This table covers various aspects of home insurance claims management, including important terms, their definitions, adjacent contexts, relevant entities, and key predicates.
| Term | Definition | Importance Score | Adjacent Contexts | Most Important Named Entities | Most Essential Predicates |
|---|---|---|---|---|---|
| Policyholder | The person who owns the insurance policy | 10 | Insurance, Claims, Coverage | AXA, Aviva, Admiral | Files a claim, Pays premiums, Receives compensation |
| Claim | A request made by the policyholder for payment of benefits | 10 | Policy, Insurance, Loss | Hiscox, Direct Line, Legal & General | Submits, Approves, Denies |
| Coverage | The extent of protection provided under an insurance policy | 9 | Policy, Claim, Risk | RSA, Zurich, LV= | Includes, Excludes, Specifies |
| Premium | The amount paid for an insurance policy | 9 | Policy, Coverage, Payment | Churchill, Saga, NFU Mutual | Sets, Increases, Decreases |
| Excess | The amount the policyholder must pay before the insurer pays a claim | 8 | Deductible, Claim, Payment | AXA, Aviva, Admiral | Applies, Reduces, Determines |
| Adjuster | A person who investigates and assesses insurance claims | 8 | Claim, Investigation, Settlement | Sedgwick, Crawford & Company, Davies Group | Assesses, Evaluates, Determines |
| Underwriter | The person or company responsible for evaluating the risk of insuring | 7 | Risk, Policy, Premium | Lloyd’s, AIG, Allianz | Approves, Rejects, Calculates |
| Settlement | The amount paid by the insurer to the policyholder on a claim | 7 | Claim, Payment, Compensation | Hiscox, Direct Line, Legal & General | Offers, Negotiates, Finalizes |
| Loss Adjuster | A professional who assesses the damage or loss covered by the insurance | 7 | Claim, Damage, Investigation | Sedgwick, Crawford & Company, Davies Group | Evaluates, Verifies, Recommends |
| Policy | A contract of insurance between the insurer and the policyholder | 10 | Coverage, Premium, Terms | AXA, Aviva, Admiral | Issues, Renews, Cancels |
| Risk Assessment | The process of identifying and analyzing potential risks | 8 | Underwriting, Policy, Coverage | RSA, Zurich, LV= | Conducts, Updates, Reviews |
| Insurance Broker | An intermediary who sells insurance policies to consumers | 7 | Policy, Coverage, Premium | Marsh, Aon, Willis Towers Watson | Advises, Negotiates, Arranges |
| Loss | Damage or destruction covered by an insurance policy | 9 | Claim, Coverage, Event | AXA, Aviva, Admiral | Occurs, Is assessed, Is reported |
| Fraud | Intentional deception to secure unfair or unlawful gain | 8 | Claim, Investigation, Risk | National Crime Agency, Insurance Fraud Bureau | Detects, Investigates, Prevents |
| Deductible | The amount that must be paid out of pocket by the policyholder | 8 | Excess, Claim, Policy | AXA, Aviva, Admiral | Applies, Affects, Is set |
| Claimant | A person making a claim under an insurance policy | 10 | Policyholder, Claim, Compensation | AXA, Aviva, Admiral | Files, Receives, Is entitled to |
| Insurer | The company providing insurance coverage | 10 | Policy, Premium, Coverage | AXA, Aviva, Admiral | Offers, Underwrites, Pays |
| Policy Terms | The conditions and provisions of an insurance policy | 9 | Policy, Coverage, Premium | AXA, Aviva, Admiral | Includes, Defines, Limits |
| Proof of Loss | Documentation provided to support a claim | 8 | Claim, Documentation, Verification | AXA, Aviva, Admiral | Submits, Verifies, Accepts |
| Claims Processing | The procedure of handling insurance claims | 10 | Claim, Settlement, Investigation | Sedgwick, Crawford & Company, Davies Group | Manages, Reviews, Approves |
| Third-Party Administrator (TPA) | An organization that processes insurance claims on behalf of the insurer | 7 | Claims, Settlement, Administration | Sedgwick, Crawford & Company, Davies Group | Administers, Handles, Manages |
| Customer Service | Support provided by insurers to their policyholders | 8 | Claims, Assistance, Inquiry | AXA, Aviva, Admiral | Provides, Resolves, Assists |
