Claim Review Request

A Claim Review Request is a formal request by a policyholder or claimant for an insurance company to reconsider its decision on a claim that has been denied or underpaid. The request typically includes a written explanation of why the claimant believes the decision was incorrect, along with any additional evidence or documentation that supports their position. Claim review requests are often required by state insurance regulations as a way to give policyholders a chance to challenge an adverse claim decision before resorting to legal action. The insurance company must usually respond to the request within a certain timeframe and provide a written explanation of its final decision.