Insurance Company Settlement Tactics (2024)

A car accident can really disrupt your life. Your injuries may require extensive medical care and left you unable to work. The first step in recovering compensation for your injuries is filing a claim with the at-fault driver’s insurance company.

Unfortunately, trying to get the money you deserve from an insurer can be incredibly stressful. This is because insurance companies want to protect their profits. Paying you after an accident isn’t in their best interest, financially speaking. In order to minimize your payout, they often resort to underhanded and manipulative negotiating tactics.

Our attorneys have been dealing with insurance companies in the greater Los Angeles area since 2005. We know how insurance companies operate and which settlement tactics they rely on most. You can protect yourself from these tactics if you know what to look for. If you have any questions or need help, do not hesitate to call our Los Angeles personal injury team.

Denying Liability Without Investigating the Claim

Insurance companies in California have an obligation to act in good faith. This basically means that they must accept and review claims that are submitted honestly and with good intentions. However, many insurance companies do not act in good faith. They engage in bad faith behaviors that are deceitful and underhanded. Why? Many companies probably don’t think they’ll get caught. One of the most common practices is to deny a claim without ever conducting an investigation.

The denial may come with an explanation or reason that sounds legitimate. However, if the reason sounds generic or suspicious, it may be. Insurance companies must investigate an accident thoroughly before making a decision. They hope that you will be discouraged by the denial and simply walk away.

Denying Liability Because of a Lack of Evidence

When you submit your demand letter to the insurer you have to provide evidence to support your claim. Evidence can include police and accident reports, medical evaluations, witness statements, photographs, and more. The more evidence you provide, the stronger your case will be. However, insurance companies may try to reject your claim on the grounds that it lacks evidence.

This doesn’t mean that you haven’t provided evidence to support your argument. It may mean that the insurer is arguing that you haven’t provided evidence to conclusively show that their insured driver is at-fault. Don’t let insurers scare you with tactics like these. You have the right to appeal any denial and resort to more formal legal action.

Pressuring You Into Accepting a Low Offer Because You Share Fault

It’s important to stay calm if you share some of the blame for your accident or injury. Fault is not necessarily a bar to recovery in Los Angeles. You can get compensation as long as someone else is also to blame. However, insurance companies know that you may be nervous if you share some of the blame for your accident.

They’ll try to manipulate your fears and scare you into accepting a low offer. They may say that this is the best offer you’ll receive and that you’d be a fool to reject it. Alternatively, they may try to appear to be genuinely interested in helping you by framing the offer as generous.

Don’t fall for these manipulative tactics. It’s important to stand your ground and wait until an independent investigation into the accident has been completed. The results may show that you share no fault at all, or that you only played a very small role. If this is the case, you’ll be kicking yourself for believing the adjuster and taking the low offer.

The best way to protect yourself if you share fault is by hiring an attorney. At Citywide Law Group, our lawyers will identify all of the causes of your accident. This will help us to determine (a) how much of the accident may be your fault and (b) who else is to blame. We’ll then search for any evidence that moves blame away from you and onto others.

Contacting You Shortly After an Accident With an Offer

Insurance companies may also be quick to contact you with an offer after your accident. While this may seem like a great thing, it is important to be suspicious. There are two reasons that an insurance company may contact you immediately after your accident:

  1. They know you have a solid case and want to entice you with a small sum of money right up front, or
  2. They just want to make your case go away for as little as possible.

The important takeaway here is that these early settlement offers will most likely be very low. The fact that you’re being offered a sum of money right away may be enticing. However, the amount the company is offering will probably not be enough to cover the full extent of your injuries. It’s important to make sure that the full extent of your damages is identified. This is the only way to truly value your claim.

There will be a string attached with any of these early settlement offers. Insurers will require you to sign a waiver if you accept their offer. This waiver will prohibit you from seeking additional damages related to this accident in the future. As a result, you’ll be stuck with whatever lowball settlement you received.

Intentionally Delaying The Claims Process

When you’re injured in an accident and someone else is to blame, you’ll be interested in getting money right away. Unfortunately, the insurance claim process can be a long one. It can be even longer if insurance companies intentionally delay reviewing and investigating your request.

