Does a denied claim affect auto insurance rates? (2024) | AutoInsurance.org (2024)

Things to Remember

  • A denied auto insurance can result in an insurance rate raise
  • A variety of factors will impact your auto insurance rates
  • Make sure you keep your claim information easily accessible

Any auto insurance claim, whether it was accepted or denied, may have an effect on your rates.

While it may seem as if a denied claim should have no effect on your rates, that is not always the case, according to the Texas Department of Insurance.

Even a denied claim may raise your rates because the accident that resulted in the claim put a negative mark your driving record.

Your driving record and claims history are both factors when it comes to setting your insurance rates.

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Read More: How to Dispute and Appeal an Auto Insurance Claim

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Factors that Affect Your Auto Insurance Rates

In addition to your driving record and claims history, several other factors come into account when companies calculate your proposed rates including:

  • Your gender and age
  • Marital status
  • Where you park your car
  • Type of car you drive

Vehicles that are inexpensive to repair and have a good track record when it comes to theft generally cost less to insure than vehicles that are pricey to repair and frequently stolen.

Other factors that affect the cost of your car insurance premium include the primary use of your vehicle and your credit score.

Companies may also look at your driving history to determine if you ever drove without insurance.

If you drove without car insurance for more than 30 days within the last year before you began to apply for car insurance, a company may increase your rates.

Driving without insurance is generally a risky move and may put you into the high-risk category, a category that is likely to see higher premiums than lower-risk drivers.

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What Constitutes a High-Risk Driver

You may also find yourself classified as a high-risk driver if you have a poor driving record and lengthy claims history.

Once again, whether a claim has been approved or denied is not the main factor, the fact that you had an accident is.

Having a long list of tickets and accidents on your recordcan definitely put you in the high-risk driver’s seat. You may face premium surcharges that reach as high as 60 percent.

Insurance companies look for a few things in particular including:

  • Moving violation tickets for things like speeding and unsafe practices
  • Criminally negligent driving
  • Driving with a suspended license or with no license at all
  • Driving under the influence
  • Involuntary manslaughter

Your credit score may also play a part in a high-risk classification.A poor credit score, history of paying late, outstanding debts and lines of credit may be indicators of a high-risk client.

While a car insurance company cannot cancel, refuse to renew or refuse to sell you car insurance based only on your credit report, they can use it as a factor to increase your rates.

Younger,inexperienced drivers may also fall into the high-risk category even without past claims or accidents on their record.

How to File a Claim

Although every car insurance company may have slightly different procedures for filing a claim, the process typically involves several standard steps, according to the Wisconsin Office of the Commissioner of Insurance.

The first step is notifying your insurance company of the accident. Some companies may allow you to contact them directly while others may suggest you go through your agent who sold you the insurance.

Your goal is to find out what specific forms, documents and other supporting evidence you will need to submit in order to substantiate your claim.

One of the standard forms you may encounter is a known as a proof of loss form. You may need to submit any medical bills and repair bills related to your claim.

A copy of the police report of the accident may be required.

Being truthful is necessary for filing a claim, as is ensuring you answer all inquiries with the greatest amount of information possible.

Even though you submitted all the necessary paperwork, your insurance company may still contact you for additional information.

You should also provide your own insurance company with any legal documents or papers you received from the other party to help your company compile a comprehensive file on the accident in case you are sued and brought to court.

Car insurance companies may defend you in court under the liability portion of your car insurance policy.

Keeping Good Records of the Accident

Maintaining your own comprehensive file on the accident is also important. All receipts, records of expenses and accident-related documents should go in the file.

You may also do well to take and file notes of any conversations you had with the police, the other party, lawyers, the police, accident witnesses, and others regarding the accident.

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Reasons a Claim May be Denied

Regardless of how valid you feel your claim may be, an insurance company may deny for a number of reasons.

One of the main reasons pointed out by the Illinois Department of Insurance is failure to cooperate.

If you do not fully answer questions asked, refuse to call back, or simply refuse to give out information, your claim may be on shaky ground.

Insurance companies need to determine the number of factors before they are typically willing to pay out a claim such as:

  • Who is at fault for the accident
  • The extent of the fault
  • The severity of injuries and property damage
  • If those injuries or damage is directly related to the accident

Claims that are not backed up by supporting documents, such as medical and repair bills and a police report, may also be denied.

Most states have laws governing the amount of time you have to file a claim and not meeting the deadline can result in a denial.

You must also settle a claim within a given timeframe, whether it is by accepting the settlementor filing a lawsuit.

In Illinois, for example, you have two years from the date of the accident to settle bodily injury claims and five years to settle property damage claims.

