Workflow Templates: claims assessment checklist

Verify policyholder information

Ensure all necessary documents are submitted

Check for policy coverage and limits

Identify any red flags or inconsistencies

Assign claim to appropriate adjuster

Conduct interviews with involved parties

Gather evidence and documentation

Assess damage or loss value

Consult with experts if needed

Document findings and observations

Review investigation results

Compare claim against policy terms and conditions

Determine liability and extent of coverage

Calculate settlement amount

Prepare and send decision letter to claimant

Negotiate settlement terms with claimant

Process payment for approved claims

Handle disputes or appeals if any

Close claim file with final documentation

Review feedback for process improvement

claims assessment checklist