Many factors come into play in determining the time period for approval or denial of a claim. One deciding factor is the date and time the claim is made by a policy holder, which has a significant effect on turnaround time. For instance if the claim is made after close of business on a Friday, the insurance company will not receive the claim for processing until they open again on the following Monday. Another factor that determines processing time is the type of evidence presented in support of the claim. If the claim is obvious and clear cut, a decision can be made on the spot. If the claim is more complicated or missing information, then it will take longer to process.

There are a multitude of reasons why an insurance company would not approve an insurance claim. The most obvious reason would be if the individual holding the policy (the claimant) has not paid his or her premiums; this renders the policy invalid. In cases where multiple individuals and policies are involved, another insurance company may have paid for services. This is most common for auto policies; the insurance company of the party responsible for the accident will most often be required to pay. Lastly, the payment requested must be for something covered in the policy. Several examples of claims that might not be covered are ?Acts of God,? an accident or damage caused by an unavoidable storm, and damage caused by recklessness or carelessness. It is always a good plan to read your policy closely to determine whether or not you qualify for benefits.

The only legally recognized manner of applying for benefits under an insurance policy is the filing of a claim with the insurer. However, until the insurer has completed its assessment of the circumstances, the claim will remain pending and there will be no pay-out.