Quality Insurance Claims Documentation Guidelines

“If it’s not documented in the file, it doesn’t exist” is a very well-known saying in the insurance claims world. Documentation is important to every insurance claim file to ensure a proper outcome. A well-documented claim not only tells a full story but also allows claim managers to make the right decisions with ease.

employee working on computerA claims system that supports adjusters in proper documentation is critical to insurers to have hard facts on damages, coverage, liability, etc. This allows efficient time management, especially if a claim is moved to a new adjuster.

Claim documentation should be approached with care. Several claim adjusters weighed in with their thoughts of a few tips adjusters should keep in mind when documenting claims.

Documentation guidelines should be clear and concise for everyone to understand. The end goal for every claims adjuster is to resolve claims in a timely fashion. Keeping updated diary notes and documentation in a claims system will allow adjusters to create a well-planned strategy to resolve a claim. This reduces the risk of loss, fraud, and provides a permanent storage of each claims data.

What additional tips would you add to this checklist?