Counter-Offer Letter to Insurance Company for Your Accident Claim (2024)

5 tips for negotiating with an insurance company

If you’ve been injured in an accident – whether it’s a car accident, truck accident or work injury – and are due compensation, more than likely you will have to speak with an insurance adjuster.

But what happens if the insurance company wants to give you less money than you feel you deserve, or less than what you need to cover your medical bills?

In this instance, you’ll need to negotiate. While we strongly recommend contacting an experienced insurance dispute attorney near you as soon as possible to ensure the best possible settlement, there are some steps of the insurance negotiation process that can help you right now.

As you’re negotiating your claim with the adjuster, there are certain aspects of the process that you should be aware of so that you can obtain a fair settlement.

The purpose of committing bad faith acts is to take advantage of the opposing party. An insurance company is said to be acting in “bad faith” if they ignore, mislead or make decisions contrary to what their investigation reveals.

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Tip #1: Determine a minimum settlement number

In the early stages of your negotiations, you’ll likely need to write and send a demand letter. During the process of putting this letter together, you’ll need to determine a minimum figure that you are willing to accept. You should keep this number to yourself, that way it won’t be set in stone. You can always increase or decrease this figure accordingly throughout the course of the negotiations.

Note: Keep in mind that determining the true value of your case is extremely complicated. No matter what type of case it is, there are very specific laws that discuss how the compensation you are entitled to is calculated. Any person acting without the advice of legal counsel is at a significant risk of undervaluing or overvaluing their claim simply because they don’t know how to determine the value.

Tip #2: Don’t jump at the first offer

In many cases, the first offer you will receive will be low on purpose. This lowball settlement is offered by the insurance company for a couple possible reasons:

  1. to see if you have any knowledge of negotiations; and
  2. to get negotiations rolling.

In the case of the second scenario, you can go ahead and counteroffer, but set your counteroffer amount somewhere between their initial offer and your demand letter. This will show the insurer that you are willing to compromise and they may be more likely to work with you.

Tip #3: If the adjuster’s offer is low, have them justify it

Sometimes adjusters will give you an obviously low offer as a tactic, which they use to see if you understand the value of your claim. If this happens, don’t immediately respond with a counteroffer lower than your demand letter. Rather, ask why the adjuster has provided this extremely low figure.

You should then write a formal letter of response in which you state that you don’t find the initial low settlement offer acceptable, listing the reasons why and concluding with a demand for a higher settlement offer.

You can write your own response from scratch, or feel free to download and fill in this free reply letter template to counteroffer a lowball settlement offer:

Date of letter
Your full name
Your mailing address
Your phone number
Your email address

Name of claims adjuster
Name of insurance company
Address for insurance company

Re: Claim number
Name of insured
Date of your injury/accident

Dear Mr. or Ms. [name of claims adjuster],

I received your letter dated [date of written settlement offer]. I have reviewed your letter very carefully, including your settlement offer. Unfortunately, I cannot accept your offer for the reasons discussed below.

Firstly,…[insert argument for counteroffer]

Secondly, …[insert argument for counteroffer]

As I discussed in detail in my letter to you dated [date of demand letter], my injuries and damages were real. My initial demand amount was fair and accurate based on the severity of my injuries and the associated losses, including lost wages, that I incurred. You have presented no evidence that refutes the evidence I submitted with my [date of demand letter] letter.

In an effort to amicably settle this matter, I am willing to reduce my settlement demand to $ [dollar amount]. I would prefer not to litigate this claim, and it would be much better for us to settle this matter fairly and promptly.

If you have any questions about my personal injury claim or if any of the above is not clear, please do not hesitate to contact me. My contact information is listed at the top of this letter. I look forward to hearing from you, and anticipate a response within 14 days.

Sincerely,

Your signature
Your name, printed

Download Template


Tip #4: Don’t do or say anything rash

Being quoted a low settlement offer can be frustrating, especially if your injury requires extensive medical care leading to a pile of bills. Before you blow your lid and spout angry words at the adjuster, take a step back and calm down. Acting rashly or saying something harsh will do nothing for you or your claim. After you’ve taken the time to cool down, write a brief letter responding to each of the factors the adjuster mentioned.

Tip #5: Get everything in writing

When you discuss financial matters in any way – whether it is the bills you have received or the counteroffers you send – get everything in writing and store it somewhere safe. Not only does putting this type of information in writing appear more professional, but it also provides you with a physical copy of the information you’ve provided the insurance company. Having this information can be proof if something goes awry in your case.

Along with providing your information in writing, you should request any offers from your adjuster in writing too. This is especially true of your final offer. Once you have received the final offer from your adjuster, and you are satisfied with the amount, write the insurance company a letter stating that you formally accept their offer.

In this letter, you should also request that the insurance company replies back in writing. None of the letters you write need to be complex or a novel – a concise statement that includes the essentials will suffice.

Knowing When to Seek Professional Legal Counsel

Negotiating a settlement award after being injured in an accident can be a daunting task. If you’ve been negotiating with an insurance adjuster and feel you aren’t receiving the results you believe you deserve, please get in touch with a Colorado bad faith insurance dispute attorney at The Babco*ck Law Firm to schedule your free consultation.

