Estimating & Workflow
Denied claim
An insurer's decision that a loss is not covered or not payable under the policy. It can follow from an exclusion, a lapse in coverage, or a limit that is already used. A denial can often be challenged through a policy appeal, an appraisal process, or a complaint to the state regulator, and documentation carries the challenge.
Common questions
What does "Denied claim" mean in Xactimate estimating?
An insurer's decision that a loss is not covered or not payable under the policy. It can follow from an exclusion, a lapse in coverage, or a limit that is already used. A denial can often be challenged through a policy appeal, an appraisal process, or a complaint to the state regulator, and documentation carries the challenge.
Where does "Denied claim" show up in a claim?
The term matters on estimates and scopes across the insurance restoration workflow. Browse the glossary for related terms.
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