- SITUATION A financial products business faced a major lawsuit because it had allegedly mishandled a client’s file. But when it submitted a claim, the insurance company refused to pay because the claim fell outside of coverage limits. It was a dire situation: a judgment could have doomed the business, while the cost of defending the lawsuit could have resulted in bankruptcy.
- RESOLUTION The business called John to re-file its claim. After reading the complicated, 100-page policy, he found a small, detailed clause the insurance company had conveniently ignored. John wrote a single letter pointing out the omission, and the insurance company quickly reversed its position, paying all expenses to settle the case.
When You Need Help With Claims
Filing an insurance claim isn’t easy. The complicated paperwork can confuse you, while the endless questions and requests from the insurer can wear you out. When your insurance company drags out the process, you may legitimately wonder whether it is trying to help you or trying to find a reason to deny your claim instead.
When You Need Help With Claims
Filing an insurance claim isn’t easy. The complicated paperwork can confuse you, while the endless questions and requests from the insurer can wear you out. When your insurance company drags out the process, you may legitimately wonder whether it is trying to help you or trying to find a reason to deny your claim instead.
- SITUATION A financial products business faced a major lawsuit because it had allegedly mishandled a client’s file. But when it submitted a claim, the insurance company refused to pay because the claim fell outside of coverage limits. It was a dire situation: a judgment could have doomed the business, while the cost of defending the lawsuit could have resulted in bankruptcy.
- RESOLUTION The business called John to re-file its claim. After reading the complicated, 100-page policy, he found a small, detailed clause the insurance company had conveniently ignored. John wrote a single letter pointing out the omission, and the insurance company quickly reversed its position, paying all expenses to settle the case.
Assistance with
- Determining which insurer covers your claim
- Planning the best way to present your claim
- Weighing your chances of getting paid
- Maximizing how much you get paid
- Communicating with your insurance company
Q What is the most common mistake when making an insurance claim?
A Assuming the insurance company is on your side.
Do not automatically furnish documents, sign consent forms, give a recorded statement, or take an examination under oath. Always assume the insurance company is working against you until the facts prove otherwise. Of course you should cooperate with the claims investigation. But be careful — you may need a lawyer to help you determine what you are required to share and what you can legally keep confidential.
Assistance with
- Determining which insurer covers your claim
- Planning the best way to present your claim
- Weighing your chances of getting paid
- Maximizing how much you get paid
- Communicating with your insurance company
Q What is the most common mistake when making an insurance claim?
A Assuming the insurance company is on your side.
Do not automatically furnish documents, sign consent forms, give a recorded statement, or take an examination under oath. Always assume the insurance company is working against you until the facts prove otherwise. Of course you should cooperate with the claims investigation. But be careful — you may need a lawyer to help you determine what you are required to share and what you can legally keep confidential.