Resolving cases without legal counsel is very risky. Often times, other organizations are entitled to some of the money being paid in a settlement through subrogation liens/reimbursem*nt rights. For example, a health insurer who pays for your medical treatment following a car accident may or may not be entitled to reimbursem*nt out of your personal injury settlement.

Individuals who don’t fully understand the laws risk accepting what they think is a good settlement, just to find out that they have to pay most or all of that settlement to someone else. They also risk having an organization seek repayment for which they aren’t legally entitled to.

Counter-Offer Letter to Insurance Company for Your Accident Claim (2024)

FAQs

How to write a counter offer for accident settlement? ›

This letter should state:
  1. That you will not accept the initial settlement offer;
  2. The reasons why you feel you deserve a higher settlement amount;
  3. Each of their low-offer reasons, and your responses;
  4. The higher settlement amount that you will accept.

How do I write a counter offer to my insurance adjuster? ›

Your letter should clearly:
  1. State that the offer you received is unacceptable.
  2. Refute any statements in the adjustor's letter that are inaccurate and damaging to your claim.
  3. Re-state an acceptable figure.
  4. Explain why your counteroffer is appropriate, including the reasons behind your general damages demands.
May 14, 2024

How to negotiate an insurance claim? ›

8 Insurance Settlement Negotiation Tips
  1. Understand the Insurance Company. ...
  2. Initiate the Claim as Soon as Possible. ...
  3. Never Admit Fault for the Accident. ...
  4. Stick to the Facts, Never Speculate. ...
  5. Know the Rough Value of Your Claim. ...
  6. Be Patient, Do Not Accept the First Offer. ...
  7. Get Everything in Writing.

How do you write a strong counter offer? ›

The basics of a salary counter-offer email
  1. Be grateful: Always start by expressing gratitude for the job offer.
  2. Be clear: Clearly specify your counter-offer and the rationale behind it.
  3. Do your research: Base your counter-offer on industry standards, your experience, and the cost of living in your location.

What is a reasonable counter offer? ›

The rule of thumb when you negotiate salary with a counteroffer is between 10% and 20% of the offer amount. If you like the job and would accept the first offer rather than pass on the job, a counteroffer of 10% to 15% above the initial offer is not too aggressive.

How do I negotiate more money for a car accident claim? ›

How the Negotiation Process Works in Car Accident Cases
  1. Initiate your claim as soon as possible after a car accident. ...
  2. Keep accurate records about your accident and injuries. ...
  3. Calculate a fair settlement. ...
  4. Send a detailed demand letter to the insurance company. ...
  5. Do not accept the first offer. ...
  6. Get everything in writing.

How do I argue an insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

What do you say when appealing an insurance claim? ›

I am writing to request a review of your denial of the claim for treatment or services provided by name of provider on date provided. The reason for denial was listed as (reason listed for denial), but I have reviewed my policy and believe treatment or service should be covered.

What not to say in a demand letter? ›

Don't Be Threatening

The use of threatening or insulting language may embolden the owner into not paying when they otherwise would have. And remember, a judge may one day look at this letter in court. Don't let your demand letter be a poor representation of you or your company.

How to write a settlement letter for a car accident? ›

Your letter needs to include all of the important facts, but unnecessary details and dramatic elaborations will only distract from your position. Your letter should include a concise factual summary of the accident, an overview of your damages, your settlement demand, and not much more. Review the facts.

How do you write a strong demand letter? ›

Frequently Asked Questions (FAQ)
  1. Type your letter. ...
  2. Concisely review the main facts. ...
  3. Be polite. ...
  4. Write with your goal in mind. ...
  5. Ask for exactly what you want. ...
  6. Set a deadline. ...
  7. End the letter by stating you will promptly pursue legal remedies if the other party does not meet your demand.
  8. Make and keep copies.

How to negotiate a settlement offer? ›

How to Negotiate the Best Deal on Your Settlement Agreement
  1. Prepare Well for the Settlement Agreement Negotiation. ...
  2. Decide which negotiation tactics to use. ...
  3. Ask for a Protected Conversation with your Employer. ...
  4. Don't ask for too much. ...
  5. Don't ask for too little. ...
  6. Find out how the settlement payments will be taxed.

How do you respond to a low settlement offer? ›

You can respond to a low settlement offer by telling an insurance company that you would like to consult with a lawyer first. This statement can give you the time that you need to think your decision over without the pressure that an insurance adjuster can bring.

How do I write an offer letter for a settlement? ›

Include a paragraph explaining your circ*mstances and details of your financial situation that you want the creditor to take into account. Enter the amount which you can afford to pay. and I want to offer this as full and final settlement of the account.

How do you negotiate total compensation? ›

Tips to Help You Effectively Negotiate
  1. Evaluate Your Worth. ...
  2. Determine the Going Rate. ...
  3. Research the Job Market. ...
  4. Take a Hard Look at Your Salary Requirements. ...
  5. Have an Amount in Mind. ...
  6. Be Ready to Compromise. ...
  7. Emphasize Your Skills and Abilities, Not Your Needs. ...
  8. What are Your Salary Requirements?

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