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Third-Party Claim

What Is a Third-Party Claim?

A third-party claim is when someone other than you — the policyholder — asks your insurance company to pay for an injury or damage they say your business caused. This could be a customer, client, landlord, or other person/organization.

Third-party claims are the crux of liability insurance, which is there to save you from paying out of pocket for other people’s losses.

How Does a Third-Party Liability Claim Work?

Third-party claims are filed by other people outside of your business. If the loss is covered by your policy, then they receive the payout. This is the opposite of what happens with a first-party claim, which is when you file to ask your insurance company to pay for your loss.

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Role Who This Usually is What They Might Do

First party

You, the policyholder (your business)

Buy the policy, report the incident

Second party

Your insurance company

Investigates, defends, and may pay the claim if covered by your policy

Third party

Someone outside your business (customer, client, landlord, etc.)

Says your business caused harm or damage

There are many reasons a third party might file a claim against your business, depending on what you do and what your products or services are.

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Business Type What Happened Reason for a Third-Party Claim

Retail shop owner

A customer slips on a wet floor and breaks their wrist

The customer (third party) accuses your business of negligence and blames you for the injury

Contractor

You accidentally break a client’s window

The client (third party) wants you to pay to replace the window

Food vendor

A customer gets sick after eating your food

The customer (third party) claims your product caused them harm

Photographer

Your tripod falls and damages a venue’s flooring

The venue (third party) seeks payment for repairs

Online consultant

Client says your advice cost them money

They blame you for their financial losses and seek repayment

If a third party makes a claim against your insurance policy, be sure to:

  1. Remain calm and professional: This situation may be stressful, but it’s important to remain polite and not argue over who’s to blame
  2. Collect the facts: Get all the essential information about the incident, including date, time, location, a description of what happened, and a list of who was involved
  3. Document everything: You should have the contact information of the person filing the claim and any witnesses, as well as photos and/or videos of the damage (if applicable)
  4. Save any related records: This includes contracts, emails, incident reports, receipts, work orders, security footage, etc.
  5. Notify your insurance company ASAP: Share what happened and provide them with any letters, emails, or legal notices you received from the third party
  6. Don’t admit fault or promise payment: Your insurance company will investigate the claim and respond on your behalf, so remain neutral when dealing with the third party

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    Exclusions

    This policy is not designed to cover:

    • Industrial control engineers
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    • Physical security system installers
    •  Heavy equipment integrators

     

    Not available if you manage or control systems involving:

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    • Environmental systems
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    • If you build firmware or embedded software controlling industrial physical equipment.
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    • Weapons
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    • If more than 25% of your revenue comes from:
      • Federal government work
      • Military or defense operations
    • If more than 50% of your revenue comes from:
    • Equipment installation
    • Maintenance
    • Physical service work



    Restricted if you work in:

    • Ride-sharing platforms
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    • For-rent-by-owner platforms
    • Help-for-hire platforms
    • Delivery services
    • Banking or financial services
    • Cryptocurrency / blockchain / NFTs
    • Geospatial mapping / aerial photography
    • GPS systems
    • Gambling or gaming
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    • Tobacco / nicotine / e-cigarettes
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