Case Specialty: Claims Against Insurance Companies

Claims Against Insurance Companies

Although we purchase insurance with the hope that we will never have to use it, most of us, at one point or another, must contact our insurance company to pay a claim. Generally, most claims have to do with health insurance, automobile accidents or home owners coverage. Unfortunately, the insurance company, although quick to accept premium dollars is not so quick to pay out claims. Often times it performs what is known as "post-claim underwriting," which allows it to investigate the claim and look for an excuse to avoid coverage. Insurance companies look for anything that could arguably be a pre-existing condition, a misrepresentation on the application for insurance, or any inconsistencies that will allow them to refund the premium once it becomes clear that the claim will be significant.

Most individuals who purchase insurance have no idea what type of coverage they have purchased. The insurance company is counting on the insured’s lack of knowledge, with the hope that claims will never be made. Insurance companies will routinely deny benefits based on an independent review by their doctors, with full knowledge that this is an insufficient basis to terminate benefits. The insurance company is hopeful that the insured will never contact an attorney and therefore will never be aware of his rights or benefits.

If you have a claim against an insurance company that has been wrongfully denied, please contact us.

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