If you were in an accident and looking for compensation, get help from Ehline Law’s injury lawyer for legal advice and help with claims submission. Check out what we have to say!
When an insured gets into an accident and wants to receive benefits, they expect the insurer to release the settlement fast. However, that is not the case. Insurance companies work in their best interests and not the insured. These companies will resort to dirty tactics to decline payments or even delay the claims process.
Insurance companies must act in good faith, and the insured can file a lawsuit if they feel that the insurance company is acting in bad faith.
Here are a few signs to inform you that your insurance benefits are being unfairly denied.
We’ve gone over some of the signs you should be aware of during the claims process; here are a few common reasons that insurance companies quote when they deny a claim.
You should read your insurance policy or contract before filing claims. There might be some behaviors that can leave your claims void, and it is best to know if you were violating the conditions set in the contract. If this is the case, then your insurance provider is not liable to process your claims, and you will face a claim denial.
Let’s look at an example where an individual has life insurance and passes away. The beneficiary, his wife, became a suspect in the incident by local authorities. According to the life insurance policy, a company is not liable to process death benefits to a suspect beneficiary.
An insurance provider will also refuse a claim if the individual was drunk driving or was texting and driving in a state where it is illegal.
Medical evaluation is a report that helps an insurance company determine if the injuries were due to the accident. When an accident occurs, it is essential to reach the hospital to get medical treatment.
Ask the doctors or the hospital staff to mention any injuries in the report due to the accident. Waiting to diagnose your injuries later can lead to disputes as an insurance company can argue that the injuries are not due to the accident leading to disputes where an insurance company will refuse the claim and medical bills.
An insurance provider can refuse an insurance claim if there is no diagnosed injury. Often, after an accident, the victim driver might feel pain or even fear, but there is no medical treatment for such, and these will fade away. An insurance company will not pay a claim to cover medical bills in such cases.
When a claim exceeds the insurance coverage, the claim is denied, or the insurance company pays up to the coverage amount.
They are deciding where the fault lies can complicate the process between insurers. Your insurance company will pass on the blame to the other driver, while the other driver’s insurance company will pass the blame on to the first driver.
Figuring this part out can take a lot of time, and if there is no solid conclusion, you might be at an impasse.
Your contract with the insurance company might state that any accident should be immediately brought to their attention. Often, an insurance firm will deny a claim because the policyholder didn’t get the accident to their attention earlier.
Not letting your insurance company know immediately can lead to the negligent party’s insurer investigating the accident site and removing any evidence that may work in your favor.
This is the type of risk an insurance firm avoids, so notify your insurance company promptly.
When you receive a refusal of a claims letter, it is best to start the appeal process regardless of whether it is a long-term disability or life insurance benefits; an insurer needs to provide a valid reason for denial. If you believe that the decision was wrong, you can file for an appeal.
You don’t need a lawyer to file an appeal, so let’s look at what you need for this process.
You can do this process on your own, but having an expert lawyer can help you expedite the claim process or even file for a lawsuit.
Have trouble with your insurer and want an attorney to look into your settlement and take care of the legal process? Ehline Law is a leading personal injury law firm that helps its clients determine the best legal option before pursuing insurance claims.
We help individuals get what they deserve by preparing their cases, collecting evidence, and fighting legal battles.
You don’t deserve to have your insurance benefits unfairly denied. It’s best to start legal action as early as possible. Contact us at (213) 596-9642 and get a free consultation with a bold, honorable insurance lawyer today or visit us at any of our offices for more details on claim denial!
Michael Ehline is an inactive U.S. Marine and world famous legal historian. Michael helped draft the Cruise Ship Safety Act and has won some of the largest motorcycle accident settlements in U.S. History. Together with his legal team, Michael and the Ehline Law Firm collect damages on behalf of clients. We pride ourselves in being available to answer your most pressing and difficult questions 24/7. We are proud sponsors of the Paul Ehline Memorial Motorcycle Ride, and a a Service Disabled Veteran Operated Business. (SDVOB.) We are ready to fight.
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