What To Do When Car Insurance Denies A Claim (2025)
- Why Would Car Insurance Deny a Claim?
- Bad Faith Insurance Practices: What to Know
- What Happens When Car Insurance Denies a Claim?
- What to Do When Car Insurance Denies a Claim
- How to Appeal a Car Insurance Claim Decision
- What to Do if the Appeal Is Also Denied
- Wondering What to Do When Car Insurance Denies a Claim?
What to do when car insurance denies claims? Quick Answer
- If your claim is denied, you should first review the reason for the denial. If you still believe the claim is valid, you can file an appeal, and contacting a car accident lawyer may increase your chances of success.
Summary
- Insurance companies deny claims for a variety of reasons
- If your claim is denied, you should file an appeal as soon as possible
- Working with a lawyer can increase your chances of a successful appeal
When you file a claim with your insurance company, you expect that it will pay — after all, that’s why you pay insurance premiums every month. Unfortunately, insurance companies can (and do) deny claims — even legitimate ones — on a regular basis.
However, the simple fact that your claim was denied doesn’t mean you have no hope of having your claim paid. Here’s what to do when car insurance denies a claim.
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Why Would Car Insurance Deny a Claim?
Can car insurance deny a claim? The answer is yes. These are some of the common reasons insurance companies deny claims:
Your Policy Has Lapsed
Once you have a car insurance policy, you should make sure you pay premiums on time. Most insurance companies have some sort of grace period for paying your premium before your policy lapses. However, if the grace period passes and your policy lapses before your accident, the claim will be denied.
You Don’t Have the Right Coverage
Broadly speaking, there are three main types of car insurance coverage:
- Liability: Covers injuries and property damage when you’re at fault
- Collision: Covers damage to your car in accidents you cause
- Comprehensive: Covers non-collision damage (like hail damage or vandalism)
For a claim to be paid, you must have the right coverage. For example, in car accidents caused by another driver, you must file a claim with that driver’s bodily injury liability and/or property damage liability insurance.
If you caused an accident that damaged your car, you must file a claim with your own insurer. However, if you don’t have collision coverage, your claim will be denied.
The Damage Falls Under a Policy Exclusion
Every insurance policy has certain exclusions. These are instances where your insurer won’t pay. Some common exclusions include wear and tear to your car, damage you caused to your own vehicle while driving under the influence of alcohol or drugs, and broken glass.
You Didn’t Report the Claim on Time
Most car insurance companies have a set deadline for when you must file a claim. You should always check your policy to make sure you understand how long you have to file a claim. If you miss the deadline, the insurance company may be able to deny your claim.
You Don’t Have Enough Evidence
Unfortunately, you can’t just tell your insurance company about damage to your car and expect them to pay your claim — you must include evidence. These are some of the common types of evidence used to support insurance claims:
- Photos of the accident scene
- The police report from the accident
- Statements from witnesses
- Your medical records
- Repair estimates from auto body shops
- Footage from dash cams or traffic cameras
The more high-quality evidence you have, the harder it will be for your insurance company to deny your claim. If need be, a personal injury attorney can help you gather the right evidence.
The Insurer Believes the Claim Is Fraudulent
Unfortunately, insurance fraud is common enough that insurance companies must screen all claims for potential fraud. Even if you file a claim in good faith, the insurance company may believe it’s fraudulent if you don’t include enough supporting evidence.
The Insurer Is Acting in Bad Faith
After serious auto accidents, car insurance companies will often try to do what they can to avoid paying claims. Sometimes, they go so far as to act in bad faith. This means they act dishonestly to avoid having to pay claims. A common example is using deliberately convoluted language in the denial letter.
Bad Faith Insurance Practices: What to Know
Many policyholders view their insurance companies as being on the same side. However, the truth is that insurance companies often prioritize their own interests to protect their bottom line.
When this practice comes at the customer’s expense, insurers may be considered as acting in bad faith. Sometimes, this type of behavior is easy to spot, but it can also be much more subtle.
If you’re dealing with an insurance denial, it’s important to be on the lookout for bad faith practices. These are some of the most common:
Failing to Investigate Fairly or Thoroughly
Most states have laws that require insurance companies to thoroughly investigate each claim. In this context, a thorough investigation means evaluating all sides of the claim and not just looking for reasons to deny it.
Issuing a Denial for No Clear Reason
Some insurers will try to minimize payouts by denying valid claims. Because they have no legitimate reason for a denial, they may give an unclear reason or no reason at all.
Paying Far Less Than the Claim Is Worth
Many insurance companies offer lowball settlements at first to see whether policyholders will accept. Some refuse to budge on the amount even when presented with clear documentation of the claim’s actual value.
Unreasonably Delaying the Claim
The longer an insurer can avoid paying money, the more interest that money earns. After a very long delay, policyholders are also more likely to accept an unfairly low settlement.
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What Happens When Car Insurance Denies a Claim?
If your insurance company denies your claim, you will receive a claim denial letter. The letter may be mailed, sent electronically or both. The letter should clearly outline why the insurance company denied the claim.
What to Do When Car Insurance Denies a Claim
When a car insurance company denies your claim, your very first step should be to thoroughly understand the reasons for the denial. Start by carefully reading your denial letter. The insurer should have explained why the claim was denied, but if the letter is unclear, get in touch with the insurance company to clarify.
Once you understand why the claim was denied, you should make sure you understand the appeals process — and then file an appeal.
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How to Appeal a Car Insurance Claim Decision
Each insurance company has its own process for filing an appeal. However, generally speaking, the appeals process follows these steps:
- Read your policy to make sure you know the appeal deadline
- Gather additional evidence (like photos or medical records) to further support your claim
- File an appeal that includes this additional evidence
- Contact an attorney if the insurer continues to deny your claim
If you’re wondering how to settle a car accident claim without a lawyer after a denial, your first step should be to file an appeal. You aren’t required to have a lawyer help you with an appeal. However, because car accident lawyers deal with claim denials regularly, the right lawyer might improve your chances of having your claim approved on appeal.
What to Do if the Appeal Is Also Denied
If you’ve been through the claims process and the appeal process only to be denied both times, the next best step is likely to hire a personal injury lawyer. An experienced attorney can assess your case and help you determine whether filing a lawsuit may help you recover the compensation you deserve.
You might be worried about the cost of working with a lawyer. However, many work on contingency. This means that if they recover compensation for you, you agree to pay them a portion of it. If they don‘t recover any compensation, you owe nothing.
If you don’t want to hire an attorney or are having trouble getting a lawyer to take your case, you may be interested in filing a complaint with your state’s Department of Insurance or other regulatory authority.
These organizations typically investigate claims and help insurers and policyholders work toward resolution. If your insurance company’s behavior is especially bad, the regulatory authority might sanction or otherwise penalize it.
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Wondering What to Do When Car Insurance Denies a Claim?
Having an insurance claim denied can be incredibly frustrating, especially if you know your claim is perfectly valid. In many cases, working with an attorney can help improve your chances of a successful appeal.
Not sure how to find the right lawyer? ConsumerShield can help. We match people in need of legal services with qualified, pre-vetted attorneys nearby. Fill out our contact form below to get started with a free case review!
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Frequently Asked Questions
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If an insurer denies your claim for misrepresentation, that means it believes you have deliberately misrepresented (or even fabricated) details of the claim.
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Unfortunately, yes. However, if an insurance company does this, it must have a valid reason for doing so (like finding new evidence that suggests the claim is fraudulent).
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If the at-fault driver’s insurance denies your claim, you can file an appeal. A car accident lawyer may be able to increase your chances of success.