Contrary to popular belief, the insurance company can deny your truck accident claim even if you think you have a strong one. They may find reasons to minimize compensation offers or deny the claim outright, especially in truck accidents involving multiple insurers.
They have one goal – to maximize profits by denying and minimizing claims. They do that by collecting premiums while reducing payouts to keep their bottom line strong.
But sometimes, they take it too far, denying claims for flimsy reasons or blowing minor issues out of proportion.
When the insurance company can’t deny a claim outright, they downplay it instead. For instance, they may justify a small settlement possible by making injuries or repair costs seem less severe than they are. They might even exclude some accident costs, regardless of your policy coverage.
Understanding these strategies gives you an edge in dealing with insurance matters, ensuring fair treatment and the compensation you deserve. An experienced legal team by your side can challenge these tactics head-on and secure rightful compensation.
Legal Reasons for Insurance Claim Denials
The insurance company may deny your claim based on the following factors:
Failure to Meet Filing Deadlines: Auto insurance policies in Florida vary regarding the time frame for reporting truck accidents. Your insurance provider can let you know the exact duration. However, you must also meet other deadlines for your claim’s approval or validity in court. These include:
- Filing a Florida Traffic Crash Report – Long Form within 10 days of the accident.
- Seeking medical care within 14 days of the accident and informing your insurer if you want compensation for these damages.
- Initiate a lawsuit about the accident within two years if you require compensation for your injuries.
Failure to Prove Liability: Determining liability can be complex. While you may focus on the trucker’s insurance, other parties, like the cargo or trucking company, may share more liability. If you fail to address all liable parties, your claim can be denied.
Failure to Seek Immediate Medical Attention: Prompt medical attention is vital, even for seemingly minor injuries. So if you delay treatment or lack documented proof of medical care your claim can be denied.
Pre-existing Medical Conditions: Insurers may deny claims if they discover pre-existing conditions related to the accident injuries, complicating the claims process. For example, if you were recovering from a back injury you received pre-accident, your claim can be denied or reduced significantly.
Lack of Evidence: Solid evidence is crucial for claim success. A truck accident attorney at Madalon Law can ensure you have the necessary documentation and evidence to support your claim and prevent denial.
The Damages Outweigh Your Coverage: In Florida, many drivers carry insurance policies with coverage limits as low as $10,000. The amount cannot cover extensive vehicle damages and physical injuries resulting from an accident. So if your damages exceed the coverage provided by your policy, your insurance company may deny your claim.
In this case, your insurer will only pay out what is stipulated in your policy, leaving you responsible for any additional costs. However, if you think your insurer is failing to fulfill its obligations, can and should seek legal representation.
You made misleading or false statements: be honest and accurate when filing for insurance benefits. Insurers thoroughly investigate claims, and any discrepancies or exaggerations could result in a denial. Stick to the truth to avoid complications.
You Missed Premium Payments: If you fail to uphold your end of the agreement by neglecting premium payments, the insurer may deny your claim. Without active coverage at the time of the incident, you aren’t entitled to benefits.
Illegal Reasons for Insurance Claim Denials
There is a fine line between legitimate claim denials and outright illegal tactics used by insurance companies. You have the right to take legal action against your insurer for falsely denying or downplaying your claim if they try to do the following:
Delaying Tactics: When filing an insurance claim, you rely on your agent to guide you through the process and meet deadlines. However, some agents may deliberately delay your claim by suggesting you wait until you heal or requesting complex and time-consuming paperwork, so they can deny your claim later easily.
Improper Investigation: Claim approval hinges on evidence gathered during investigations, including police reports and insurer inquiries. But if these investigations are mishandled or incomplete, the presented facts may misrepresent your situation or cast doubt on your story. With the assistance of a skilled car accident lawyer, you can challenge improperly conducted investigations.
Exploiting Policy Knowledge: In some cases, insurers may wrongfully deny claims, assuming policyholders are unaware of their coverage. They may bombard you with confusing jargon or provide explanations to avoid payouts.
Underestimating Your Will to Fight: if the insurer believes you won’t push back, they may deny your claim. For example, if you are seriously injured (which is usually the case for anyone involved in a truck accident), they may assume you will face delays, miss deadlines, and make other assumptions about you. However, they cannot fool an experienced truck crash lawyer advocating for your rights.
Even if your insurance claim isn’t denied, the settlement offer may be far below your coverage limits or post-accident expenses. The insurance company can undervalue your medical bills or repair costs to reduce payouts. Whether your claim is falsely denied or minimized, you can and should fight back and get the maximum compensation you deserve.