When dealing with insurance claims, many policyholders assume their insurance company is a trustworthy ally. However, behind the scenes, insurance companies’ tactics often prioritize minimizing payouts to protect their profits. Understanding these strategies can empower you to counteract them and get the compensation you deserve.
Here is a closer look at the common tactics insurance companies use and how you can protect yourself.
Delaying Claim Processing
What They Do
Insurance companies may deliberately delay processing claims, hoping you will give up or accept a lower settlement out of frustration. This tactic is especially common when the claimant is facing financial or medical stress.
How to Counteract It
Document Everything: Keep a detailed record of all communications, including dates, names, and summaries of discussions.
Follow Up Persistently: Regularly check the status of your claim and ensure you hold the company accountable for unreasonable delays.
Know Your Policy: Familiarize yourself with deadlines and timelines outlined in your insurance contract.
Offering Lowball Settlements
What They Do
Insurers often present an initial settlement offer that is much lower than the claim’s actual value. They count on you to accept it without consulting an expert or fully understanding your rights.
How to Counteract It
Do not Accept the First Offer: Always review offers carefully and consult a professional if needed.
Get an Independent Assessment: Hire a third-party appraiser or adjuster to provide an unbiased estimate of your damages.
Seek Legal Advice: A lawyer specializing in insurance claims can negotiate on your behalf for a fair settlement.
Denying Claims Without Justification
What They Do
Insurance companies sometimes deny claims outright, citing vague reasons like policy exclusions or insufficient documentation, even if the claim is valid.
How to Counteract It
Request a Written Explanation: If your claim is denied, demand a detailed written explanation citing the exact policy terms.
Provide Thorough Documentation: Submit clear evidence of the incident and damages to eliminate any doubt about your claim’s validity.
File an Appeal: Most insurance policies allow for appeals if a claim is denied. Make sure you follow the process and deadlines.
Misinterpreting Policy Terms
What They Do
Some insurance companies use complex or ambiguous language in policies to deny coverage or limit payouts. They might misinterpret terms in their favor, leaving you at a disadvantage.
How to Counteract It
Review Your Policy Carefully: Take time to understand your policy’s coverage, exclusions, and limits.
Ask Questions: Do not hesitate to request clarification from your insurer or an independent expert.
Hire a Legal Expert: If you suspect unfair interpretation, a lawyer can review your policy and advocate for your rights.
Monitoring Your Social Media
What They Do
Insurance adjusters may monitor your social media profiles for posts or photos they can use to undermine your claim. For example, if you are claiming a serious injury but post about physical activity, they might argue your injury is not as severe as stated.
How to Counteract It
Adjust Privacy Settings: Limit who can view your posts during the claims process.
Avoid Posting About Your Claim: Refrain from sharing updates or activities that could be misinterpreted.
Be Honest: Stick to the facts of your claim and avoid exaggeration.
Need Help With Your Personal Injury Claim?
If you have been injured in an accident, you deserve to know your rights and options. At Dream Team Law, we educate consumers and connect you with experienced personal injury lawyers who can fight for the compensation you deserve. From car accident in Florida and truck accident in Georgia to needing a wrongful death lawyer, we are here to guide you every step of the way.