| Investigation | The process of examining a claim to determine its validity | 9 | Claim, Fraud, Verification | Sedgwick, Crawford & Company, Davies Group | Conducts, Concludes, Determines |
| Insurable Interest | The interest an insured party has in the risk covered by the policy | 7 | Policy, Coverage, Risk | AXA, Aviva, Admiral | Has, Defines, Necessitates |
| Peril | A specific risk or cause of loss covered by the policy | 8 | Risk, Policy, Coverage | AXA, Aviva, Admiral | Includes, Lists, Specifies |
| Hazard | A condition that increases the likelihood of a loss | 7 | Risk, Peril, Assessment | AXA, Aviva, Admiral | Represents, Identifies, Mitigates |
| Subrogation | The process by which an insurer seeks reimbursement from a third party | 8 | Claim, Recovery, Settlement | AXA, Aviva, Admiral | Pursues, Enforces, Recovers |
| Appraisal | An assessment of the value or damage of the insured property | 8 | Evaluation, Claim, Settlement | Sedgwick, Crawford & Company, Davies Group | Conducts, Determines, Reviews |
| Claims Adjusting | The process of investigating and settling insurance claims | 9 | Claim, Investigation, Settlement | Sedgwick, Crawford & Company, Davies Group | Performs, Manages, Settles |
| Reinsurance | Insurance purchased by an insurance company from another insurer | 7 | Risk, Coverage, Policy | Lloyd’s, Swiss Re, Munich Re | Transfers, Shares, Covers |
| Public Adjuster | An independent adjuster representing the policyholder in a claim | 7 | Claim, Settlement, Representation | Chartered Institute of Loss Adjusters (CILA) | Represents, Assesses, Negotiates |
| Claim Form | The document submitted to file an insurance claim | 9 | Claim, Documentation, Filing | AXA, Aviva, Admiral | Completes, Submits, Reviews |
| Indemnity | Compensation for loss or damage provided by the insurance policy | 9 | Compensation, Claim, Coverage | AXA, Aviva, Admiral | Provides, Guarantees, Limits |
| Insurer Liability | The extent of the insurer’s responsibility for covered losses | 9 | Coverage, Policy, Claim | AXA, Aviva, Admiral | Determines, Limits, Covers |
| Policy Lapse | The termination of an insurance policy due to non-payment of premiums | 8 | Policy, Premium, Coverage | AXA, Aviva, Admiral | Occurs, Results in, Affects |
| Named Perils | Specific perils listed in an insurance policy that are covered | 8 | Peril, Coverage, Policy | AXA, Aviva, Admiral | Lists, Covers, Specifies |
| All-Risk Policy | An insurance policy that covers all perils except those specifically excluded | 8 | Coverage, Policy, Peril | AXA, Aviva, Admiral | Provides, Excludes, Covers |
| Deductible Waiver | A provision that waives the deductible under certain conditions | 7 | Deductible, Policy, Claim | AXA, Aviva, Admiral | Includes, Applies, Offers |
| Replacement Cost | The cost to replace damaged property without deduction for depreciation | 9 | Valuation, Claim, Coverage | AXA, Aviva, Admiral | Pays, Covers, Determines |
| Actual Cash Value | The value of the property at the time of loss, considering depreciation | 8 | Valuation, Claim, Coverage | AXA, Aviva, Admiral | Calculates, Pays, Determines |
| Depreciation | The reduction in value of property over time | 7 | Valuation, Actual Cash Value, Claim | AXA, Aviva, Admiral | Applies, Affects, Determines |
| Policy Renewal | The process of extending the coverage period of an existing insurance policy | 8 | Policy, Coverage, Premium | AXA, Aviva, Admiral | Completes, Offers, Accepts |
| Policy Cancellation | The termination of an insurance policy before its expiration date | 8 | Policy, Coverage, Premium | AXA, Aviva, Admiral | Initiates, Results in, Affects |
| Policy Exclusion | Specific conditions or circumstances that are not covered by the policy | 8 | Coverage, Policy, Peril | AXA, Aviva, Admiral | Lists, Specifies, Limits |
| Policy Inception | The start date of an insurance policy | 8 | Policy, Coverage, Premium | AXA, Aviva, Admiral | Begins, Specifies, Covers |
