Was Your Insurance Claim Denied?
Your Property Damage Claims
If you’ve had your insurance claim denied, don’t give up hope.
It can be expensive to repair your property after it is damaged. Insurance policies can help with this, but sometimes the insurance company will not pay for damage that happened. This is called a denied claim. If this happens to you, don’t give up. There are things you can do to try and get the outcome you deserve.
Firstly, it’s important to remember the insurance company is a business, and like any other business, it is in it to make a profit. This means that the insurance company may try to deny your claim or pay you less than you deserve for the damage to your property.
There are things you can do if your insurance claim is denied. First, review your policy and make sure you understand what it covers. If you don’t understand something, ask an expert. There are also adjusters called Public Insurance Adjusters that work on commission to help property owners get the most from their insurance company. They will help you file your claim and fight for the outcome you deserve. Don’t accept a denial from the insurance company without fighting for what you are owed.
Was your insurance claim denied?
Your Property Damage Claims
If you’ve had your insurance claim denied, don’t give up hope.
It can be expensive to repair your property after it is damaged. Insurance policies can help with this, but sometimes the insurance company will not pay for damage that happened. This is called a denied claim. If this happens to you, don’t give up. There are things you can do to try and get the outcome you deserve.
Firstly, it’s important to remember the insurance company is a business, and like any other business, it is in it to make a profit. This means that the insurance company may try to deny your claim or pay you less than you deserve for the damage to your property.
There are things you can do if your insurance claim is denied. First, review your policy and make sure you understand what it covers. If you don’t understand something, ask an expert. There are also adjusters called Public Insurance Adjusters that work on commission to help property owners get the most from their insurance company. They will help you file your claim and fight for the outcome you deserve. Don’t accept a denial from the insurance company without fighting for what you are owed.
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Why Was My Claim Denied?
01. Failure to Mitigate
One reason your insurance claim may have been denied is that you failed to take reasonable steps to protect your property from damage. For example, if you have a plumbing leak and leave it for an extended period of time you are not making an effort to protect the property. Make sure you understand your policy and take all necessary precautions to protect your property from damage.
02. Failure to Promptly Report
Reporting a loss promptly is one of the most important steps you can take to ensure that your insurance claim is processed smoothly. The insurance company wants to have an opportunity to investigate the loss without other factors impacting the property. Make sure you report any damage or loss as soon as possible. While you do have two years to report a loss the best outcome is when the reporting is done quickly.
03. Misrepresented or Presented Confusing Information
Too much information often doesn’t help the insurance company adjusters get a clear picture of the loss and damage you are requesting compensation for. If there were multiple causes of damage, previous insurance claims, or pre-existing damages, information that the desk adjuster needs become confusing. It’s important to present clear and concise information to the insurance company. Make sure you are honest and accurate when reporting any information. This will help ensure that your insurance company has all the information they need to process your claim.
04. Presented Inaccurate Cause of Loss
The insurance company may believe that the damages were caused by something other than a covered cause. For example, if the water damage was caused by a faulty roof, the insurance company may deny your claim because the damage was not caused by a covered cause of loss. Make sure you understand your policy and are able to accurately describe the cause of the damage to the insurance company.
05. No Coverage in the Policy
If the insurance company denied your claim because they felt that the damages were not caused by an insured peril, you may need to provide additional evidence to support your case. The policy will list the causes of loss it covers. If your claim isn’t presented properly and you haven’t supported it with details it could get denied. If you have evidence like photographs of the damage, receipts for repairs, and witness statements you can build a claim. Make sure you have all the information you need to support your insurance claim and contact a Public Insurance Adjuster if you need help contesting the outcome of your denied insurance claim.
06. Failure to Assist Investigation
If you denied your insurance company’s request for additional information, or failed to cooperate with their investigation, they may have denied your claim. Make sure you provide all the information the insurance company needs in a timely manner and cooperate with their investigation. Make yourself available to the desk adjuster. This will help ensure that your insurance claim is processed smoothly.
07. Previous Claim
Filing multiple claims may result in your insurance company denying your current claim. A property owner is entitled to file as many claims as they have. Make sure you are honest and accurate when reporting any information. The insurance company needs to understand what repairs were made from previous claims, what was paid for in previous claims, and what damages might be pre-existing and unrepaired. This will help ensure that your insurance company has all the information they need to process your claim.
