ClaimNavigatorAI

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Your Claim Progress

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1

Notice of Claim → Send

Formally notify your insurer of the loss.
AI Tip: "Generate my Notice of Claim for a fire loss dated June 12, 2025."
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Why It Matters

Starting the clock on insurer response deadlines. Most states require acknowledgment within 14 days.

Common Mistakes

  • Waiting too long to notify
  • Incomplete contact information
  • Not keeping proof of delivery

Regulation Tip

Send via certified mail and keep the receipt. Some states require specific language.

Checklist

  • Upload policy PDF
  • Describe loss clearly
  • Attach initial photos if available
  • Send certified mail

AI Prompts

"Generate a Notice of Claim for [loss type] on [date] with policy # [number]"

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2

Start Diary & Photo Log → Document Evidence

Record communications, photos, and receipts from day one.
AI Tip: "Create a chronological claim diary entry for today's inspection."
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Why It Matters

Creates a timeline that supports your claim and counters insurer delays or denials.

Common Mistakes

  • Not documenting daily communications
  • Missing timestamps on photos
  • Losing receipts and invoices

Regulation Tip

Some states require detailed documentation. Keep originals and digital copies.

Checklist

  • Add today's diary entry
  • Upload photo set with timestamps
  • Save every receipt to a single folder
  • Record all phone calls with adjusters

AI Prompts

"Create a claim diary entry for [date] documenting [event]"

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3

Policy Review → Analyze

Understand what's covered, excluded, and limited.
AI Tip: "Summarize key coverage sections from my uploaded policy."
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Why It Matters

Know your rights and coverage limits before negotiating with the insurer.

Common Mistakes

  • Not reading exclusions carefully
  • Missing coverage endorsements
  • Ignoring filing deadlines

Regulation Tip

Some states have specific coverage requirements that override policy language.

Checklist

  • Upload the full policy
  • Note deductibles per coverage
  • Highlight key clauses to cite later
  • Check for additional living expense coverage

AI Prompts

"Analyze my policy for coverage of [specific damage type]"

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4

Proof of Loss → Generate

Create your sworn statement of damages.
AI Tip: "Generate Proof of Loss with total property damage of $84,750."
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Why It Matters

Required document that triggers insurer's obligation to respond with payment or denial.

Common Mistakes

  • Underestimating damages
  • Missing supporting documentation
  • Filing after deadline

Regulation Tip

Most states require filing within 60 days. Some allow extensions with good cause.

Checklist

  • Confirm totals & coverage buckets
  • Arrange notarization
  • Keep proof of submission
  • Include all supporting estimates

AI Prompts

"Generate Proof of Loss for [damage type] totaling $[amount]"

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5

Compare Estimates → Evaluate

Compare insurer vs. contractor estimates line by line.
AI Tip: "Highlight differences between insurer and contractor estimate."
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Why It Matters

Identifies underpayment and provides evidence for appeals or negotiations.

Common Mistakes

  • Not getting multiple estimates
  • Accepting insurer's estimate without review
  • Missing scope differences

Regulation Tip

Some states require insurers to explain estimate differences. Know your rights.

Checklist

  • Upload both estimates
  • Flag discrepancies with notes
  • Prepare bullet points for rebuttal
  • Get contractor to explain differences

AI Prompts

"Compare these two estimates and highlight the key differences"

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6

Counter / Appeal → Respond

Challenge underpayment or denial professionally.
AI Tip: "Draft a rebuttal citing missing line items from estimate."
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Why It Matters

Professional appeals often result in increased settlements. Document everything.

Common Mistakes

  • Emotional language in appeals
  • Missing supporting evidence
  • Not setting response deadlines

Regulation Tip

Some states have specific appeal procedures. Follow them exactly.

Checklist

  • Attach exhibits (photos, estimates, emails)
  • Set a clear response-by date
  • Cite specific policy provisions
  • Send certified mail

AI Prompts

"Draft an appeal letter for underpayment citing [specific issues]"

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7

Escalate if Needed → File Complaint

Enforce deadlines or escalate with regulators/ADR.
AI Tip: "Create a Notice of Delay referencing state claim handling law."
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Why It Matters

Regulatory complaints can force insurer compliance and result in penalties.

Common Mistakes

  • Not documenting delays properly
  • Missing regulatory deadlines
  • Giving up too early

Regulation Tip

Each state has different complaint procedures. Research your state's requirements.

Checklist

  • Compile missed deadlines & communications
  • Attach proof and certified mail receipts
  • File with state insurance department
  • Consider hiring a public adjuster

AI Prompts

"Help me file a complaint with the state insurance department for [specific violations]"

📄 Download My Claim Progress Tracker (PDF)

Generate a personalized checklist.

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