The Claim That Cost You a $28,000-Per-Year Client

The client was a roofing contractor in Scottsdale. Been with the agency for four years. $28,000 in annual premium across general liability, commercial auto, and workers’ comp. Zero claims until March of last year.

One of his crews was working on a commercial job when a ladder slipped. Worker fell twelve feet, broke his arm and two ribs. Workman’s comp claim.

The agency helped file the claim. Carrier assigned an adjuster. And then… silence.

Two weeks went by. The client called the agency: “Have you heard anything from the carrier about my claim?”

The CSR checked the system. No updates. “Let me follow up with the adjuster and get back to you.”

The CSR sent an email to the carrier. No response for three days.

The client called again: “My injured worker is getting bills from the hospital. The carrier hasn’t approved anything yet. What’s going on?”

The CSR called the carrier claims line. After 30 minutes on hold, she got through to someone who said: “The adjuster is reviewing the file. We’ll reach out when we have an update.”

Four weeks after the injury, the carrier finally approved the claim and started paying medical bills.

Six months later, the roofing contractor didn’t renew. When the agency owner asked why, the client said: “I had to chase you guys for updates on my claim. I felt like I was on my own. I need a broker who’s going to advocate for me when things go wrong, not just sell me a policy.”

$28,000 in annual recurring commission — gone. Not because the claim was denied. Not because of pricing. Because the client felt abandoned during the one time he actually needed his broker.

The Broker’s Claims Dilemma

Here’s the reality that most insurance brokers don’t talk about: you don’t control the claims process, but you get blamed when it goes wrong.

The carrier assigns the adjuster. The carrier investigates the loss. The carrier approves or denies coverage. The carrier issues the settlement check.

Your job — the broker’s job — is to advocate for the client during that process:

• Help them file the claim correctly so there are no coverage gaps
• Explain what to expect (adjuster timelines, documentation requirements)
• Follow up with the carrier when things move too slowly
• Escalate delays and fight for fair settlement
• Answer client questions throughout the process

But most agencies don’t have a systematic claims follow-up process. The CSR helps file the claim, and then it’s “we’ll let you know when we hear something.”

From the client’s perspective, that’s not advocacy. That’s indifference.

The Four Claims Follow-Up Failures

Failure #1: The “We’ll Let You Know” Blackhole

Client calls to report a claim. The CSR helps them file, gets the carrier claim number, and says: “The adjuster will reach out to you within 48 hours to schedule an inspection. We’ll follow up once we hear something.”

Then nothing.

The client waits 3 days. No adjuster call. They call the broker: “Have you heard anything?”

The CSR checks the carrier portal. No updates. “Let me reach out to the carrier and get back to you.”

The CSR sends an email. No response for 2-3 days. Meanwhile, the client is stressing about the claim, wondering if it’s been approved, if the adjuster is ever going to call, if their coverage is going to pay out.

By the time the adjuster finally makes contact (5-7 days later, which is normal in a busy claims season), the client has already decided their broker is useless.

The claim gets paid. The client leaves at renewal anyway.

Failure #2: The Multi-Claim Client Falls Through the Cracks

A commercial client has three active claims:

1. Auto accident (filed 3 weeks ago, adjuster approved, waiting on repair estimate)
2. Property damage (filed 2 weeks ago, adjuster hasn’t made contact yet)
3. Workers’ comp injury (filed 1 week ago, medical bills starting to arrive)

The CSR who helped file all three claims is tracking them in her head. She knows #1 is moving forward. She’s waiting to hear about #2. She needs to follow up on #3.

But then she goes on vacation. Or gets sick. Or gets busy with renewal season.

The client calls: “What’s happening with my property claim? It’s been two weeks and I haven’t heard anything.”

A different CSR picks up the phone. Checks the AMS. Sees the claim was filed but has no notes about follow-up status. “Let me look into this and get back to you.”

The client is frustrated. They’re dealing with three simultaneous claims, and their broker can’t even tell them what’s going on with any of them.

From the client’s perspective, the broker isn’t managing their risk. The broker is just taking their premium payments and disappearing when they need help.

Failure #3: The Slow Adjuster, No Escalation

Claim is filed. Adjuster is assigned. The adjuster is overloaded and takes 10 days to make first contact with the client.

Client calls the broker: “Why hasn’t the adjuster called me? This is taking forever.”

The broker calls the carrier. Gets the “we’ll look into it” response. Nothing happens.

Two weeks go by. Client calls again, now angry: “My claim has been open for three weeks and the adjuster still hasn’t inspected the damage. This is ridiculous.”

The broker has no leverage. They can’t force the carrier to move faster. They can escalate to a claims supervisor, but they don’t know who that is or how to reach them.

Eventually, the claim gets processed. But the client is furious at the broker for not fighting harder on their behalf.

The client doesn’t blame the carrier (faceless corporation). They blame the broker (the person they trusted to advocate for them).

Failure #4: Post-Claim Silence

Claim is finally closed. Carrier issued payment. Client received settlement. Everything is resolved.

The broker never follows up.

No call to ask: “How was your claims experience? Are you satisfied with how the carrier handled it? Is there anything we could have done better?”

If the claims experience was smooth, the broker misses an opportunity to reinforce the value of the coverage and the relationship.

If the claims experience was terrible, the broker never finds out — until the client non-renews six months later without explanation.

Post-claim satisfaction surveys are standard practice at top-performing agencies. Most agencies don’t do them.

What Proactive Claims Follow-Up Looks Like

Let me walk through what best-in-class claims advocacy looks like from the broker’s side:

Day 0: Claim Filing

Client reports a loss. CSR helps them file the claim with the carrier. Logs it in the AMS: client name, policy number, claim type, date of loss, carrier claim number, estimated damages.

