Don't file an insurance claim until you read this (2024)

Don't file an insurance claim until you read this (1)Our daughter Jaime called to tell us, through angry tears, that she learned from her mortgage company that her homeowner’s insurance policy had been cancelled.

Evidently, when the mortgage holder tried to make a payment from Jaime’s escrow account, the insurance company couldn’t accept it because Jaime was no longer insured. After cooling down and gaining her composure, she contacted her insurance company who affirmed the cancellation. The reason? She had filed three claims over a nine-year period.

“Why,”she asked, “didn’t anyone caution me that I was about to be dropped? And, pray tell, why didn’t you tell me when you dropped me?”

“We sent you a cancellation letter before the policy was dropped. It was returned to us as ‘non-deliverable,’”the agent stated coolly. “That is all we are required to do. If you didn’t get it, it is not our fault.” (Note from Joe: This makes no sense because Jaime still lives in the same “insured” house she had been paying premiums on all those years.)

With her mortgage holder breathing down her neck, Jaime contacted several insurance firms before finding one who agreed to a policy which cost twice as much as her previous one. She feels betrayed by her former company and unwilling to trust her new one.

So, what can we learn from this nightmare? Should you even file an insurance claim?

“Of course!” is the logical answer. “Why should I pay for insurance if I am not going to use it?” Yes, that is good logic, but who says insurance companies are logical? The stark truth is that you may be better off paying the claim yourself.

Here are some guidelines . . . .

When toFile the Insurance Claim

1.File ifit’s a Big One

When the size of the claim is small enough that you can handle it out of pocket, you probably should. However, when the big ones come, go ahead and file. This is why you bought the insurance. Tricky challenge: Define what “big” is for you.

2. File ifYou Have a First-TimeForgiveness Policy

Some policies offer a one-time freebie, meaning that you will not be penalized by filing that claim. In many cases, this provision only applies if you have been accident-free for a number of years.

3. File ifYou Haven’t Had Any Recent Claims

This is similar to the first-time forgiveness policy, but it is a good idea to communicate with your agent before filing the claim. At this point, you need to be coy about the incident. Why? Because some agents are required to note in your file that you have had an incident even if you don’t file a claim. Ask hypothetically, as in “if I were to have an accident, would filing a claim raise my future premiums?”

4. File if Someone Was Injured

If there is a chance that someone was injured in the accident, go ahead and file in order to protect yourself from a possible injury lawsuit.

When Not to File the Insurance Claim

1. Don’t FileIf the Claim Amount is Close to Your Deductible Amount

There is no need to get flagged by your insurance carrier if you are going to be paying most or all of your loss out-of-pocket anyway.

2. Don’t Fileif You Have Had Moving Violations

Some auto insurers consider your driving violations as good cause to raise your premiums or drop you. Adding a claim to these violations will likely kick off some punitive action.

3. Don’t Fileif You Have Had Other Claims

Filing several claims in a short time frame is asking for trouble. You will certainly get your premiums bumped up and you may get canceled (although, as previously noted, my daughter’s three claims were spread over a long period).

Helpful Insurance Tips

1. LearnAhead of Time

Talk to your agent now, while there are no claims pending, to learn the company’s policy on raising premiums and canceling policies. Ask your agent to explain the surcharge schedule, which shows how much rates will increase after a claim. The agent is more likely to be forthcoming when no money is at stake.

Am I saying that agents may misrepresent those policies when there ismoney on the line? Yes.

2. Consider Raising Your Deductibles

The larger deductible you can afford, the lower your premiums will be and the less likelihood you will file a “minor” claim, triggering a rate hike or cancellation.

Hint: Make sure you have a big enough emergency fund to cover those deductibles. Consider $1,000 on auto and $2,500 on homeowners.

3. Get a C.L.U.E.

What is C.L.U.E.? Comprehensive Loss Underwriting Exchange. This quote from their website explains their services:

The C.L.U.E. Personal Property report provides a seven year history of losses associated with an individual and his/her personal property. The following data will be identified for each loss: date of loss, loss type, and amount paid along with general information such as policy number, claim number and insurance company name.

The C.L.U.E. Auto report provides a seven year history of automobile insurance losses associated with an individual. The following data will be identified for each loss: date of loss, loss type, and amount paid along with general information such as policy number, claim number and insurance company name.

Simply put, you have free access to the same accident and claim history your insurance carrier has. Knowledge is power, so get that knowledge.

Final Thoughts

Insurance is aptly defined as a transferring of risk. Because most of us don’t have the bankroll to finance our own risks, we need insurance. But the best plan for the long run is to maintain a big enough emergency fund to allow you to raise those deductibles, keep premiums down, and file only big claims.

Have you ever had your insurance policy canceled? Were you properly notified ahead of time? What kind of hassle did you incur getting new insurance? Did you end up changing insurance companies? Leave a comment!

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Don't file an insurance claim until you read this (2024)

FAQs

What do you say when making an insurance claim? ›

Give your name, address, policy number, and the date and time of your loss. Make sure to tell your insurance agent where you can be reached, especially if you are unable to stay in your home. Follow up the call with a letter detailing the problem. Keep a copy of the letter.

How do I respond to a denied insurance claim? ›

If an insurance company denies a request or claim for medical treatment, insureds have the right to appeal to the company and also to then ask the Department of Insurance to review the denial. These actions often succeed in obtaining needed medical treatment, so a denial by an insurer is not the final word.

What is insurance best answer? ›

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company. The company pools clients' risks to make payments more affordable for the insured.

How do you write a strong claim sentence? ›

An effective claim is sharply focused and limited enough to be covered in the prescribed length of the essay. A claim must also answer the question: So what? Why/how does this issue matter to readers? What does it mean to make an argument about a text?

What are good claim statements? ›

A claim must be arguable but stated as a fact. It must be debatable with inquiry and evidence; it is not a personal opinion or feeling. A claim defines your writing's goals, direction, and scope. A good claim is specific and asserts a focused argument.

What is a good claim example? ›

A claim answers a debatable question posed by a writer, which then is proved in a paragraph or essay. For example, "Dogs make better pets than cats" is a claim that can be argued.

How to challenge insurance claim denial? ›

Start the appeal process with a written request that addresses the specific reason that the claim was denied and the reasons why the denial should be reversed. If you can't find the information you need, contact the insurance provider's customer service department.

Why are most insurance claims denied? ›

Insurance claims are often denied if there is a dispute as to fault or liability. Companies will only agree to pay you if there's clear evidence to show that their policyholder is to blame for your injuries. If there is any indication that their policyholder isn't responsible the insurer will deny your claim.

How do you answer an insurance adjuster question? ›

Don't give more details than the basics. Avoid giving a narrative of the car accident. You may even decline a yes-or-no question if it pertains to how the collision occurred. Also, avoid telling the adjuster about your injuries.

What not to say to a home insurance adjuster? ›

Anything you say that could suggest that you were negligent could result in you not being covered by your claim. To avoid this, be as detailed with your adjuster as you can be, or have a them help you formulate a statement.

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