Claim guide

Professional Liability / E&O Claim

Organize the first facts, policy documents, and claim records for an allegation that advice, design, technology, healthcare, consulting, or another professional service caused financial loss.

Reviewed August 11, 2026. Educational guide, not a quote or coverage decision.

Build the timeline first

This guide focuses on an allegation that advice, design, technology, healthcare, consulting, or another professional service caused financial loss. Record what happened before drawing conclusions about coverage. The date, location, people involved, first notice, emergency response, and documents received can affect how the insurer evaluates the claim.

  • Write the sequence of events in chronological order.
  • Preserve original photos, videos, emails, logs, invoices, and damaged property when practical.
  • Record the claim number and every insurer or adjuster contact.
  • Keep estimates and proof of value separate from notes about fault or coverage.

Records to preserve

The most useful claim file connects the loss to contemporaneous records.

  • engagement agreement
  • scope/change orders
  • deliverables
  • emails
  • project timeline
  • quality-review records
  • demand/complaint

Coverage questions to ask

A claim page cannot determine coverage. Compare the facts with the declarations, forms, endorsements, exclusions, conditions, limits, and deductibles in force on the loss date.

  • What retroactive date and claims-made reporting rules apply?
  • Does the allegation arise from a covered professional service?
  • Are contractual liability, guarantees, prior knowledge, or cyber/media allegations handled separately?

Claim communication log

Use a dated log so requests, deadlines, promised follow-ups, inspections, document submissions, and payments can be reconstructed later.

DatePerson / companyRequest or eventDocument sent / next step

If the claim becomes disputed

Ask for important coverage positions and document requests in writing. If the dispute involves a denial, appraisal, liability demand, employment matter, regulatory question, or significant financial loss, consider speaking with a licensed insurance professional or attorney familiar with the relevant state and policy.

  • Keep the full policy, not only the certificate or declarations page.
  • Compare every cited exclusion or condition with the actual form edition.
  • Use the state insurance department for licensing and complaint information when appropriate.

Related reading

Sources and verification

Use official and primary sources to verify current rules, insurer licensing, policy wording, and state requirements. The declarations page, forms, endorsements, and signed contracts control the actual insurance relationship.