--- name: File and track a Qoala claim description: Create a claim against an existing policy, attach supporting documents via presigned URLs, track status, and cancel if needed. api: openapi/qoala-claim-api-openapi.yml operations: - createClaim - presignCreateClaim - presignUploadClaim - statusClaim - cancelClaim generated: '2026-08-05' method: generated source: openapi/qoala-claim-api-openapi.yml + https://docs.qoala.app/reference/createclaim-1 --- # File and track a Qoala claim ## Before you start - Send the partner API key in the `x-api-key` header. - A claim is always made against an existing policy. Qoala validates that the policy is claimable and rejects the claim if it is not. ## Steps 1. **Create the claim.** `createClaim` — `POST /api/v2/claims/partner/create`. The response carries the `claim_number`. Qoala can also notify you of the outcome via the claim callback. 2. **Get an upload URL for documents.** `presignCreateClaim` — `POST /api/v2/claims/partner/update/presign` returns a presigned URL. Upload the document to that URL directly; do not POST file bytes to the Qoala API. 3. **Replace a document.** `presignUploadClaim` — `PUT /api/v2/claims/partner/update/presign` for an updated version of an already-submitted document. 4. **Track status.** `statusClaim` — `GET /api/v2/claims/partner/status`. Or subscribe to the claim status callback, which fires on every change (`asyncapi/qoala-webhooks.yml`). The callback is optional but is the only way to learn of an approval or rejection without polling. 5. **Cancel if required.** `cancelClaim` — `PATCH /api/v2/claims/partner/cancel`. ## Claim status vocabulary `CLAIM_INITIATE` → `QOALA_CLAIM_APPROVE` | `QOALA_CLAIM_REJECT` → `INSURANCE_CLAIM_APPROVE` | `INSURANCE_CLAIM_REJECT` → `INSURANCE_CLAIM_WAITING_PAID` → `INSURANCE_CLAIM_PAID`. Qoala approval and insurer approval are **two separate gates**. `QOALA_CLAIM_APPROVE` does not mean the claim will be paid. ## Stop-loss pools For finance products backed by a stop-loss pool, read the remaining balance with `getPool` — `GET /api/v2/products/finance/partner/products/stoploss/{claim_pool_code}`. Check the pool before submitting a high-value claim. ## Rules - Retry callbacks Qoala sends you by returning a non-200; Qoala retries up to 8 times with exponential backoff. Return 200 only once you have durably recorded the notification. - Qoala publishes a second, near-identical claim specification (`openapi/qoala-claim-api-alt-openapi.yml`) with the same paths and operationIds. Use either; they describe the same surface.