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Insurance Company Denied My Claim Now What?

We have all been in a position where we have reached out to our insurance company to make a claim, then to find out that your claim has been rejected. This can be very devastating, especially if you have had a fire or had your personal possessions stolen.

In this post we are going to try and explain what could have caused your insurance claim to be rejected and things that you can do to ensure that your claim is accepted.

Why Your Insurance Claim May Have Been Rejected

Lack of Due Care

This means that valuables have been left out on show or your mobile has been misplaced whilst riding the bus. Many of these situations are not covered by your terms of your policy.

Poor Answers to All Questions on the Application

This can relate to not telling the insurance company about a medical condition which existed before taking out the policy or a previous criminal conviction which you did not state in your policy.

Incorrect Information Supplied

If you have given wrong information at any stage to your insurance company, maybe how something got damaged, it will affect your claim.

Should you be unhappy with the reasons your insurance company has given for rejecting your claim, then you are able to make a complaint to your insurance provider. If you have purchased your insurance through an insurance broker they may make the complaint for you, it would be worth asking to avoid the hassle yourself.

What Do I Do If My Insurance Company Denied My Claim?

Here are a few things you can do if you feel your claim should have been accepted.

Check over your policy

Checking over the details of your policy documents to see if you can fit the reasons given by your insurance company to the facts within your policy.

– If you took the time to answer all the questions on the claim application and have answered them as fully, honestly and to the best of your knowledge as you possibly can, then the insurance company cannot reject your claim. If you insurance company ask for information which they said you should have voluntarily enclosed, you should make a note of this.

– Write down or get a highlighter to make note of what exactly is covered within your policy, as you will need to be able to quickly find this information at a later time.

– Check that all the information you have given when taking out your policy is 100% correct.

– If you don’t understand any of the words in the policy, it would be best to highlight or make a note of these as the information which is supplied by the insurance company should be clear and concise.

How do I appeal an insurance claim denial?

“First, figure out what led to the denial of coverage and learn your insurer’s procedure for appeals. When you call your health plan to get the information, take notes and get names. If the problem can’t be readily resolved, you should ask the insurer for some key documents to reconstruct what led to the rejection.

You will need the denial letter. You should also get a copy of your plan’s full benefits language, sometimes called the “Evidence of Coverage,” as well as the detailed guidelines that explain what the company considers medically necessary. Some companies, such as Cigna Corp. and Aetna Inc., post their medical policies online.

After you gather the facts, set a strategy. You may want to start by seeking help from one of the array of nonprofit and for-profit entities that offer advice. Many states have health insurance consumer advocates.” From the article How to Appeal a Health Insurance Denial

Getting In Touch With Your Insurer

Once you’ve read through your policy, taking the time to highlight and make notes, it is time to get in contact with your insurer. There are several ways to do this, phoning their customer complaint line, writing a formal letter to send to their head office or by sending them an email. All of these methods will result in someone resolving the issue you are having.

This article was supplied by insurance camdenton mo.

 

How to Choose an Insurance Broker

Just about every day I’m answering questions and giving advise to people about insurance. Today we are going to talk about how to find a good insurance agent. According to the California Department of Insurance, more than 50% of consumers ranked someone they trust as the most important criteria When selecting insurance agent. So how can you find someone that you know you can trust if you don’t already know an insurance broker to begin with?

Well, first you want to find an insurance broker that specializes in the type of insurance you are looking for. I would avoid going to an insurance broker that sells a little bit of everything, because they’re probably not good with all types of insurance. They may be good with one or two types of insurance, but probably not good with everything.

I would also want to work with an independent agent. There are two types of agents. One is whats known as a captive agent, and the other is an independent agent. A captive agent only works for one company and only offers that particular company’s products. While an independent agent will have a number of different companies that they work with and can offer you multiple choices depending on your needs.

Third, its a good idea to contact a several agents. You will know if he or she is a good agent because they will likely ask you a lot of questions. And the more questions they ask, the better the agent they probably are. The more information they have about you and your insurance needs, the more they will be able to help you. So be sure to give them as detailed answers as possible.

Then finally get a quote from the agent you select for whatever type of insurance you are looking to buy. Out of all the agents you talk to, usually the one that stands out as the one you feel most comfortable with will probably be the right choice for you.

 

Car Insurance Compared to Other Expenses

Most people would agree that car insurance is a big expense. With so many advertisements everywhere trying to convince you to save money on car insurance, you would think its one of the bigger expenses. However, a study by the US Bureau of Labor Statistics shows that for overall United States consumer expenses, Auto insurance only accounted for 2.19%. This is actually less than less than telephone expenses for most.

We found a great info graphic below from Answer Financial that compares what people spend on different things including how much people spend on public transit in San Francisco, gas in Houston, Housekeeping supplies in Chicago, and meat in Boston. You can also see how much is spent on TV, telephone, and insurance costs in all areas.

inso graphic comparing auto insurance to other household expenses

Its actually pretty surprising how small of an expenditure auto insurance is compared to other common household expenses. Don’t forget to subscribe to our Insurance Blog for updates!