08. Pre-Existing Damage
If your insurance company denied your claim because of pre-existing damage, you may need to provide additional evidence to support your case. The policy will list the causes of loss it covers. If the claim isn’t presented properly and you haven’t supported it with documented evidence, the insurance company may deny your claim. This could include photographs of the damage, receipts for repairs, and witness statements. Make sure you have all the information you need to support your insurance claim and contact a Public Insurance Adjuster to see if you need assistance.
09. Long-Term Wear and Tear
This is a common denial reason for insurance claims. If the damage occurred slowly over a long period, it’s not going to be covered. If your insurance company denied your claim because of long-term wear and tear, you may need to provide additional evidence to support your case. The policy will list the causes of loss it covers. Providing photographs of the damage, receipts for repairs, and witness statements will strengthen your claim. Experts can also be brought it to provide opinions and support the claims.
10. Misinterpreting the Policy and Statutes
In Florida there are statutes designed to protect the property owner. The policies have to be written with that in mind. It’s the job of the desk adjuster to interpret the policy to find coverage for the claim and make a payment. Too often, insurance company adjusters aren’t trained well enough and misinterpret the facts resulting in a denied claim. Don’t ever trust a denial from the insurance company without getting a Public Insurance Adjuster to review the circumstances first.
How do I know if my claim should have been paid?
There are a few key things you can look for to determine if your denied insurance claim should have been paid.
If the damage is not included in your policy, the insurance company is not obligated to pay for it. If the insurance company denied your claim because of pre-existing damage, you may need to provide evidence to support your case. If the damage is from long-term wear and tear, you may need to provide evidence to support your case. The policy will list the causes of loss it covers.
You should also be aware of any state laws that could be in your favor. In Florida, for example, there are statutes designed to protect the property owner.
If you have had your insurance claim denied, be sure to get a free consultation from a public insurance adjuster. They will be able to tell you if the insurance company denied your claim unfairly and can help you get the outcome you deserve.
Many people are unaware that public insurance adjusters work on commission. This means they get a percentage of the payout from the insurance company. Because of this, they have a strong incentive to get the claim approved and are always looking for opportunities to find wrongfully denied claims they can turn around.
Public insurance adjusters are experts in dealing with insurance companies and know all the tricks they use to deny claims. They can help you file your claim correctly and provide evidence and expert support to make sure your case is heard fairly.
If you’ve had a denied insurance claim, call David Kanter Public Adjuster for a free consultation.
Call Us NowAre you getting the most out of your Claim?
A property owner has the right to use their insurance policy when there is a covered event that causes damage. However, insurance companies’ profitability lies in denying and underpaying insurance claims. Don’t expect that they will do the right thing for their customers when they denied your claim.
Challenging a claim to turn it around can sometimes be an easy five-minute phone call to point out missed information or a much longer process. A Public Insurance Adjuster is trained and licensed professional with the tools and knowledge to identify if your claim was wrongly denied and turn it around successfully. Having your claim reviewed usually takes less than 30 minutes and can identify any missed opportunities.
Commonly asked questions
A. You have a limited amount of time to challenge a denied insurance claim. The length of time you have to challenge a denied insurance claim depends on the state in which you live. In Florida, for example, you have two years from the date of the denied insurance claim to file a lawsuit.
If your denied insurance claim was because of pre-existing damage or long term wear and tear, you may need to provide evidence to support your case. The policy will list the causes of loss it covers.
If you have had your insurance claim denied, be sure to consult with a public insurance adjuster as soon as possible so they can help guide you through the process and give you advice on what steps to take next.
A. Public insurance adjusters work on commission, so they have a strong incentive to get the claim approved. Sometimes they can get the claim approved with a quick phone call with the insurance company to convince them they missed key details. Sometimes it can take months or longer depending on the circumstances of the claim.
They can help you file your claim correctly and provide evidence and expert support to make sure your case is heard fairly. If you’ve had a denied insurance claim, don’t hesitate to contact a public insurance adjuster for a free consultation.
A. No. There are several options to resolve disputes with the insurance company. Litigation is only one option and not always the quickest or most lucrative. Options such as negotiation, appraisal, or mediation are often available. A Public Insurance Adjuster can evaluate a claim and advice a property owner on the best course of action to take.