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Claim deadlines (⚖) (Carrier)

Claimsfy Carrier

Every claim shows ⚖ Claim deadlines on the Notice of Loss tab: acknowledge, inspect, decide, pay and status letters, plus your own contact, inspection and first-report targets, each with its due date and whether it's done, due soon or overdue.

  • The state's rules: the loss state comes from the loss location (or choose it on the panel). Florida, Texas and California rules are built in. Every other state starts from a baseline based on the NAIC model: acknowledge within 15 days, decide within 21 days of proof of loss, a status letter every 45 days, and pay within 30 days. Texas business days and its catastrophe extension are counted.
  • Your service standards: ⚙ Claim standards (on the Metrics tab and on the panel; claims managers and administrators) sets your contact (24 hours to start), inspection (7 days) and first-report (14 days) targets, and lets you change any state's rule.
  • Stricter date wins. When a state rule and a service standard both set a date, the panel shows the earlier one and says what else applies.
  • Enter the dates as they happen on the panel: acknowledged, proof of loss received, decision, last status letter, paid. The Claims Queue marks claims with overdue items (⚖ N overdue).
  • The built-in rules are a starting point, not legal advice. Check them with your compliance team and change any state's rule in ⚙ Claim standards.