The first thing you have to do in the event of a vehicle accident is to fully understand your policy, so that you have the right to claim if the insurer refuses to pay you.
The business of insurance companies is not precisely to pay for each incident that you have in your car. They are going to be very strict about reviewing situations in which an incident occurred. And in some cases, they will even refuse to pay.
Depending on the type of loss, the insurer may have a legal reason to refuse to pay for damages caused by an accident, however, you must be fully informed about your policy and the laws, because they do not always act properly.
In the event that the insurer refuses to pay you a claim, the first thing you should focus on is understanding the reason why it is being denied, since only then can you plan what the next step will be.
To file a claim, it is necessary for an insurance adjuster to go to the scene of the incident to take strict detail of everything that happened. With his documentation, he will analyze if the car insurance claim will be denied or if it proceeds.
If it is the case that they consider that the accident is not covered by the policy you bought, then they will let you know through a formal letter detailing the factors that led them to determine such a conclusion. This letter is called the denial of the claim, however, it does not mean that the decision is final and that the process ends there.
In fact, you have the right to appeal the decision and let the insurance company know. The first thing you should do is fully understand the reasons why it was denied, in fact, it will include the evidence that was the basis for the denial.
Some of these include an expired policy, policy exclusions, not enough coverage, uninsured cars involved, the at-fault driver’s insurer refusing to proceed with your claim, to name a few.
In this context, what you have left to do is:
- Gather the evidence that shows that you are right and that, in any given case, the payment for the incident should end up proceeding.
- Write an appeal letter and address it to your insurance company. You must include supporting evidence.
- It may be a better bet to strengthen your case with the legal support of a lawyer.