Why would an insurance company intentionally delay the process? They know that you are probably in a very tough financial situation. They know that you will probably grow more desperate to settle with each passing day. They’ll use delay tactics to use these things against you. If they delay long enough, they’re hoping that you’ll simply agree to accept whatever offer they eventually extend. You can be sure that this initial offer will be extremely low and won’t cover your costs. However, you’ll be so desperate for cash that you’ll resign to accepting it.

Misrepresenting the Law or Insurance Coverage

Insurance companies handle insurance claims every day. They’re intimately familiar with applicable law and procedure. They also know the ins-and-outs of their own internal policies. You, on the other hand, probably don’t have the same level of understanding. You’re probably not an expert, even if you’ve filed many insurance claims before. Insurers know this and will try to use it to their advantage.

Companies may misrepresent the law and try to trick you into thinking that you’re not entitled to certain damages. They may try to convince you that certain damages aren’t covered by the at-fault driver’s policy. Or, they may misrepresent important information regarding maximum policy payouts. All of these tactics are designed to drive down the settlement amount you receive.

Asking You to Provide a Statement

When you file an insurance claim you’ll probably be dealing with an insurance adjuster. This person represents the insurance company and is responsible for reviewing and investigating your claim. A good adjuster will conduct a very detailed and thorough investigation into your accident. They’ll try to get their hands on any documentation and evidence that is relevant. They may also try to speak with witnesses and involved parties.

The adjuster may also ask you to provide a recorded statement. You should be cautious when this happens. Why? You need to keep in mind that the adjuster works for the insurance company. The purpose of the company’s investigation is to find evidence that hurts your claim and drives down the value. The adjuster may ask for a recorded statement as a way to find information that does damage to your case.

If you’re still overwhelmed by the accident you may not remember things clearly. Or, if a lot of time has passed, your recollection of the incident may not be accurate. Discrepancies in your story can come back to haunt you.

This doesn’t mean that you can’t sit down with the insurer and provide a statement. However, the best thing to do is have an attorney present. Your attorney will make sure that questions are transparent and relevant to the issue at hand. They’ll also make sure that you are led to provide certain answers that may be damaging to your claim.

Requesting a Medical Authorization Waiver

Insurance companies may also ask you to sign a medical authorization waiver. This waiver gives them access to your medical records. You may think that the waiver is limited to information about injuries and care related to this specific accident. However, you may be wrong. Insurers typically use blanket waivers. As a result, they can get access to just about all of your medical history. Why would an insurance company be interested in your medical history? They’ll be searching for any health issue that could jeopardize your case. This could include prior injuries, surgeries, chronic diseases, or illnesses. Your medical history can be used to reduce the at-fault driver’s responsibility for your pain.

Call Our Personal Injury Lawyers For Help

Have you been injured in a car accident? Is another driver to blame for the crash? If so, you may be entitled to compensation from that driver’s insurance company. Unfortunately, getting an insurance company to pay you the money you deserve can be tough. These companies tend to rely on manipulative settlement tactics that are intended to reduce your payout.

If you need help dealing with an insurance company after an accident do not hesitate to call Citywide Law Group for help. Our attorneys can help to protect you from insurer tactics and fight to get you the money you deserve.

Insurance Company Settlement Tactics (2024)

FAQs

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.

How do you respond to a settlement offer that is too low? ›

Develop a Counteroffer

In addition to your formal rejection of the offer, your attorney will create a counteroffer based upon the amount you deserve in compensation for things like medical treatment, pain and suffering, and other harms you may have suffered.

What reduces the amount paid in a claims settlement? ›

The insurance company pays up to the policy limits. They also reduce the settlement by the amount of any applicable deductible. Car insurance coverage can limit the amount of a settlement even if the damages are greater than the policy limits.

What not to say to an insurance claims adjuster? ›

Things You Should NOT Say to an Insurance Adjuster After an...
  • “It's All My Fault” ...
  • “I Guess …” ...
  • “Everything is Okay” ...
  • “My Social Security Number is …” ...
  • “Yes, You Can Record This” ...
  • “I Agree” or “I Accept” or “I Will Sign” ...
  • “I Don't Have a Lawyer” ...
  • We Handle Your Accident Claim With Care.

