Disputing a Car Insurance Claim Settlement or Denial (2024)

Disputing a Car Insurance Claim Settlement or Denial (1)

The insurance adjuster assigned to your car accident claim will look for every possible reason to deny the claim. An insurance claim denial puts a lot of stress, worry, and pressure on you and the rest of your family. It can lead to a serious financial burden that you might not be able to climb out of, especially when out of work recovering from injuries.

That is why it is important to speak with a car accident attorney from John Foy & Associates about your car insurance claim.

How You Can Dispute a Car Insurance Claim Denial

One of the first things you should do when dealing with a car insurance claim denial is to speak with an experienced car accident attorney. Then, be sure to do the following:

Review the Claim Denial Letter

Read the denial letter sent by the insurance company thoroughly. It is possible that you made a very small mistake that led to the claim denial. However, if the letter states that your policy does not cover the crash, you will need to take more serious steps in rectifying the situation.

Review Your Car Insurance Policy

Read through the entire car insurance policy to determine what type of coverage you have. Understanding your coverage limits makes it easier to determine the type of compensation you are entitled to recover.

Submit a Claims Appeal Letter to the Insurance Company

Once you have reviewed the denial letter and your policy, it is time to submit a claims appeal letter. This letter should explain why you believe the claim was incorrectly denied and include evidence to prove your argument. Evidence you should send with the appeals letter includes photos, videos, medical records, and witness testimony.

Always Hire a Car Accident Attorney in Georgia

You should never deal with a car accident attorney by yourself. There are too many moving parts and mistakes you can make. An experienced car accident attorney from John Foy & Associates can ensure all of the following after a crash:

  • Your rights are protected
  • Evidence is collected
  • A police report is obtained
  • Witnesses provide statements
  • Your medical records are accessible
  • The insurance company does not act in bad faith
  • That you do not make mistakes on your claim
  • That the insurance claim appeals letter is written and submitted correctly

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What to Do if a Settlement Offer Letter Was Sent Instead of a Denial Letter

A settlement offer letter is the other option an insurance company has when dealing with a car accident claim. This letter will provide a proposed resolution to the claim. The letter will include the terms of the settlement, including any compensation being offered by the insurance company.

A settlement letter is the first step in negotiations between you and the insurance company. Should you agree with what has been offered in the letter, you can accept the settlement and a formal agreement is created and signed by both sides. Should you disagree, negotiations continue until an agreement can be reached or until one of the sides walks away from the table.

Before accepting the terms outlined in the settlement letter, be sure to consider the following with the help of a car accident attorney:

  • Have a clear understanding of all the terms outlined in the settlement offer letter
  • Review the release of liability included in the letter (if you accept the settlement offer, you give up your right to file a lawsuit against the party who caused the accident)
  • Accept or deny the offer
  • If you accept, sign the release of liability and send it to the insurance company (upon receipt, the insurance company will send you a check for the settlement amount)
  • If you deny the offer, you can continue negotiations or file a personal injury lawsuit

Consult with a Georgia Car Accident Lawyer

Even if you received a settlement offer letter, you should still consult with an experienced car accident lawyer in Georgia about the crash. The lawyer can review the offer letter and provide you with an honest assessment as to whether or not it is a fair offer. If the offer is not fair based on your circ*mstances, the lawyer can begin negotiating on your behalf or file a personal injury lawsuit against the party who caused the accident.

Reasons Why Car Accident Claims Are Denied

The most common reasons why car accident claims are denied by insurance companies include the following:

  • There are exclusions written into your policy
  • Your policy expired
  • The accident was caused by an uninsured motorist and you did not have this coverage
  • The plan does not have full coverage
  • You committed a crime
  • There is an active dispute regarding liability
  • Your driver’s license is not valid
  • The information you provided the insurance adjuster was false or misleading
  • The accident was not reported in a timely manner (Georgia law requires immediate reporting)
  • You are listed as an excluded driver on the insurance policy
  • You made modifications to your vehicle that are illegal
  • The insurance company acted in bad faith

When Insurance Companies Act in Bad Faith

An insurance company acts in bad faith when they misrepresent the terms of an insurance policy for the sole purpose of denying a claim. Other examples of acting in bad faith include the following:

  • Fail to disclose exclusions in the policy
  • Fail to disclose limitations of the policy
  • Making unreasonable demands of the policyholder to prove a claim is warranted
  • Denying your claim without providing a reason
  • Offering you less money than what your claim is worth
  • Failing to conduct a timely and proper investigation into your accident
  • Making threatening statements to you

Call the Strong Arm in Georgia After a Car Accident

Suffering an injury in a car accident is stressful enough. Having your car accident insurance claim denied can make the situation even more difficult. When you are facing a car insurance settlement or claim denial, call The Strong Arm in Georgia from John Foy & Associates.