| Binding Authority | The authority granted to an agent or broker to underwrite and bind insurance | 7 | Underwriting, Policy, Risk | Lloyd’s, AIG, Allianz | Grants, Holds, Uses |
| Adjusting Fee | The fee charged by an adjuster for handling a claim | 7 | Claim, Settlement, Service | Sedgwick, Crawford & Company, Davies Group | Charges, Includes, Covers |
| Policy Amendment | A change or addition to the terms of an insurance policy | 8 | Policy, Coverage, Terms | AXA, Aviva, Admiral | Issues, Includes, Requires |
| Loss Mitigation | Actions taken to reduce the severity of a potential loss | 8 | Risk, Prevention, Coverage | AXA, Aviva, Admiral | Implements, Encourages, Covers |
| Catastrophic Loss | A severe loss resulting from a significant event or disaster | 8 | Claim, Peril, Risk | AXA, Aviva, Admiral | Occurs, Covers, Assesses |
| Claim Reserve | The amount of money set aside to pay a claim | 8 | Claim, Settlement, Compensation | AXA, Aviva, Admiral | Sets, Adjusts, Holds |
| Policy Binder | A temporary insurance contract providing coverage until a permanent policy is issued | 8 | Policy, Coverage, Underwriting | AXA, Aviva, Admiral | Issues, Provides, Covers |
| Loss Notification | The process of informing the insurer about a loss | 8 | Claim, Reporting, Coverage | AXA, Aviva, Admiral | Provides, Submits, Requires |
| Risk Management | The process of identifying, assessing, and controlling risks | 9 | Risk, Assessment, Prevention | AXA, Aviva, Admiral | Implements, Conducts, Reviews |
| Claim History | The record of all claims filed by the policyholder | 8 | Claim, Policy, Underwriting | AXA, Aviva, Admiral | Reviews, Affects, Determines |
| Claim Denial | The refusal to pay a claim by the insurer | 9 | Claim, Settlement, Investigation | AXA, Aviva, Admiral | Issues, Results in, Affects |
| Policy Documentation | The paperwork and records associated with an insurance policy | 8 | Policy, Coverage, Terms | AXA, Aviva, Admiral | Provides, Includes, Requires |
| Endorsement | An amendment to an insurance policy that modifies its terms | 8 | Policy, Coverage, Terms | AXA, Aviva, Admiral | Adds, Changes, Specifies |
| Financial Ombudsman Service | An independent body that resolves disputes between consumers and financial businesses | 9 | Dispute, Complaint, Resolution | Financial Ombudsman Service | Handles, Resolves, Adjudicates |
| Claim Investigation | The detailed examination of the circumstances surrounding a claim | 9 | Claim, Fraud, Settlement | Sedgwick, Crawford & Company, Davies Group | Conducts, Reviews, Determines |
| Total Loss | A situation where the cost to repair damage exceeds the value of the property | 8 | Claim, Valuation, Settlement | AXA, Aviva, Admiral | Declares, Pays, Assesses |
| Insurance Certificate | A document that provides evidence of insurance coverage | 8 | Policy, Coverage, Proof | AXA, Aviva, Admiral | Issues, Requires, Verifies |
| Claim Settlement Offer | The amount proposed by the insurer to settle a claim | 9 | Claim, Settlement, Negotiation | AXA, Aviva, Admiral | Makes, Accepts, Rejects |
| Insurance Fraud | Intentional deception to receive benefits to which one is not entitled | 9 | Claim, Investigation, Risk | National Crime Agency, Insurance Fraud Bureau | Investigates, Prevents, Detects |
| Coverage Limit | The maximum amount an insurer will pay for a covered loss | 9 | Policy, Coverage, Claim | AXA, Aviva, Admiral | Specifies, Limits, Determines |
| Named Insured | The individual(s) whose interests are protected under the policy | 9 | Policyholder, Coverage, Risk | AXA, Aviva, Admiral | Is listed, Covers, Protects |
| Insurance Endorsement | An amendment to the insurance policy that modifies coverage terms | 8 | Policy, Coverage, Terms | AXA, Aviva, Admiral | Adds, Changes, Specifies |
| Peril Insurance | Insurance that covers specific risks outlined in the policy | 8 | Coverage, Policy, Risk | AXA, Aviva, Admiral | Provides, Lists, Specifies |
