How does claims communication differ from claims handling?
| Claims communication (can be outsourced) | Claims decisions (stay with your adjusters) |
|---|---|
| Taking first notice of loss and recording details | Assessing coverage and liability |
| Collecting photos, documents and invoices | Approving or denying the claim |
| Giving status updates from the claims system | Setting reserves and payment amounts |
| Scheduling inspections and callbacks | Handling disputes and litigation |
How should first notice of loss be handled?
- A structured intake script per line of business, so nothing is missed
- Empathy first: the customer may have just had an accident or loss
- Clear explanation of next steps, timelines and who will contact them
- Immediate routing of urgent cases such as injuries or uninhabitable homes
- Complete notes in the claims system so adjusters never ask the same questions again
How do you prepare for catastrophe events?
Storms, floods and other events create sudden spikes in claims contacts. Agree a surge plan in advance: extra trained staff on standby, simplified intake scripts, prepared messages for affected areas, and clear priorities for the most urgent cases. Test the plan once a year.
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What should agents never do?
- Confirm that a loss is covered before the claim is assessed
- Give advice on which policy a customer should buy, unless licensed to do so where required
- Change coverage without the documented authorisation process
- Promise payment amounts or dates the claims team has not set
Which metrics matter in insurance service?
- Speed of answer and abandonment, especially after catastrophe events
- First notice of loss completeness: claims needing no follow-up for missing data
- First contact resolution on policy service questions
- Complaint volume and causes
- Policyholder satisfaction after claims contacts
Can small agencies and brokers outsource too?
Yes. Agencies often start by outsourcing after-hours call answering, certificate and document requests, renewal reminders and data entry into their agency management system, then expand to policy service once procedures are documented. A dedicated team of five can cover a lot of this work for several producers.