How do you ask for more money in a settlement? ›

Get the Adjuster to Justify a Low Injury Settlement Offer

Instead, ask the adjuster to give you specific reasons why the offer is so low, and make notes of what he or she tells you. Then write a brief letter responding to each of the factors the adjuster has mentioned.

How to get more money out of an insurance claim? ›

Maximize Your Insurance Claim Payout: 10 Tips for Understanding and Negotiating the Estimate
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
Jun 6, 2023

How do you win a settlement negotiation? ›

Try to stay level-headed. Keeping the conversation polite and respectful will improve your chances of reaching agreement. It is also important that you take time to prepare yourself before those negotiation talks begin. Good preparation will give you more confidence going into mediation or settlement discussions.

How do you counter a lowball settlement offer? ›

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. Your explanation behind these reasons can be critical in getting a better second offer from the claims adjuster.

Why is the first settlement offer so low? ›

Another reason for these low offers is that insurance companies hope to close the case quickly. They know that the sooner a claim is settled, the less chance there is of new information coming up that could increase the claim's value.

How to argue with an insurance adjuster? ›

When you disagree with a car insurance adjuster, don't hesitate to take action to protect your rights and seek fair compensation. Remember to gather evidence, review your policy, and explore alternative dispute resolution options like mediation or arbitration.

Do insurance companies use scare tactics? ›

Before digging into what to do to scare an insurance adjuster, it's useful to know a little about how they try to scare those who file a claim. One of the most common scare tactics they use is to delay a decision on your claim. They know that when you're dealing with a severe injury, time is not your friend.

How do insurance companies decide how much to pay out? ›

Insurance companies typically use your car's actual cash value to cap payouts when your car is totaled. Your car's actual cash value depends on how much the vehicle has depreciated over time.

How to answer insurance adjuster questions? ›

Remember this motto: Stick to the basic facts. Don't add opinions such as who's at fault, what triggered the crash, or what the damages might be. More importantly, don't lie or even embellish the facts, as this can compromise your insurance claim and become grounds for serious legal trouble.

What happens if you disagree with insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

Are claims adjusters biased? ›

Dealing With Insurance Adjusters

The insurance adjuster has only the best interests of their client in mind and will perform their duties with a certain degree of bias. Some insurance adjusters may even go as far as to employ bad faith tricks to lower the potential payout the insurance company has to deliver.

How do you negotiate a successful settlement? ›

Clear, assertive, yet respectful communication in the negotiation process is essential when seeking optimal outcomes. This approach is the most effective one. If communication with the other party is overly aggressive and disrespectful, reaching a settlement agreement can be exceedingly difficult.

Can you negotiate a settlement figure? ›

As stated earlier in the article, you do not have to agree to a settlement agreement. You have the right to negotiate the terms and any negotiations are confidential, provided marked 'without prejudice' and cannot be used in an ET or other legal proceedings by you or your employer.

How do I argue with my insurance adjuster? ›

Speak with a Car Accident Lawyer: Seek legal counsel to understand your options and potential legal action. 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.

Can I negotiate my own settlement? ›

It is possible to negotiate directly with creditors and settle your debt for less than you owe, but you may want the help of a professional. A quick counseling session from a certified credit counselor can help you discover your options and choose the right path forward.

Top Articles
Latest Posts
Article information

Author: Edmund Hettinger DC

Last Updated:

Views: 6511

Rating: 4.8 / 5 (58 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Edmund Hettinger DC

Birthday: 1994-08-17

Address: 2033 Gerhold Pine, Port Jocelyn, VA 12101-5654

Phone: +8524399971620

Job: Central Manufacturing Supervisor

Hobby: Jogging, Metalworking, Tai chi, Shopping, Puzzles, Rock climbing, Crocheting

Introduction: My name is Edmund Hettinger DC, I am a adventurous, colorful, gifted, determined, precious, open, colorful person who loves writing and wants to share my knowledge and understanding with you.