If your insurance company fails to meet up with the terms of your insurance policy or they violate any of the terms then you have the rights to sue them. Some of these violations may include not meeting up with payments for claims that are properly filed, not paying for claims as at when due or in a timely fashion or if they end up making bad faith claims. Suing insurance company for denying claim is not out of line and what you have to be thankful about is there are laws that have been put in place to protect victims.
However, it isn’t uncommon for anybody to try to sue their insurance companies and the fact is trying to deal with the death of someone, loss of property, injuries suffered or any other form of misfortune is actually a hard pill to swallow. It is also easy and normal for you to feel overwhelmed if you decide to battle with any insurance company so we encourage you to continue reading this article as you would get to learn more about the basics that comes with dealing with any insurance company that fails in meeting up with your claims.
Suing Insurance Company For Denying Claim
The fact is any insurance company would have tons of reasons for not meeting up with your claims and in some cases, some of these reasons might be legitimate while others would not. There are common reasons insurance companies always give and these reasons include
- Issue of application errors where insurance companies may claim that you must have made some misinterpretations on your original application therefore leading to the nullification of the coverage on your policy.
- The insurance company can also go on to claim that you insurance coverage doesn’t cover for the claims you are filing for so this is actually up to you to go through policy exclusions section thoroughly so you can have a better understanding of what your insurance coverage covers and what it doesn’t.
- You should also go through your policy to figure out what it takes or involves before bringing up a claim with any insurance company because there are timelines that are actually shorter than twenty four hours.
- If you submit claims that are exaggerated or false then your claim would be denied and this could even attract more criminal consequences
- There is also bad faith denial where an insurance company can just make up some policy jargon just to make sure that they do not meet up with your claims
When To Sue An Insurance Company For Denying Claims
As we all know, every insurer has an obligation to his policy holder and this simply means insurers have to meet up with all of your claims, stay away from unfair processes and also act in good faith. However, the precise duties of an insurer might be differ from one state to the other and though the insurance industry is regulated at some state levels then all of these obligations would cause insurance companies to stay away from doing any of the following;
- Delaying investigations that are needed in resolving a claim
- Failure to meet up with a claims compensation when the facts are already clear
- Not denying or approving a claim within a specific time frame
- Denying a claim without any tangible or reasonable explanation
- Not meeting up with a claim because of mis-statement in your application
If you feel that your claims are being denied unfairly then you can go all out to sue the insurance company but one advice we would want to leave you with is considering hiring an attorney before suing an insurance company. This is because sometimes, having a professional attorney might also cause the insurance company to change their mind and meet up with your claims.
Going against an insurance company alone isn’t really a good idea and this is why you need an experienced attorney who would provide you with the backing that you need. Going through events of filing a claim can be demanding on ones mental health alone and it would feel good if you have some support from an experienced attorney behind you.
In addition, the insurance company would also have its own team of legal workers that would do anything to defend the name of the company so contact an attorney today.