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How to make a claim

Audience: Contact-centre agents and customer support representatives
Purpose: Guide agents to register a First Notice of Loss (FNOL) quickly, capture all required details, and set clear next steps for the customer.
Scope: Applies across products and regions; call out regional specifics where indicated (AU/SG/JP).


1) Establish entity & product

Say: “Before we begin, can I confirm your policy country (e.g., Australia/Singapore/Japan) and the product (Motor, Property/Fire, Marine, Liability, Travel, Life/Health)?”
Capture: Policy entity; product line.

2) Verify identity & policy

Do: Collect full name, DOB (if applicable), policy number, address/email, and broker (if any).
Say: “For security, I’ll verify a couple of details.”
Capture: Customer profile; policy lookup.

3) Check safety & urgent help

Say: “Is anyone injured? Are emergency services required?”
Regional cues:

  • SG Motor: Advise immediate reporting and bringing the vehicle to an approved workshop within 24 hours/next working day.

  • JP Auto: Offer the 24/7 accident line if language support is needed.
    Capture: Safety flag; injury flag; workshop referral.

4) Explain the process & set expectations

Say: “I’ll register your claim, give you a claim number, explain documents we need, and what happens next (assessor/surveyor, repairs, timelines).”
Regional cue (AU Motor): Mention the online claim form and recommended repairers.
Capture: Channel (phone/online); expectations.

5) Capture an incident snapshot

Do: Record date/time, location, cause, circumstances, weather, third parties, witnesses, injuries, and police report number (if any).
Capture: Incident core fields.

6) Record asset/vehicle/subject details

Do:

  • Motor: Rego/VIN, make/model, driver licence.

  • Property/Fire: Address, affected areas.

  • Marine/Cargo: Voyage, vessel, bill of lading.

  • Life/Health: Condition/event.
    Regional cue (Marine AU): Advise claim-form submission; TM may appoint a surveyor.
    Capture: Object details by line of business.

7) Confirm coverage & discuss excess

Do: Check cover against the policy schedule; explain any applicable excess.
Regional cue (AU): Mention excess payment support and potential fast-track where there’s urgent financial need.
Capture: Coverage checked; excess approach.

8) Advise required documents

Do: Request typical items—photos, invoices/quotes, medical reports, police reports, repair estimates.
Regional cue (Property/Fire ID): May require a chronology, photos, technical reports, damaged item lists, and (for some perils) police/BMKG reports.
Capture: Required docs checklist.

9) Route to the correct channel

Do: Direct the customer to the appropriate submission route.

  • AU Motor: Online claim form.

  • AU Marine: Email the completed claim form to the marine team.

  • SG Motor: Report at an approved workshop and/or via hotline.

  • JP Auto: 24/7 accident line.
    Capture: Chosen channel (URL/email/partner).

10) Register FNOL & issue a claim number

Do: Create the claim record; attach notes and documents; provide the claim/reference number; share the expected contact time from the adjuster/surveyor.
Capture: Claim number; SLA timer.

11) Set next steps & repairs

Do: Book assessment (or a surveyor for marine), provide the recommended repairer network for AU motor, and outline the inspection/triage path.
Capture: Tasks—assessment/repair.

12) Close with empathy & rights

Say (recap):

  • Summary of what was captured

  • Reminder to keep receipts and not admit liability

  • Regional support notes (e.g., AU hardship/fast-track)

  • Contact details and expected next touchpoint
    Capture: Wrap-up notes; follow-ups.


Quick call script (optional)

  • Open: “Thanks for calling. I’ll help you lodge your claim now.”

  • Confirm entity/product: “Which country is your policy under, and what type of policy is it?”

  • Verify identity: “I’ll just confirm a couple of details for security.”

  • Safety check: “Is anyone injured or do you need emergency assistance?”

  • Set expectations: “I’ll register the claim, explain documents we’ll need, and give you a reference number.”

  • Gather incident & asset details: “Let’s go through what happened and the items involved.”

  • Coverage/excess: “Based on your policy, here’s how your cover and excess apply.”

  • Docs & channel: “Please provide these documents and use this submission route.”

  • Close: “Your claim number is _____. We’ll contact you by ____ with next steps.”


System capture checklist (for CRM/claims platform)

  • Entity & product: Policy entity; product line

  • Identity & policy: Customer profile; policy lookup

  • Safety: Safety and injury flags; workshop referral (if applicable)

  • Process: Channel (phone/online); expectations set

  • Incident: Core incident fields (date/time, location, cause, circumstances, weather, third parties, witnesses, injuries, police report #)

  • Subject/asset: LOB-specific details (vehicle, property, marine cargo, life/health)

  • Coverage & excess: Coverage confirmed; excess approach explained

  • Documents: Requested docs checklist recorded

  • Channel routing: URL/email/partner/hotline noted

  • Registration: Claim/reference number; SLA timer started

  • Next steps: Assessment/surveyor/repair tasks created

  • Closure: Wrap-up notes; follow-up date/time set

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