Insurance Carrier Tactics Exposed

When you file an insurance claim, you expect your insurance carrier to have your back. Right? After all, that’s why you’ve been paying premiums all these years. Unfortunately, the reality is often quite different. Insurance companies, like any business, are driven by profits. This can lead to practices prioritizing their bottom line over your best interests. Here’s a closer look at some common insurance carrier tactics and how Premier Claims, a dedicated public adjusting firm, can help you combat them:

Common Insurance Carrier Tactics

1. Denial of Valid Claims

Insurance carriers may deny your claim for various reasons, often citing that the damage is not covered or is excluded due to policy limitations. One common tactic is to label damage as “old” or outside coverage limits, even if it occurred during the policy period. This is where regular property inspections become crucial. Premier Claims emphasizes that regular inspections document the condition of your property and ensure that you can clearly distinguish any new damage from pre-existing issues. To have your property inspected by our team, contact us today. 

2. Underpayment of Claims

Insurance carriers may significantly underpay claims even if your claim is not outright denied. They rely on policyholders’ lack of insurance knowledge and the frustration of navigating the claims process. At Premier Claims, we counter this by leveraging our expertise to analyze your policy meticulously. We break down complex industry terminology and ensure that you receive compensation according to the terms of your policy.

3. Confusing Policy Language

Insurance policies are notorious for their complex language and industry-specific terminology. Carriers may use this to their advantage, hoping to confuse policyholders into accepting less than they deserve. Premier Claims provides a critical service by interpreting and explaining your policy in plain language. Our team dives deep into the fine print, uncovering any hidden benefits and ensuring that every clause is interpreted to maximize your claim. To ensure your property is adequately protected, have your policy reviewed by our team: Complimentary Policy Review

How Premier Claims Can Help You

At Premier Claims, we understand the challenges you face when dealing with common insurance carrier tactics. Our mission is to level the playing field and to help protect your rights throughout the claims process. Here’s how we can assist you:

COMPREHENSIVE POLICY ANALYSIS

Our legal team dissects insurance policies to uncover every potential benefit available to you.

STRATEGIC CLAIM NEGOTIATION

We fiercely advocate for you, negotiating with insurance carriers to secure the maximum compensation available.

EXPERT GUIDANCE AND SUPPORT

From initial consultation to final settlement, we provide personalized support and guidance, intending to keep you informed and empowered.

Don’t let insurance carriers exploit your trust and lack of industry knowledge. At Premier Claims, we are committed to fighting for your rights and ensuring you receive the best compensation available. Whether your claim has been denied, underpaid, or needs professional guidance through the claims process, we’re here to help. Contact us today to learn how we can help protect your interests and maximize your insurance claim.

Involving Legal Professionals in Your Claim

Is Involving Legal Professionals Necessary for Your Insurance Claim?

While the optimism of seeing the world through rose-colored glasses may suggest otherwise, the complexities of insurance claims can make legal assistance invaluable. Discover why having someone advocate for your best interests is crucial in the modern insurance landscape, where carriers aim to protect every cent.

Public adjusters typically handle claim advocacy effectively, rendering attorney involvement unnecessary. However, there are scenarios where legal assistance becomes vital:

Coverage Denial and Refusal to Negotiate

In instances where insurance coverage is denied or negotiations are refused, consider involving legal professionals. Legal professionals work to challenge denials, advocating for policyholders’ right to secure the coverage they’re entitled to. Legal professionals can also engage in negotiations with insurance carriers, striving for a settlement that is fair and reasonable.

Policy Interpretation Issues

Insurance policies often involve intricate language open to interpretation. Legal assistance becomes essential when disputes arise over policy terms. Attorneys can provide clarity on policy language, aiming to safeguard the rights of policyholders and that carriers adhere to the agreed-upon terms.

Bad Faith Practices by Insurance Carriers

Bad faith practices occur when an insurance carrier acts dishonestly or unfairly toward a policyholder. This includes unreasonably delaying claims processing, undervaluing claims, or wrongfully denying valid claims. Legal professionals can identify and challenge such practices, holding carriers accountable for acting in good faith and aiming to maintain fair treatment throughout the claims process.

Beyond the situations highlighted above, there are less apparent, yet valid reasons to consider legal counsel. Chip Merlin of Merlin Law Group, discusses one of these less apparent reasons in his blog “Insurance Company Claims Adjuster Bonus Programs and Criteria.” Some carriers may incentivize adjusters to underpay claims, making it crucial to involve legal representation. Legal professionals can file discovery motions to uncover any undisclosed bonuses that may compromise the fairness of claim payouts.

Uncovering these bonus programs may be challenging, as carriers often attempt to disguise them. An attorney, equipped with the expertise to refine discovery requests, can reveal less savory bonus programs. While not every claim requires legal intervention, having an attorney available ensures that, if needed, assistance is just a phone call away.

Explore the nuances of public adjusting claims and understand when legal involvement can make a significant difference in securing a fair and favorable settlement.

By: Ashley Balsbaugh | Associate Attorney