Commercial Claim Submission

Filing a commercial insurance claim can seem complex, but Paul Clay Insurance Agency is here to simplify the process for you. As your trusted insurance broker, we’re committed to guiding you through each step of the claims process, ensuring a smooth and efficient resolution.

*More information on the claims process can be found at the bottom of this form.

Policyholder Information

Business Name:

Policy Number:

Phone Number:

Email Address:

Claim Information

Date of the Incident:

Time of the Incident:

Type of Loss or Damage:

Location of the Incident:

Detailed Description of What Happened:

Damage Details

Specifics of the Damage or Loss:

Estimated Cost of the Damage or Loss:

Photos of the Damage:

Filetypes: JPG,JPEG,PNG

Witness Information (if applicable)

Names and Contact Details of Witnesses:

Third-Party Information (if applicable)

Details of Third Parties Involved:

Their Insurance Information (if available):

Police or Fire Department Report (if applicable)

Report Number:

Name of Dept. or Officer:

Additional Documentation

Other Relevant Documents or Evidence:

Filetypes: JPG,JPEG,PNG,PDF,DOC,DOCX

Receipts, Invoices, or Estimates for Repairs:

Filetypes: JPG,JPEG,PNG,PDF,DOC,DOCX

Statement, Consent and Privacy Notice

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply in addition to the Privacy Policy of Paul Clay Insurance Agency.
I acknowledge the privacy policies and consent to use my personal information for the claim.

I hereby affirm that the information provided in this claim form is accurate and complete to the best of my knowledge. I understand that providing false information may result in the denial of my claim or legal action against me. I authorize the investigation of all statements and information contained in this claim form. I also understand that the submission of this claim form does not constitute an agreement by the insurance company to cover the claim and that all claims are subject to review and verification.

Digital Signature(Type Your Full Name as Signature):

How to File a Commercial Claim:

Complete the Claims Form:
- Start by filling out our comprehensive Commercial Claims Form on this page. Provide as much detail as possible about your business, the incident, and the damages or losses incurred.
Review and Submission:
- Once you submit the form, our team will review the information to ensure completeness and accuracy. We’ll then submit your claim to the insurance provider on your behalf.

Our Claims Process:

Initial Assessment:
- We perform an initial review of your claim to understand the incident and the type of coverage involved.
- This helps us ensure that your claim is directed to the right department and handled promptly.
Insurance Provider Notification:
- As your broker, we facilitate communication between you and the insurance provider.
- We submit your claim to the insurer, advocating for your interests and ensuring they have all the necessary information.
Claims Adjuster Assignment:
- The insurance provider will assign a claims adjuster to investigate your claim further.
- You might be contacted for additional details or to schedule an assessment of the damages.
Ongoing Communication:
- Paul Clay Insurance Agency stays involved throughout the process, serving as your point of contact.
- We keep you updated on the status of your claim and any decisions made by the insurer.
Resolution and Settlement:
- Once the insurance provider makes a decision, we communicate this to you and guide you through the settlement process.
- Our goal is to ensure that you receive a fair and timely resolution to your claim.

Why Choose Paul Clay Insurance Agency?

Expert Guidance: Our experienced team understands the complexities of commercial insurance claims. We’re here to offer advice and support every step of the way.
Advocacy: As your broker, we represent your interests, not the insurance company’s. We work hard to ensure you get the coverage you’re entitled to.
Communication: We prioritize clear and regular communication, so you’re never in the dark about the status of your claim.

Frequently Asked Questions

How long does the claims process take?

The duration of the claims process can vary depending on the complexity of the claim, the completeness of the information provided, and the response time from the insurance provider. We aim to facilitate prompt communication to expedite the process.

Who decides the outcome of my claim?

The outcome of your claim is determined by the insurance provider based on the policy terms and the details of the incident. As your broker, Paul Clay Insurance Agency advocates on your behalf to ensure fair treatment and resolution.

Can I start repairs or replace damaged property before the claim is settled?

We recommend waiting until the claim is approved before proceeding with significant repairs or replacements. Emergency repairs may be necessary to prevent further damage; however, ensure you document all actions taken and keep receipts for potential reimbursement.

What if my claim is denied?

If your claim is denied and you believe the decision is incorrect, you can appeal. We will assist you in understanding the insurer’s reasoning, reviewing the policy terms, and if appropriate, helping you prepare an appeal.

How can I track the status of my claim?

Paul Clay Insurance Agency will keep you informed throughout the claims process. Additionally, you can contact us directly at any time for an update on your claim’s status.

Need Assistance?

If you have questions at any point in the claims process or need assistance completing the form, please don’t hesitate to contact us at (806) 356-0696.