| Claims Handling | The process of managing and processing insurance claims | 9 | Claim, Settlement, Service | Sedgwick, Crawford & Company, Davies Group | Manages, Processes, Resolves |
| Policyholder Rights | The entitlements and protections provided to the policyholder | 9 | Policy, Coverage, Legal | Financial Conduct Authority | Guarantees, Specifies, Protects |
| Insurance Policy Schedule | A detailed listing of the coverage, terms, and conditions of an insurance policy | 8 | Policy, Coverage, Terms | AXA, Aviva, Admiral | Provides, Lists, Specifies |
| Replacement Cost Value | The amount it costs to replace damaged property without depreciation | 9 | Valuation, Claim, Coverage | AXA, Aviva, Admiral | Determines, Pays, Covers |
| Material Misrepresentation | False statements that affect the terms or validity of the insurance policy | 8 | Fraud, Policy, Coverage | National Crime Agency, Insurance Fraud Bureau | Affects, Voids, Determines |
| Loss Control | Measures taken to prevent or reduce the severity of losses | 8 | Risk, Prevention, Management | AXA, Aviva, Admiral | Implements, Includes, Covers |
| Act of God | A natural event not caused by human action that is covered by insurance | 7 | Peril, Coverage, Policy | AXA, Aviva, Admiral | Includes, Lists, Covers |
| Claims Payout | The amount of money paid by the insurer to settle a claim | 9 | Claim, Settlement, Compensation | AXA, Aviva, Admiral | Provides, Pays, Determines |
| Claim Review | The process of examining a claim to ensure its accuracy and validity | 8 | Claim, Investigation, Settlement | Sedgwick, Crawford & Company, Davies Group | Conducts, Ensures, Determines |
| Insurance Ombudsman | An independent body that handles complaints and disputes between insurers and policyholders | 8 | Complaint, Dispute, Resolution | Financial Ombudsman Service | Resolves, Adjudicates, Handles |
| Claim Adjustment | The process of investigating and determining the amount of loss or damage | 9 | Claim, Investigation, Settlement | Sedgwick, Crawford & Company, Davies Group | Conducts, Determines, Finalizes |
| Insurance Claim Appeal | The process of challenging a denied or unsatisfactory claim decision | 8 | Claim, Denial, Dispute | Financial Ombudsman Service | Files, Reviews, Resolves |
| Claims Resolution | The process of settling and closing an insurance claim | 9 | Claim, Settlement, Service | Sedgwick, Crawford & Company, Davies Group | Achieves, Ensures, Finalizes |
| Insurance Claim Dispute | A disagreement between the insurer and the policyholder over a claim | 9 | Claim, Settlement, Resolution | Financial Ombudsman Service | Arises, Resolves, Escalates |
| Homeowner’s Insurance | Insurance that covers a private residence | 10 | Policy, Coverage, Property | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Peril-Specific Coverage | Insurance that provides protection against specific risks | 8 | Policy, Coverage, Risk | AXA, Aviva, Admiral | Includes, Specifies, Covers |
| Excess Insurance | Additional insurance coverage beyond the primary policy | 7 | Policy, Coverage, Risk | AXA, Aviva, Admiral | Provides, Covers, Supplements |
| First Notice of Loss (FNOL) | The initial report made by the policyholder to notify the insurer of a loss | 9 | Claim, Notification, Coverage | AXA, Aviva, Admiral | Submits, Receives, Reviews |
| Salvage Value | The estimated value of damaged property that can be recovered or sold | 8 | Valuation, Claim, Settlement | AXA, Aviva, Admiral | Determines, Assesses, Recovers |
| Reinstatement | The process of restoring coverage after it has lapsed or been canceled | 8 | Policy, Coverage, Renewal | AXA, Aviva, Admiral | Achieves, Requires, Covers |
| Named Peril | A specific risk listed in an insurance policy that is covered | 8 | Peril, Coverage, Policy | AXA, Aviva, Admiral | Lists, Covers, Includes |
| Excess Policy | Insurance that provides additional coverage beyond the limits of the primary policy | 7 | Coverage, Policy, Risk | AXA, Aviva, Admiral | Provides, Covers, Supplements |
