The Claims Ninja

Internal Help Center

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Negotiation & Settlement Process

7-step process targeting 21–35 day close.

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Goal: maximize settlement efficiently. Close within 21–35 days of estimate submission.

Step 1 — Submit to Insurance

Client approves, file moves to Stage 2, submit to adjuster, set 48hr follow-up reminder.

Step 2 — Initial Adjuster Response

Within 48 hours. If no response, follow up immediately (phone required).

Step 3 — Prepare Negotiation Strategy

Review objections, gather photos, code citations, vendor quotes, policy language.

Step 4 — Negotiation Process

Respond within 24 hours, provide justification, stay professional but firm, update client every 2 days minimum.

Step 5 — Escalation Decision (Day 7–14)

Continue if progress; if stalled with TL approval: invoke PA, escalation letter, appraisal deadline, notify client.

Step 6 — Settlement Agreement

Review final offer with client, get approval, document settlement amount.

Step 7 — Close-Out

Update status to Completed, client pays final invoice.