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What Should I Do Now That My Insurance Claim was Denied?

File folders with tabs labeled insurance, claimsDon’t panic. While getting a returned claim from your insurance adjuster with the conclusion of it being denied is intimidating and shocking, there are steps you can take to get your claim reviewed and eventually accepted. The insurance claim process can be a tough one, but here’s what you should do when you receive a claim rejection.

Give Your Insurance Policy a Good Look-Through

If you don’t have a copy of your policy, ask your insurance company for one so you can find where your company has made violations based on your claim. If you can’t find the source of the issue that would have possibly caused the denial, it will be difficult to create a case against your insurance company. Get informed before you pursue any action based on your insurance claim.

Get Your Insurance Claim Reviewed

If you think you’ve been wrongly denied by your insurance adjuster, send your claim in for review. You have the right for an internal review of your claim. Insurance companies have to provide an explanation as to why your claim was denied so you can knowledgably refute its rejection. Having your insurance claim re-reviewed puts another set of eyes on the situation and gives the company a little more time to rethink its decision. If the company denies your claim further, you can file for an external review of your claim as well but this should only be considered as a last resort.

Document Everything and Anything

No amount of documentation is too much when the insurance claim process is involved. While it is unethical, some insurance companies will reject viable claims in order to cut costs. Make sure you have all information organized and ready to go, so you are able to pinpoint the key points on your claim and how your insurance policy covers those points. Keep meeting notes and write down any key information from phone calls discussed. Keep a copy of all documents sent and received. Having all this information will make proving your claim viable easier and will be a huge time-saver.

Hire a Lawyer to Help You Through the Insurance Claim Process

If your insurance company continues to deny your claim after a review, it may be time to file a bad faith insurance claim. This is where all your documentation comes in handy. There are several moving pieces that go into filing a bad faith insurance claim and a little help along the way will greatly increase your chances of getting the compensation you are seeking. A lawyer will advocate on your behalf, help you prepare everything that is needed and assist in analyzing your next steps.

If you’re stuck in a bad spot with your insurance company, reach out to KBG Injury Law to guide you through the insurance claim process, making sure you have all you need to refute a denied insurance claim. Schedule a consultation, today so we can help you navigate through a bad faith insurance claim and provide support to get the coverage you deserve.

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To all current and prospective clients, please be advised that while we are open for business and working remotely, effective Tuesday March 17th, our offices will be closed to the public. All of our attorneys will continue to advocate for their clients and are available via telephone, email and/or videoconference. Our receptionist will continue to answer the phone and connect you with our attorneys and staff as needed. To our prospective clients, we are here for you to answer questions and to consult with free of charge as usual. Consultations can be conducted by telephone or videoconference. We hope everyone and their families are safe and sound during this unusual time. Please call or email us with any questions or concerns. Thank you!Contact Us
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