Contact us today to schedule a free consultation.

Call or text

404-400-4000 or complete a Free Case Evaluation form

Disputing a Car Insurance Claim Settlement or Denial (2024)

FAQs

Disputing a Car Insurance Claim Settlement or Denial? ›

Submit a Claims Appeal Letter to the Insurance Company

How do I counter offer an auto insurance settlement? ›

Countering a Low Insurance Settlement Offer
  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 do I challenge an insurance claim denial? ›

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 if you disagree with an insurance claim? ›

File a Complaint: If necessary, file a complaint with the insurance company or regulatory authorities. Don't Settle for Less: Refrain from accepting a low settlement offer without proper evaluation. Be Prepared for Legal Action: If negotiations fail, be ready to file a lawsuit to protect your interests.

How do I argue with my car insurance adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

How do you politely decline a settlement offer? ›

Your legal representative can help you write a letter that states your intentions. Within the letter, you can indicate that you reject the offer and highlight why you deserve a higher settlement amount. You should also counter their reasons for offering the lowball initial offer.

How to respond to a lowball settlement offer? ›

If you have determined to respond to a low settlement offer yourself, consider the following:
  1. Stay polite and professional. We understand it's a frustrating and emotional process. ...
  2. Ask questions. ...
  3. Offer the facts. ...
  4. Put your response in writing. ...
  5. Don't be bullied.

What are the 3 most common mistakes on a claim that will cause denials? ›

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:
  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

What is one of the most common reasons for a claim being rejected by an insurance company? ›

Process Errors
  • The claim has missing or incorrect information. Whether by accident or intentionally, medical billing and coding errors are common reasons that claims are rejected or denied. ...
  • The claim was not filed in a timely manner. ...
  • Failure to respond to communication. ...
  • Policy cancelled for lack of premium payment.

How to write an appeal letter for a car insurance claim? ›

How to write an appeal letter to insurance company appeals departments
  1. Step 1: Gather Relevant Information. ...
  2. Step 2: Organize Your Information. ...
  3. Step 3: Write a Polite and Professional Letter. ...
  4. Step 4: Include Supporting Documentation. ...
  5. Step 5: Explain the Error or Omission. ...
  6. Step 6: Request a Review. ...
  7. Step 7: Conclude the Letter.
Feb 15, 2024

What is the unfair insurance settlement? ›

Many states have passed unfair claims practices laws to protect insured parties from bad behavior on the part of insurers in the claims settlement process. Unfair Claims Settlement Practices Acts (UCSPA) are enforced by individual states, rather than the federal government, and vary state-by-state.

Do insurance companies intentionally deny claims? ›

Companies will refuse to approve your request for compensation if your claim lacks support and evidence. The insurer may justify its denial by claiming that it believes your injuries were pre-existing at the time of the accident or that your own conduct made the injuries worse.

What happens when an insurance claim is disputed? ›

Steps to Resolve an Insurance Claim Dispute

Some insurance companies will do anything within their means to deny your claim and withhold payment or delay it as much as possible. They might introduce independent appraisal processes or go through different steps for validation purposes to deny paying you any money.

What not to say when talking to insurance adjuster? ›

When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

How to negotiate a higher insurance settlement? ›

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.

Can you negotiate a car settlement figure? ›

Insurance companies lose money when they're forced to pay out for an accident. So a claims adjuster may try to offer you the smallest amount possible for your damage. Before you accept the insurer's offer, know that you can negotiate for what you think you deserve.

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 counter a compensation offer? ›

How to Negotiate a Salary Counter Offer
  1. Pause before responding.
  2. Ask a follow-up question.
  3. Turn the salary expectation question around.
  4. Get the salary range.
  5. Conduct comparative salary research.
  6. Prepare an organized argument.
  7. Ask for a 10-to-20-percent bump.
  8. Look for non-salary levers to pull.

What is a counter offer in a settlement? ›

Come Up with a Counteroffer

Your attorney will send your formal rejection of the initial offer and a counteroffer to reflect the fair settlement amount you deserve in compensation for things like future medical expenses, pain and suffering, and other damages.

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