What To Do if Progressive Denies Your Accident Claim | Zanes Law (2024)

If you are dealing with the frustration of having your accident claim denied, it’s important to understand that you might have other options for recovering compensation. A Phoenix car accident lawyer can help you understand all your options and how to proceed.

This could include filing an appeal of your claim, gathering evidence, or even building a case for negligence, including reviewing time frames to ensure you don’t run out before it is settled.

Your lawyer can arm you with knowledge on what tactics insurance companies might use when denying claims and show you how to win financial compensation even if Progressive denies your car accident claim.

What Reasons Might Progressive Have For Denying a Claim?

There are a few potential reasons Progressive could deny your accident claim:

Lack of liability: If the insurance adjuster determines you were at fault or held the majority of fault for the accident based on their investigation, they may deny your claim.

Policy exclusions: Your policy may have exclusions that prevent coverage for certain types of accidents.

Pre-existing damage: If they believe some of the damage existed prior to the accident, they may deny that portion of your claim.

Fraud: In rare cases, Progressive may suspect fraud or misrepresentation related to your claim and deny coverage on that basis.

Lack of coverage: They could deny the claim if it is determined you do not actually have coverage for the type of loss or damage involved.

Failure to document: If you do not provide Progressive with needed documentation, information, or access to damaged vehicles/property, they may deny your claim

Statute of limitations: There are time limits to filing an accident claim. If you file outside that window, they could legally deny the claim.

Seeking legal advice could also be worthwhile to determine if their denial was justified or potentially in bad faith. There may be loopholes in the policy language or other ways to force the insurance company to honor your claim.

For a free legal consultation, call 866-499-8989

What Are My Options if My Progressive Claim is Denied or They Don’t Offer Enough Money?

If your Progressive claim is denied or you think they are lowballing you, here are some options:

Gather More Documentation and Evidence

Review your policy and gather estimates and documentation to support your claim. This can help strengthen your case if you appeal the denial.

Appeal the Claim Denial

Submit your additional documentation and evidence and formally appeal their decision. Request to speak to a supervisor or claims manager.

File a Complaint With Your State Department of Insurance

Most states have an agency that regulates insurance companies. Filing a complaint can prompt them to reconsider your claim.

Hire an Attorney

If the insurer still refuses to pay, your personal injury lawyer can review your claim and documentation to build a stronger case. An attorney can send a demand letter or threaten legal action.

File a Lawsuit Against Progressive

As a last resort, you can sue Progressive for breach of contract if they wrongfully denied your claim. A lawyer may be able to help you gather strong evidence and documentation to support your case.

Insurance Companies Have Legal Obligations

Progressive Insurance, just like any insurance company, is legally obligated to settle insurance claims in good faith. This means that they must obey the laws and regulations set in place and make honest attempts to solve any claims presented.

In order for a claim to be deemed legitimate, certain criteria must be met, including the fact that damages can not simply be denied without sufficient evidence. If a car accident is treated unfairly or maliciously by an insurance company, then it counts as bad faith insurance handling.

Some examples of bad faith can be:

  • Forcing claimants to litigate against the company to get fair claim payments
  • Using policy limitations or exclusions to deny claims, even if they are valid under the circ*mstances
  • Engaging in misleading, fraudulent, or dishonest strategies
  • Making unreasonably low settlement offers without evaluating the claim in its entirety
  • Deliberately prolonging the payment of valid claims in order to increase the pressure on the claimant to accept a lesser amount
  • Providing the policyholder with false or misleading information regarding the claim or coverage
  • Failure to notify the policyholder of the status of the claim investigation and delays
  • Unjustified claim denials – denial of valid claims without appropriate investigation or justification

Victims of bad faith insurance cases have the right to seek compensation from Progressive Insurance that equals the value of damages.

This includes anything related to:

  • Lost wages
  • Medical bills
  • Property damage
  • Vehicle repair or replacement
  • Other costs related to the accident

Furthermore, those who suffer from this type of mistreatment may also receive additional money if deemed necessary by a court ordering Progressive Insurance to act in good faith.

Click to contact our personal injury lawyers today

Contact Us Today to Find Out How a Car Accident Lawyer Can Help

If your Progressive insurance claim has been denied, you have options to fight the denial and pursue justice. A personal injury attorney can fight for you and seek the full value of your compensation. With years of experience in representing claimants against insurers, we have a deep understanding of how to combat their tactics.

We know that suffering a serious injury due to another person’s negligence is traumatic and complicated enough without being met with additional roadblocks from insurance companies. Our legal team will work closely with you toward getting fair compensation.

Zanes Law will handle all contact with insurance providers, aggressively negotiating to improve your financial recovery. We cover all litigation costs until the case is settled and handle your claim on a contingency fee basis, so there is no out-of-pocket charge to you. Contact us today.

Call or text 866-499-8989 or complete a
Free Case Evaluation form

Car Accidents Blog Posts:

Why Bruce Jenner’s Accident is a Lesson for ALL Drivers Out There

Every media outlet has a scope on the recent and fatal Bruce Jenner car crash. Many accounts have recalled the incident in varying detail but none look promising for any party involved including the

Phoenix Light Rail Crash

A very major and scary crash recently closed down a major Central and Indian School Road intersection.Although the crash has long been cleared since Saturday, the collision between a

Tracy Morgan Lawsuit Finally Settles

Many fans of the famous (now ended) sitcom, 30 Rock, anxiously followed the news after beloved actor and comedian Tracy Morgan was involved in a trucking accident.A Walmart tractor-trailer

And Then It Happens To You… A Car Accident.