Fraudulent Insurance Claims

Fraud is another reason a claim may be denied, provided the insurance company recognizes the fraud. It is not always the policyholder who is fraudulent, either.

Sometimes car repair shops or mechanics may engage in fraud using a number of techniques.

They may over-inflate the estimate of how much it costs to repair a vehicle, bill you for repairs that were not authorized by your insurance company, or charge for new auto parts when they merely pounded out dents instead of replacing a part.

They may also report lost or damaged parts that were never lost or damaged or charge for new parts when they used parts culled from the junkyard.

Keeping a keen eye on your repair bills and making sure you know the details behind each charge can help you spot fraudon your own.

You can report it by contacting your state’s insurance commissioner.

Filing a Claim vs. Not Filing a Claim

The auto insurance claims you file go on record, where they are easily searchable by future insurance companies. Any claims filed with the other person’s insurance company are likely to be found out by your own.

Some motorists may think the easy answer may be to simply not a file a claim after an accident and take care of any damage out their own pockets.

While this may work at keeping a claim off your record, it also makes the cost of repairs your sole responsibility.

Auto repairs can be extremely costly, even in cases where the damage may seem minor.

Keeping claims off your record does not guarantee the accident will be kept off your record.

Insurance companies may find out about the accident through police reports, even if you did not file. If authorities were called to the scene, they may create their own reports.

The best way to keep accidents off your record is to drive safely and obey the laws. Having an accident is not the end of the world, and most stay on your driving record for a limited amount of time.

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Frequently Asked Questions

Will my auto insurance rates increase if my claim is denied?

In general, if your auto insurance claim is denied, it does not directly affect your auto insurance rates. Insurers typically use claims history and driving records to determine premiums, and a denied claim is not typically factored into this assessment. However, there are a few important considerations to keep in mind.

Can a denied claim indirectly impact my auto insurance rates?

While a denied claim itself may not directly affect your rates, certain circ*mstances related to the denial can have an indirect impact. For example:

  • If your claim was denied due to a violation of policy terms or fraudulent activity, it can lead to policy cancellation or non-renewal. When seeking new insurance coverage, having a policy canceled or non-renewed can result in higher rates.
  • If the denial is due to an at-fault accident, even if it’s not directly linked to your rates, your insurer may still consider the incident when calculating future premiums.

How can a denied claim affect my future insurability?

A denied claim can affect your future insurability in a couple of ways:

  • Some insurance companies may be hesitant to provide coverage to individuals who have a history of denied claims, as it may be seen as an indicator of increased risk.
  • If you’ve had multiple denied claims, insurers may view you as a higher-risk customer, which could result in higher premiums or difficulty finding coverage.

Is there any way to avoid a denied claim impacting future rates?

While you cannot directly prevent the impact of a denied claim on future rates, there are steps you can take to mitigate potential consequences:

  1. Ensure you understand your policy terms and coverage limits to minimize the likelihood of a claim denial.
  2. Practice safe driving habits to reduce the risk of accidents and claims in the first place.
  3. If your claim is denied, it’s important to address the underlying reasons for the denial and take steps to rectify the situation, if possible.

Will a denied claim be recorded on my insurance history?

Yes, a denied auto insurance claim can be recorded on your insurance history. While it may not directly impact your rates, it can still be part of your claims history, which insurers may consider when assessing your risk profile in the future. It’s important to be aware of and address any denied claims to maintain a favorable claims history.

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Written by:

Ty Stewart

Licensed Insurance Agent

Ty Stewart is the founder and CEO of SimpleLifeInsure.com. He started researching and studying about insurance when he got his first policy for his own family. He has been featured as an insurance expert speaker at agent conventions and in top publications.As an independent licensed insurance agent, he has helped clients nationwide to secure affordable coverage while making the process simpl...

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Written by Ty Stewart

Licensed Insurance Agent

Reviewed by:

Schimri Yoyo

Licensed Agent & Financial Advisor

Schimri Yoyo is a financial advisor with active insurance licenses in seven states and over 20 years of professional experience. During his career, he has held roles at Foresters Financial, Strayer University, Minnesota Life, Securian Financial Services, Delaware Valley Advisors, Bridgemark Wealth Management, and Fidelity.Schimri is an educator eager to assist individuals and families in ach...

Full Bio →

Reviewed by Schimri Yoyo

Licensed Agent & Financial Advisor

Editorial Guidelines: We are a free online resource for anyone interested in learning more about auto insurance. Our goal is to be an objective, third-party resource for everything auto insurance related. We update our site regularly, and all content is reviewed by auto insurance experts.