Within 24 hours, the client receives an automated email from the broker:

“Your [claim type] claim has been filed with [carrier]. Claim #: [number]. Here’s what to expect: An adjuster will contact you within 2-3 business days to schedule an inspection. They’ll need [documentation list]. The typical timeline for this type of claim is [X weeks]. If you have any questions or don’t hear from the adjuster within 3 days, call us immediately.”

This sets expectations and positions the broker as the client’s advocate, not just the middleman who filed paperwork.

Day 7: First Follow-Up

One week after the claim is filed, the client receives a check-in:

“It’s been a week since your claim was filed. Has the adjuster made contact? Have they scheduled an inspection? Do you have any questions or concerns about the process? If the claim isn’t moving forward, let me know and I’ll escalate with the carrier.”

This accomplishes two things:

1. Detects delays early (if the adjuster hasn’t called, the broker can escalate immediately, not after the client has been waiting three weeks)
2. Demonstrates ongoing advocacy (the broker is actively tracking the claim, not waiting for the client to chase them)

Day 30: Status Check (If Claim Still Open)

If the claim is still open 30 days after filing, the broker reaches out again:

“Your claim has been open for a month. Can you give me an update on the status? Has the carrier issued a settlement? Are there any delays or issues? If the claim is stalled, I can escalate to the carrier’s claims supervisor.”

At this point, if the claim is moving slowly, the broker should be escalating internally at the carrier — not just sending passive “any updates?” emails.

Post-Claim: Satisfaction Survey

Once the claim is closed (carrier issued payment, client accepted settlement), the broker sends a satisfaction survey:

“Your claim with [carrier] has been closed. How was your experience? On a scale of 1-10, how satisfied are you with: (1) The adjuster’s responsiveness, (2) The settlement amount, (3) Our support during the process. Is there anything we could have done better?”

This gives the broker immediate feedback on the claims experience. If the client rates anything below 7, the broker calls immediately to address it before it festers into a non-renewal decision.

The Advocacy Perception Gap

Here’s the disconnect:

What brokers think advocacy means: “I’m available if my client has questions during the claim.”

What clients think advocacy means: “My broker is actively tracking my claim, following up with the carrier on my behalf, and making sure nothing falls through the cracks.”

The client doesn’t expect you to process the claim (that’s the carrier’s job). They expect you to make sure the carrier does their job.

When an adjuster is slow to respond, the client expects their broker to escalate.

When the carrier asks for documentation the client doesn’t understand, they expect their broker to explain.

When the settlement offer seems low, they expect their broker to help them evaluate it and negotiate if necessary.

And when the claim is finally closed, they expect their broker to check in and ask: “How did that go? Are you satisfied?”

Most agencies do none of this systematically. They do it reactively, when the client calls angry.

Top agencies build proactive claims follow-up into their standard operating procedures. Every claim gets logged. Every claim gets 7-day and 30-day check-ins. Every closed claim gets a satisfaction survey.

It’s not more work — it’s better-organized work. And it’s the difference between clients who feel supported and clients who leave at renewal.

The Scottsdale Turnaround (That Didn’t Happen)

Remember the roofing contractor who left after the workers’ comp claim?

Here’s what should have happened with a proactive claims follow-up system:

Day 0 (claim filed): Automated email sent to client: “Your workers’ comp claim has been filed. Claim #12345. The adjuster will contact you within 48 hours. They’ll need the accident report and medical documentation. Typical timeline for WC claims is 2-4 weeks for initial approval. If you don’t hear from the adjuster by Friday, call us.”

Day 7 (one week later): Automated follow-up: “It’s been a week since your WC claim was filed. Has the adjuster made contact? Have they approved medical treatment? Any delays or issues?”

Client response: “The adjuster called but said they need more documentation. I’m not sure what they need.”

CSR action (triggered by client response): CSR calls client, clarifies documentation requirements, helps gather and submit to carrier. Follows up with adjuster to confirm receipt.

Day 14 (two weeks later): CSR checks carrier portal. Claim approved. Medical bills being processed. Calls client: “Good news — your claim was approved. The carrier is processing medical bills now. Your injured worker should start seeing payments within the next week. Any questions?”

Day 30 (claim closed): Post-claim survey sent: “Your workers’ comp claim has been closed. How was your experience? Are you satisfied with how the carrier handled it? Anything we could have done better?”

Result: Client feels supported throughout the claims process. Renews policy. Refers two other contractors to the agency.

That’s the difference. Not in the claim outcome (which was the same — the carrier eventually paid). But in the client’s perception of whether their broker was advocating for them or just collecting commissions.

The Content Gap Nobody is Filling

Here’s something I discovered while researching this space: there is almost zero content about broker-side claims follow-up automation.

All the content is carrier-focused (how to process claims faster, how to reduce fraud, how to improve adjuster efficiency) or client-focused (how to file a claim, what to expect from your adjuster).

Nobody is writing about the broker’s role in claims advocacy or how to systematically track and follow up on claims for your book of business.

This is a massive opportunity. Because every independent agent knows claims follow-up is critical to retention — they just don’t have a system for doing it consistently.

The agencies that build that system, automate the routine touchpoints (24-hour confirmation, 7-day check-in, 30-day status, post-claim survey), and free up their CSRs to focus on escalation and problem-solving will win on retention.

Because clients don’t leave good brokers. They leave brokers who disappear when things go wrong.

And claims are when things go wrong. That’s exactly when your clients need to know you’re in their corner — not after they’ve already decided to leave.