| Additional Living Expenses (ALE) | Costs covered by insurance for temporary housing and related expenses after a loss | 8 | Coverage, Claim, Compensation | AXA, Aviva, Admiral | Covers, Pays, Includes |
| Loss of Use | Coverage for the additional living expenses incurred when a home is uninhabitable | 8 | Claim, Coverage, Compensation | AXA, Aviva, Admiral | Covers, Provides, Compensates |
| Deductible Clause | A provision specifying the amount the policyholder must pay before the insurer pays | 8 | Deductible, Policy, Claim | AXA, Aviva, Admiral | Specifies, Includes, Applies |
| Replacement Coverage | Insurance that covers the cost to replace damaged property | 8 | Valuation, Claim, Coverage | AXA, Aviva, Admiral | Provides, Covers, Pays |
| Named Storm | A specific storm that is named by meteorological authorities and covered by insurance | 7 | Peril, Coverage, Policy | AXA, Aviva, Admiral | Lists, Covers, Includes |
| Hazard Insurance | Coverage for property damage caused by certain risks | 8 | Peril, Coverage, Policy | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Contents Coverage | Insurance that covers personal belongings inside the home | 8 | Policy, Coverage, Valuation | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Ordinance or Law Coverage | Coverage for increased costs due to changes in building codes or laws | 8 | Policy, Coverage, Compensation | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Reimbursement | The process of repaying the policyholder for covered losses | 9 | Claim, Compensation, Coverage | AXA, Aviva, Admiral | Provides, Pays, Includes |
| Flood Insurance | Coverage for damage caused by flooding | 8 | Peril, Policy, Coverage | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Windstorm Insurance | Coverage for damage caused by windstorms | 8 | Peril, Policy, Coverage | AXA, Aviva, Admiral | Provides, Covers, Includes |
| All Perils Coverage | Comprehensive insurance that covers all risks except those specifically excluded | 8 | Coverage, Policy, Peril | AXA, Aviva, Admiral | Provides, Includes, Covers |
| Insurance Claim Adjuster | A professional who investigates and settles insurance claims | 9 | Claim, Investigation, Settlement | Sedgwick, Crawford & Company, Davies Group | Investigates, Settles, Adjusts |
| Building Coverage | Insurance that covers damage to the structure of the home | 9 | Policy, Coverage, Valuation | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Valuation Report | An assessment of the value of the insured property | 8 | Valuation, Claim, Coverage | Sedgwick, Crawford & Company, Davies Group | Conducts, Provides, Determines |
| Acts of Terrorism | Coverage for damage caused by acts of terrorism | 7 | Peril, Policy, Coverage | AXA, Aviva, Admiral | Provides, Includes, Covers |
| In-Home Business Coverage | Insurance that covers business activities conducted from home | 7 | Policy, Coverage, Risk | AXA, Aviva, Admiral | Provides, Covers, Includes |
| Named Storm Deductible | A higher deductible applied to claims resulting from named storms | 7 | Deductible, Policy, Peril | AXA, Aviva, Admiral | Applies, Includes, Specifies |
| Insurance Policy Period | The duration for which the insurance policy provides coverage | 8 | Policy, Coverage, Terms | AXA, Aviva, Admiral | Specifies, Covers, Defines |
| Claim Documentation | Papers and evidence provided to support an insurance claim | 9 | Claim, Proof, Verification | AXA, Aviva, Admiral | Submits, Reviews, Verifies |
| Damage Assessment | The process of evaluating the extent of damage to insured property | 9 | Claim, Investigation, Valuation | Sedgwick, Crawford & Company, Davies Group | Conducts, Provides, Determines |
| High-Value Home Insurance | Coverage specifically designed for expensive homes | 8 | Policy, Coverage, Valuation | Hiscox, Direct Line, Legal & General | Provides, Covers, Includes |
| Loss Payable Clause | A provision specifying the payee for insurance proceeds | 8 | Policy, Coverage, Claim | AXA, Aviva, Admiral | Includes, Specifies, Covers |