When any kind of insurance claim, whether it be medical, auto, flood, fire, etc., is submitted to an insurance company, that company evaluates the claim. Hopefully, the insurance company evaluates the validity of the claim according to industry standards and in accordance with federal and state regulations related to the processing of insurance claims. Unfortunately, not all legitimate claims are evaluated properly. Sometimes, unintentional human error contributes to an improper evaluation or inadequate investigation of the claim’s validity. At other times, intentional – and ultimately illegal – behavior known as “bad faith” contributes to the delay, rejection or incomplete payout of a claim. In such cases, it may benefit policyholders to consult with an experienced Delray Beach, Florida insurance lawyer. Depending on the nature of your situation, you may be entitled to restitution.
Insurance Claim Investigations – The Basics
The ways in which insurers investigate claims varies according to the kind of claim submitted. For example, investigating an auto accident claim may involve obtaining photographs of the physical damage done to the vehicle and speaking to the mechanic who has attempted to repair it. By contrast, investigating a medical claim may involve evaluating medical records, hospital admissions, medical history, etc. Insurers are legally bound to properly investigate claims before rejecting them. When an insurer rejects a legitimate claim that would ordinarily be covered under the terms of the governing policy and that insurer does so intentionally, the insurer is almost certainly guilty of bad faith behavior. The affected policyholder may then benefit from working with an experienced Delray Beach, Florida insurance lawyer in order to resolve the issue and ultimately receive compensation for harm suffered by the initial bad faith behavior on the part of the insurance company.
Please do not panic if you are unsure of whether your insurance company properly investigated your claim before rejecting it, etc. Our team can help you to figure out what happened and to respond accordingly.
Bad Faith Claims Assistance Is Available
If you suspect that your insurance claim may have been inadequately investigated, improperly delayed, rejected or partially paid, please do not hesitate to speak with an experienced Delray Beach, FL insurance lawyer today. The inner workings of the insurance claims investigation and evaluation process are often shrouded in mystery. The legal team at the Law Offices of Eric H. Luckman, P.A. is experienced and understands how to navigate bad faith behavior on the part of insurers. Although insurance companies may hope that their policyholders will simply “give up” on receiving the compensation they are due because the system is too complicated to navigate, our team is not so easily dissuaded. In fact, we have a strong record of helping our clients resolve bad faith matters favorably whenever possible.
If you have questions about how an insurance claim you submitted was investigated or ultimately resolved, please do not hesitate to contact a Delray Beach, Florida insurance lawyer today. Once an attorney learns about the particulars of your situation and advises you of your legal options, you will be empowered to make an informed decision about your situation. Please call today.