Claim
Sometimes, things don't go according to plan and the policy holder has an incident.
The policy holder will therefore file a claim by submitting a "First Notice of Loss" describing the incident.
A claim should be attached to a policy.
{
"id": "080949ea-0de3-4690-8cb4-6f558118d7e5",
"claimant": {
"first_name": "John",
"last_name": "Doe",
"email": "[email protected]",
"phone_number": "+331234567890"
},
"custom_id": "C-123",
"first_notice_of_loss_details": "Lorem ipsum dolor sit amet",
"incident_at": "2019-05-27T12:00:00Z",
"notified_at": "2019-05-28T14:00:12Z",
"status": "RECEIVED",
"gross_loss": 5000,
"covered_loss": 5000,
"paid_amount": null,
"recovered_amount": null,
"net_loss": null
"created_at": "2019-05-28T18:24:45Z",
"updated_at": "2019-05-28T18:24:45Z",
"documents": [
{
"name": "receipt.pdf",
"type": "application/pdf",
"url": "https://s3.us-east-3.amazonaws.com/bucket/insurance-product-slug/080949ea-0de3-4690-8cb4-6f558118d7e5/75f762c4-receipt.pdf"
},
...
],
"assignee": "[email protected]"
}
It contains the following properties:
Field
Type
Description
id
UUID v4
Tint claim ID
claimant
Claimant
Details about the claimant
customer_id
String
Claim identifier used in your own system
first_notice_of_loss_details
String
Description of the incident by the claimant
incident_at
RFC 3339 date
Date at which the claim happened
notified_at
RFC 3339 date
Date at which you have been notified of the claim for the first time
status
String
Status of the claim
Possible values: RECEIVED, IN_REVIEW, APPROVED, DECLINED, WITHDRAWN
gross_loss
Number
Amount of the loss based on a damage appraiser reports, bills, invoices, etc.
limit_amount
Number
Maximum amount that can be paid out to the claimant.
covered_loss
Number
Amount of the claim taking to account the policy limit and deductible.
paid_amount
Number
Total amount paid for the claim
recovered_amount
Number
Sum of all the payments received for the claim;
Payments may come from other insurance companies for instance, in the case of subrogations
net_loss
Number
The cost of the claim to the business or insurer
created_at
RFC 3339 date
Date at which the claim was created
updated_at
RFC 3339 date
Date at which the claim was updated for the last time
documents
List of claim documents
Details of the documents
assignee
String
Email of the assigned user
Last modified 2mo ago
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