An accident victim who was injured in a car accident in Tucson, Arizona describes her experience in this guest post.You hear about them all the time. You have even witnessed some right in

What To Do if Progressive Denies Your Accident Claim | Zanes Law (2024)

FAQs

What To Do if Progressive Denies Your Accident Claim | Zanes Law? ›

Internal appeal: If your claim is denied or your health insurance coverage canceled, you have the right to an internal appeal. You may ask your insurance company to conduct a full and fair review of its decision. If the case is urgent, your insurance company must speed up this process.

What happens when an insurance claim is denied? ›

Internal appeal: If your claim is denied or your health insurance coverage canceled, you have the right to an internal appeal. You may ask your insurance company to conduct a full and fair review of its decision. If the case is urgent, your insurance company must speed up this process.

Does Progressive have an appeal process? ›

With that notice, you can work through the appeals process on your own or enlist the assistance of a car accident attorney familiar with Progressive insurance policies. Once you decide to appeal with or without legal representation, you will begin to build your case for reconsideration.

When can an insurance company refuse a claim? ›

Companies will refuse to approve your request for compensation if your claim lacks support and evidence. The insurer may justify its denial by claiming that it believes your injuries were pre-existing at the time of the accident or that your own conduct made the injuries worse.

What happens when insurance companies disagree? ›

When this happens, carriers typically negotiate between themselves to reach a mutually agreeable determination. These negotiations may delay the settlement of your claim, but insurers are bound by law to pay out your settlement in an expeditious and fair manner.

What are the possible solutions to a denied claim? ›

If you believe that the insurance company's decision was incorrect, you can file an appeal. This may involve submitting a written request to the insurance company explaining why you believe the claim should be approved. You may also be able to present your case to an independent review board.

What to do after a claim is denied? ›

File an appeal

Filing a formal appeal triggers a review of your denied claim. Include with your appeal as much evidence and documentation as you can to support the position that your damages should be covered.

What happens if Progressive denied my claim? ›

File a Lawsuit Against Progressive

As a last resort, you can sue Progressive for breach of contract if they wrongfully denied your claim. A lawyer may be able to help you gather strong evidence and documentation to support your case.

Is there a class action suit against Progressive? ›

Class actions led by Kendrick Brown and Michelle Bost were filed against Progressive almost three years ago and later combined.

What are the odds of winning an insurance appeal? ›

Nationally, although 94 percent of insurance deni`als are never appealed, approximately 70 percent of health insurance appeals are granted. Insurers are counting on you giving up after receiving a denial, but making the effort to appeal can pay off.

What insurance company denies the most claims? ›

Claim denial rates by insurance company
CompanyClaim denials
UnitedHealthcare32%
Anthem23%
Aetna20%
CareSource20%
1 more row
Apr 24, 2024

How do I argue an auto insurance claim? ›

Immediately notify the insurance company—via phone and in writing via a follow-up letter or email—that you disagree with their finding of fault and intend to take action by presenting new evidence and/or explaining/reframing the existing fault picture.

What is it called when an insurance company refuses to pay a claim? ›

Bad faith insurance refers to the tactics insurance companies employ to avoid their contractual obligations to their policyholders. Examples of insurers acting in bad faith include misrepresentation of contract terms and language and nondisclosure of policy provisions, exclusions, and terms to avoid paying claims.

How does Progressive investigate claims? ›

Typically, the adjuster contacts you within one to three days of the claim filing. Your adjuster arranges an inspection, assesses the damage to your car, and/or addresses any personal injury claims. Additionally, an adjuster could analyze police reports and interview witnesses to the accident.

What to do if you disagree with an insurance claim? ›

  1. Step 1: Contact your insurance agent or company again. Before you contact your insurance agent or home insurance company to dispute a claim, you should review the claim you initially filed. ...
  2. Step 2: Consider an independent appraisal. ...
  3. Step 3: File a complaint and hire an attorney.
Feb 16, 2024

How many accidents can you have before Progressive Drops you? ›

Insurers may not drop a customer after their first one or two incidents. The first step is often to increase your car insurance rate. From there, if a customer has another accident or files more claims, the insurer may send a notice that they won't be renewing the policy at the end of its term.

What is the difference between denied and rejected insurance claim? ›

A claim rejection occurs before the claim is processed and most often results from incorrect data. Conversely, a claim denial applies to a claim that has been processed and found to be unpayable. This may be due to terms of the patient-payer contract or for other reasons that emerge during processing.

What is a reason for an insurance claim to be rejected? ›

The claim has missing or incorrect information.

Whether by accident or intentionally, medical billing and coding errors are common reasons that claims are rejected or denied. Information may be incorrect, incomplete or missing. You will need to check your billing statement and EOB very carefully.

Top Articles
Latest Posts
Article information

Author: Carmelo Roob

Last Updated:

Views: 6352

Rating: 4.4 / 5 (65 voted)

Reviews: 80% of readers found this page helpful

Author information

Name: Carmelo Roob

Birthday: 1995-01-09

Address: Apt. 915 481 Sipes Cliff, New Gonzalobury, CO 80176

Phone: +6773780339780

Job: Sales Executive

Hobby: Gaming, Jogging, Rugby, Video gaming, Handball, Ice skating, Web surfing

Introduction: My name is Carmelo Roob, I am a modern, handsome, delightful, comfortable, attractive, vast, good person who loves writing and wants to share my knowledge and understanding with you.