What is a Claim? Claim[kleym]noun1.An insurance Claim is a policyholder’s request to an insurance company for restitution based on the terms of the insurance Policy. The insurance company, through an Adjuster, investigates the validity of the Claim and pays the policyholder. Share | Have A Question About This Topic? Address Thank you! Oops! Related Contents Surprises Making the most of surprises is a great reason to work with us. Did You Know This Fact About the Claims Process? Claims can be left open as long as you need. Long-Term-Care Protection Strategies The chances of needing long-term care, its cost, and strategies for covering that cost.