Tips for Insurance Company | Commonwealth Law Group (2024)

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In a recent blog, we explored the perils of giving a statement to an insurance company that isn't your own, which you are never legally obligated to do and we generally advise against, since the information you give can be used to hurt your case against them.

However, when you've been hurt in an accident or had extensive property damage to your home through no fault of your own, it's possible that your own insurance company will want you to provide a recorded statement. This is a similar but different situation, since your signed insurance policy may state that you must cooperate with the insurance company's request for a statement.

If you are required by your own insurance company to give a statement, there are certain best practices that you and your attorney should discuss before you provide that statement. Below are some best practices to consider:

  1. Contact a lawyer. Your attorney will act in the best interest of your case and can help you prepare for the type of questions an insurance adjuster might ask and how best to answer them. The personal injury attorneys of Commonwealth Law Group have years of experience dealing with insurance adjusters and claims agents and can advise you on how best to proceed.
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. It's in the insurance company's best interest to minimize claim payouts, and this person works for that insurance company. Therefore, they are not your friend. Be wary of them; keep your guard up.
  3. Ask specifically that your statement not be recorded. If the statement is recorded, your exact words will be used to compare with other statements you may have given, such as your police statement. Any discrepancies, no matter how small or unintentional, can cause problems for your case.
  4. Give brief answers. Try to answer each question in as few words as possible. Don't explain. If you are specifically asked to explain, do so in as few words and with as little detail as possible.
  5. Don't volunteer information. Even if you think it will help your case. Let your lawyer handle anything that is left unsaid.
  6. Answer only the question asked. Think deeply about the exact question the agent asked, and only provide that specific information.
  7. Never admit to fault. Never admit to even being partially at fault.
  8. Never admit that you are uninjured. When you're in an accident, your body releases adrenaline, a powerful hormone that can mask injuries and pain to get us through stressful or traumatic situations. Because of this, it can take several days for an injury to surface after an accident. Yet if you speak to your insurance agent within 24 hours of an accident and say that you aren't feeling any injuries, it could negatively impact your potential compensation for your injuries.
  9. If you're unsure what you're being asked, refuse to answer. Don't offer an ambiguous reply such as "maybe" or "I guess so" – simply refuse to answer.
  10. Similarly, if you don't know the answer to a question, state firmly, "I don't know."
  11. Avoid discussing your injuries or your medical prognosis. Both are ongoing and subject to change as time passes. Your lawyer will do that for you.
  12. Stick to the basics. If you're asked about the specifics of the accident, simply let the agent know where your vehicle is so they can assess damages themselves. If they press you for details about the accident, refer them to the police report, since you have already given the police a detailed recollection of the accident.
  13. Don't sign any document from the insurance company without consulting your lawyer. This includes both the insurance company transcript of your statement and also any medical records release form.
  14. Don't let the insurance agent rush you into a settlement. Even though you might need the settlement to pay for repairs or medical bills, don't let them rush you into taking a settlement that could be far too low for the situation at hand.
  15. Don't assume that your insurance agent is on your side. Statements made to insurance companies are not protected by attorney-client privilege. Because of this, they can be subpoenaed into evidence in the event you move forward with a lawsuit and the opposing insurance company would then have access to your statement. In addition, there are circ*mstances where your own insurance company may not hold your best interests. For example, if the at-fault driver in a car accident is uninsured or loses coverage, your insurer may have to pay the claim on his or her behalf. In this case, your insurance company is at odds with your best interests and anything you said in your statement could hurt your case.

Always be honest when making a statement, but keep your best interests at the forefront of your mind by consulting with your attorney before the statement interview. Call us now to learn more.

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Tips for Insurance Company | Commonwealth Law Group (2024)

FAQs

How to answer insurance claim questions? ›

Below are some best practices to consider:
  1. Contact a lawyer. ...
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. ...
  3. Ask specifically that your statement not be recorded. ...
  4. Give brief answers. ...
  5. Don't volunteer information. ...
  6. Answer only the question asked.

How to counter a low settlement offer? ›

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.

What not to say when talking to an 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.

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.

What is insurance best answer? ›

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company.

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.

How do you respond to a lowball offer from an insurance company? ›

How to Respond to a Low Settlement Offer
  1. Retain a Lawyer. A lowball offer is a red flag that the insurance company is not treating you fairly. ...
  2. Analyze the Offer. ...
  3. Reject the Offer. ...
  4. Wait to Settle Your Claim Until You Recover. ...
  5. Make a Counteroffer. ...
  6. File a Lawsuit.

How do I ask for more money from an insurance company? ›

  1. The Personal Injury Settlement Process. ...
  2. Have an Injury Settlement Amount In Mind. ...
  3. Don't Jump at the First Injury Settlement Offer. ...
  4. Get the Adjuster to Justify a Low Injury Settlement Offer. ...
  5. Emphasize Emotional Points. ...
  6. Put the Settlement in Writing. ...
  7. Getting Help With a Personal Injury Claim.

How do lawyers negotiate settlements? ›

Lawyers negotiate elements of a case including liability, total damages, medical expenses, policy limits, location considerations, and direct negotiations with insurance companies to maximize settlement amounts for clients.

How to argue with an insurance adjuster? ›

Be Patient and Persistent: Don't settle for less; negotiate with the insurer for a fair settlement. Consider a Second Opinion: Get an independent appraiser or lawyer to assess your claim's value. Mediation and Arbitration: Explore alternative dispute resolution methods to resolve disagreements.

What happens if you disagree with insurance adjuster? ›

Your insurance policy likely has an arbitration provision, meaning that when you and your adjustor cannot agree, a third party will be assigned to hear you out and recommend a settlement.

What questions should I ask a claims adjuster? ›

Additional Information
  • “Will you admit fault for the accident?” ...
  • “How much insurance coverage does your driver carry?” ...
  • “Will you pay for my car to be repaired to manufacturer's specifications, without used or after market parts?” ...
  • “Will you pay for my medical bills and lost wages as they are incurred?”

What is considered a good settlement? ›

In general, if you can get close to judgment value of the case in settlement, then it should be considered a very good settlement. One of the first considerations that attorneys and clients should factor in is the chance of prevailing on the issue of liability.

How can I get a better settlement? ›

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 negotiate a better settlement? ›

Tips On Negotiating A Settlement Agreement
  1. Use a solicitor that knows what they're doing. ...
  2. Consider carefully whether the first offer is reasonable. ...
  3. Be patient with your resignation letter. ...
  4. Listen to what your employer has to say. ...
  5. Be realistic and know your worth. ...
  6. Don't undervalue yourself.
Aug 8, 2023

What to say when making an insurance claim? ›

When you file a claim, you'll be asked to provide some basic details, such as where and when the accident or incident took place, contact information for everyone involved and a description of what happened. You might also be asked to give an estimated cost of the damage from the accident—if you have that available.

How do you write a response to a claim? ›

On a separate page or pages, write a short and plain statement of the answer to the allegations in the complaint. Number the paragraphs. The answer should correspond to each paragraph in the complaint, with paragraph 1 of the answer corresponding to paragraph 1 of the complaint, etc.

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.

How do you explain an insurance claim? ›

An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.

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