Correct option is D
The claim settlement procedure in insurance follows a structured sequence to ensure that the claim is valid, properly assessed, and settled fairly. The correct sequence of steps in claim settlement is:
Notice of Loss (D):
- The first step in the claim settlement process is that the insured person must notify the insurance company about the loss or damage as soon as possible.
- This notice initiates the claim process and helps the insurer prepare for the next steps.
Claim Form (C):
- After notifying the insurer, the insured person needs to fill out and submit the claim form with essential details like policy number, type of loss, date, and location.
- This serves as an official request to process the claim.
Scrutinization (A):
- Once the claim form is submitted, the insurance company scrutinizes the provided documents to check whether all necessary information is available and correct.
- This step helps prevent fraudulent claims and ensures compliance with policy terms.
Investigation & Assessment (B):
- The insurer conducts a thorough investigation and assessment of the claim, which may involve loss assessment reports, verification of damages, and professional inspection.
- This step ensures that the claim amount is justified and that no fraudulent activities are involved.
Settlement & Arbitration (E):
- After investigation, the insurer processes the settlement based on the claim assessment.
- If any disputes arise, the matter may go into arbitration before the final settlement is issued.
Thus, the correct sequence is:
D (Notice of Loss) → C (Claim Form) → A (Scrutinization) → B (Investigation & Assessment) → E (Settlement & Arbitration).
Information Booster:
Types of Insurance Claims:
- Life Insurance Claims(Death claims, Maturity claims)
- General Insurance Claims(Health, Vehicle, Property, Fire, Marine, etc.)
Key Principles of Claim Settlement:
- Utmost Good Faith– The insured must provide true information.
- Indemnity Principle– The claim amount should compensate for actual loss, not profit.
- Subrogation– The insurer can take legal action against third parties responsible for the loss.
- Contribution– If multiple insurers are involved, they share liability.
Common Reasons for Claim Rejection:
- Incorrect or false information in the claim form.
- Delay in claim intimation.
- Non-disclosure of material facts.
- Policy lapse due to non-payment of premium
Importance of Arbitration in Claim Settlement:
- Arbitration is a dispute resolution process where a neutral third party settles disagreements between the insurer and the insured.
- This ensures fair and unbiased decision-making in claim-related conflicts.

