Glossary / Claims & duties / Claim

Claim

Also known as: Insurance Claim · Notice of Loss · Demand for Coverage

Claims & duties

A demand for payment or defense under your insurance policy, typically triggered by a lawsuit, written demand, or regulatory action against your business.

A claim is a demand—typically a lawsuit, written demand, or regulatory action—that triggers your insurance coverage. How "claim" is defined in your policy matters: some policies include informal demands, others only formal lawsuits.

Where you'll see it

ClaimPolicy

Why it matters for your business

  • The definition of "claim" in your policy determines when coverage triggers.
  • Reporting claims promptly is usually a policy condition.
  • Late reporting can result in claim denial.

People also ask

What counts as an insurance claim?

What counts as a claim depends on your policy's definition. On liability policies it usually means a written demand for money or services, a lawsuit, or a formal regulatory proceeding against you. Some policies also include informal demands or requests to toll a statute of limitations. Reviewing the "claim" definition tells you exactly what event triggers your coverage.

When should I file an insurance claim?

Report a claim to your insurer as soon as you become aware of it—most policies require notice "as soon as practicable," and claims-made policies (D&O, Cyber, Tech E&O) are especially strict. Even if you're unsure whether something will develop into a claim, notifying your insurer of the circumstance protects your coverage. When in doubt, tell your broker immediately.

What happens if I report a claim late?

Late notice is one of the most common reasons insurers deny claims, particularly on claims-made policies where reporting within the policy period is a coverage condition. Depending on the policy and state law, late reporting can reduce or entirely void coverage for that claim. Prompt notice is the single most important thing you can do to protect a claim.

What is the difference between a claim and a lawsuit?

A lawsuit is one type of claim, but not the only one. A claim is any demand that triggers coverage—it can be a written demand letter, a regulatory investigation, or a formal lawsuit. A lawsuit is a claim that has escalated into court proceedings. Most liability policies respond to claims well before they become lawsuits, covering defense costs from the demand stage.

Ready to take the next step?

Definitions are educational and may be modified by your specific policy language, endorsements, and state rules. For regulatory guidance, refer to the California Department of Insurance or the NAIC.

Reviewed by Andrei Craciunescu, CA Licensed Insurance Broker #4467994

Last updated: July 2026.