikely. In some cases, you’ll be making a car insurance claim after a harrowing experience, like a serious accident. After going through something like that, you want to be sure your insurance company isn’t going to make things worse.
Claims and loss handling is the materialized utility of insurance; it is the actual "product" paid for. Claims may be filed by insureds directly with the insurer or through brokers or agents. The insurer may require that the claim be filed on its own proprietary forms, or may accept claims on a standard industry form, such as those produced by ACORD.
The insured receives a contract, called the insurance policy, which details the conditions and circumstances under which the insurer will compensate the insured. The amount of money charged by the insurer to the Policyholder for the coverage set forth in the insurance policy is called the premium. If the insured experiences a loss which is potentially covered by the insurance policy, the insured submits a claim to the insurer for processing by a claims adjuster. The insurer may hedge its own risk by taking out reinsurance, whereby another insurance company agrees to carry some of the risk, especially if the primary insurer deems the risk too large for it to carry.