Does a denied claim affect auto insurance rates? (2024) | AutoInsurance.org (2024)

FAQs

What happens when an insurance claim is denied? ›

Internal appeal: If your claim is denied or your health insurance coverage canceled, you have the right to an internal appeal. You may ask your insurance company to conduct a full and fair review of its decision. If the case is urgent, your insurance company must speed up this process.

Will my insurance increase after a claim? ›

Will my car insurance go up after an accident? Unfortunately, the simple answer to this is yes. Whether the accident was your fault or not, making a claim will usually lead to an increase in your car insurance premium the next year and you could see an increase even if you don't make a claim.

How many claims before Progressive drops you? ›

Insurers may not drop a customer after their first one or two incidents. The first step is often to increase your car insurance rate. From there, if a customer has another accident or files more claims, the insurer may send a notice that they won't be renewing the policy at the end of its term.

Does your insurance go up after a claim that is not your fault? ›

Under California law, an insurer cannot increase your premiums when you aren't at fault.

What to do after a claim is denied? ›

File an appeal

Filing a formal appeal triggers a review of your denied claim. Include with your appeal as much evidence and documentation as you can to support the position that your damages should be covered.

What should be done first if the insurance claim has been rejected? ›

If your insurer continues to deny your claim, be persistent: The usual procedure for appealing a claim denial involves submitting a letter to your insurance company. Make sure to: Give specific reasons why your claim should be paid under your policy. Be as detailed as possible when composing your letter.

Why do insurance companies raise rates after a claim? ›

Why do insurance premiums go up after filing a claim? Homeowners insurance rates often increase after a claim because it leads your insurance company to believe that you are more likely to file another claim in the future. This is especially true for claims related to water damage, dog bites and theft.

How much does car insurance go down after 1 year no-claims? ›

In many cases, your insurance will go down by 5-20% in the first year of no claim, depending on your insurer. After the first year, this discount increases each year, usually by 5%, if you don't make a claim. But it only increases up to a maximum discount, usually 50-60%, and a number of years — usually 5-6 years.

What is the best car insurance after an accident? ›

Best Car Insurance After an Accident

For most drivers with at-fault accident record, State Farm is the best and cheapest option. It has MoneyGeek score of 89 out of 100 with $$1,091 annual premium. Travelers comes in second with a score of 88/100 and an annual premium of $1,506.

What is double dipping in insurance? ›

Insurance claim double dipping involves collecting benefits from two or more insurance companies for the same loss. In this scam, fraudsters make identical claims for the same incident at multiple insurance companies to increase their payout.

Why would Progressive deny a claim? ›

One possible reason for your accident claim being denied by Progressive could be a lack of sufficient evidence to support your case. When filing a claim, it is crucial to provide all necessary documentation, such as police reports, medical records, and witness statements.

Does Progressive raise rates for comprehensive claims? ›

Comprehensive claims

Your rate may go up if you have comprehensive auto coverage and file a claim for incidents like car theft and vandalism, hitting a deer, fire, glass breakage (including a cracked windshield), hail/weather-related damage, and other acts of nature.

How much does insurance increase after a claim? ›

That said, you'll usually be looking at an increase of 20%-50%. Unless it's protected, you should also expect to lose any no-claims discount you've built up. Even if it's protected you could still see your premiums rise – this is because a no-claims discount is a reduction from a baseline car insurance premium.

Are insurance companies denying more claims? ›

With the increasing use of algorithms, companies have increased the number of claim denials. In 2021, one company even denied 49% of claims. Doctor review takes a lot of time and money, so insurance companies have turned to AI algorithms to do the work instead.

Why does insurance drop you after a claim? ›

Auto insurance companies rarely cancel coverage after one accident. However, an insurance company can drop you after a claim if you have a pattern of causing accidents, filing excessive claims or not paying your premium on time.

How do I deal with a rejected insurance claim? ›

You can directly register your grievance on the Insurance Regulatory and Development Authority of India's (IRDAI) online portal, known as the 'Bima Bharosa System'. You can choose to submit your complaint via email to complaints@irdai.gov.in, or you can avail of the toll-free helpline at 155255 or 1800 4254 732.

What is the protocol to have a denied claim resolved? ›

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 is the difference between denied and rejected insurance claim? ›

A claim rejection occurs before the claim is processed and most often results from incorrect data. Conversely, a claim denial applies to a claim that has been processed and found to be unpayable. This may be due to terms of the patient-payer contract or for other reasons that emerge during processing.

What percentage of insurance claims are denied? ›

We find that, across HealthCare.gov insurers with complete data, nearly 17% of in-network claims were denied in 2021. Insurer denial rates varied widely around this average, ranging from 2% to 49%. CMS requires insurers to report the reasons for claims denials at the plan level.

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