Tag: Insurance claims

claims payment

Five Valid Reasons for Your Insurer to Delay Claims Payment

While some insurance and receiving claims payment can be extremely straightforward, purchasing other policies can be tricky; for instance, if you are buying a used car and just want liability insurance with standard limits, you may just be able to call an insurer and set everything up over the phone in less than 30 minutes. All your paperwork arrives over email shortly after or you may receive a hard copy in the mail later, ready to be tucked away in a drawer or file cabinet. Other policies require a lot of shopping, thought, and discussion with your agent, such as health insurance, homeowner’s insurance, commercial insurance, and more. The more assets you must protect—the more complex the policy will probably be.

No matter what type of insurance you buy though, and no matter how complicated it may be to get, one thing is certain: if you pay your premiums on time, you expect the insurer to pay out as promised if there is a problem. When that doesn’t happen, many policyholders become extremely frustrated—and understandably so. And if there are red flags such as lack of investigation, major delays, low-ball offers, and more, you may be ready to consult with a bad faith insurance attorney from a law office like the Bolender Law Firm. And although the insurer may be at fault for not handling your claim properly, there could be other explanations.

Here are five valid reasons they may delay:

  1. Unfortunately, there could be a problem from your end such as late payments or unpaid premiums which caused the policy to cancel or caused complication. This could lead to a denial, ultimately.
  2. They are waiting for evidence or more information in an investigation. They may also need to interview you and go over details regarding a claim.
  3. The company may not be dishonest, but just disorganized. While they may not have any plans to act in bad faith, their office may not be as fast as expected in terms of gathering all the facts.
  4. They may be struggling to pay out one claim after another as quickly as expected if there has been damage due to a natural disaster. This could go either way in terms of a claim just being paid out more slowly than you would like or turning into a bad faith lawsuit with the help of a skilled attorney.
  5. They may be taking time to eliminate fraud as a cause in the case. While most likely you have nothing to worry about, some claims may take longer to assess—like a fire—and if there is any doubt, adjusters may have a lengthier investigation.

If you need help reviewing your insurance policy, or if you suspect your insurance company may be denying your claim in bad faith, contact the attorneys at the Bolender Law Firm.  If a dispute over a claim cannot be easily resolved through a call or written communication, our attorneys will advocate on behalf of policyholders through litigation, arbitration, or non-binding mediation. Our attorneys are experienced in representing clients in state and federal courts, at both the trial and appellate level. Call us at 310-320-0725 now or submit an easy consultation request online. We are here to help!

claims

Claims: How Much Documentation Will the Insurer Require from Me?

Even in a world that is becoming increasingly wireless—and paperless—there is still plenty of paperwork and documentation required for different services, whether you are operating on the business or personal level. From beginning to end, insurance is about the paperwork; in fact, that’s really all you will have to show for your expenditure as you walk away with a policy in hand, and the cost could be quite substantial for something that is virtually non-tangible.

Read Your Policy & Know What to Expect

Whether you are purchasing car insurance, life insurance, or a variety of different types of business insurance, documentation is required in the beginning and there may continue to be different requests and requirements. When it comes to a claim though, the insurer may ask for a surprising amount of information. This could be even further exaggerated if the insurer has another agenda, whether they are trying to rule out fraud or are practicing in bad faith and hoping to inconvenience you to the point of dropping a case.

A car accident case is usually a good example. If you were injured due to the negligence of another party, don’t be surprised to begin hearing from the other motorist’s insured almost immediately. You may have barely made it out of the doctor’s office or emergency room and into the garage before your phone starts ringing. If you are suddenly dealing with a physical challenge due to injury—and one that could be quite serious and even long-term—it may be extremely difficult to deal with the number of questions an adjuster wants to ask. They may also be trying to trip you up as you discuss the facts and then hope to pin some of the blame for the accident on you. Because of this it is in your best interest (and that of any potential legal case) to refer all insurance calls to your car accident or injury attorney.

Be Suspicious if the Insurer Asks for Inordinate Amounts of Paperwork

In an example like a car accident claim, you can expect requests for paperwork such as a copy of your license and insurance coverage, the accident report filed by local law enforcement, and any medical records. An experienced attorney will be well-apprised of the usual documentation required, and at alert if the insurance company seems to be trying to intimidate you into dropping the case or deny the claim altogether. For other types of insurance—and especially those with large settlement amounts at stake, the insurer may begin reaching far outside the realm of normal paperwork, asking for tax returns and other financial records as they build a case to show fraud or another problem that could feasibly cause the case to be dismissed or allow them to deny quickly.

The amount of information that can be requested is sometimes not clear, and you may have trouble finding that specifically outlined anywhere. If you suspect bad faith practices, call the Bolender Law Firm as soon as possible for help. Other red flags to watch for are lack of an investigation into the case, constant delays that don’t seem to have any rationale behind them, as well as an outright lowball offer.

Contact Us for Help!

If you need help reviewing your insurance policy, or if you suspect your insurance company may be denying your claim in bad faith, contact the attorneys at the Bolender Law Firm.  If a dispute over a claim cannot be easily resolved through a call or written communication, our attorneys will advocate on behalf of policyholders through litigation, arbitration, or non-binding mediation. Our attorneys are experienced in representing clients in state and federal courts, at both the trial and appellate level. Call us at 310-320-0725 now or submit an easy consultation request online. We are here to help!

filing insurance claims

Before Filing Insurance Claims: Read Your Policy

For the average consumer, dealing with insurance or filing insurance claims is usually a double-edged sword. You want the peace of mind in knowing that if you are in a car wreck or your home is flooded, for example, that you are covered in every necessary way possible to pay for medical treatment and damage. Getting to that point requires some work though, beginning with shopping insurance companies and finding an agent you can trust. And although your insurance agent may guide you toward a suitable product, it is also up to you to understand the fine details of what you are purchasing. This can be challenging though sometimes—and if you run into a problem later, consult with a skilled insurance attorney from the Bolender Law Firm to gain a better understanding of what went wrong, and what the insurance company really promised you within the policy.

If you need to file a claim, it probably pertains to one of these types of insurance:

  • Auto insurance
  • Homeowners insurance
  • General liability
  • Commercial property insurance
  • Life insurance
  • Accidental death insurance
  • Professional liability insurance
  • Specialized insurance products

The Bolender Law Firm helps clients who expected coverage through all those types of policies but may have encountered a lack of investigation in the case, a lowball offer for a settlement, delay in payment of the claim—or an outright denial. No matter what type of policy you have, make sure you have a copy and that you are able to understand the major sections, from the declaration page identifying the insured, coverages, limits, and how long it is in force—to the insuring agreement, which lists exactly what the insurance company promises to do for you in the case of a claim, from paying out to offering suitable legal defense should that be necessary. The policy may also list exclusions, stating what is not covered, along with endorsements and riders that act as modifications or amendments to the original policy (and which by law, should be sent to you upon any changes).

If you suspect your insurance company may be denying your claim in bad faith, contact the attorneys at the Bolender Law Firm.  If a dispute over a claim cannot be easily resolved through a call or written communication, our attorneys will advocate on behalf of policyholders through litigation, arbitration, or non-binding mediation. Our attorneys are experienced in representing clients in state and federal courts, at both the trial and appellate level. Call us at 310-320-0725 now or submit an easy consultation request online. We are here to help!