Tips for Insurance Company | Commonwealth Law Group (2024)

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In a recent blog, we explored the perils of giving a statement to an insurance company that isn't your own, which you are never legally obligated to do and we generally advise against, since the information you give can be used to hurt your case against them.

However, when you've been hurt in an accident or had extensive property damage to your home through no fault of your own, it's possible that your own insurance company will want you to provide a recorded statement. This is a similar but different situation, since your signed insurance policy may state that you must cooperate with the insurance company's request for a statement.

If you are required by your own insurance company to give a statement, there are certain best practices that you and your attorney should discuss before you provide that statement. Below are some best practices to consider:

  1. Contact a lawyer. Your attorney will act in the best interest of your case and can help you prepare for the type of questions an insurance adjuster might ask and how best to answer them. The personal injury attorneys of Commonwealth Law Group have years of experience dealing with insurance adjusters and claims agents and can advise you on how best to proceed.
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. It's in the insurance company's best interest to minimize claim payouts, and this person works for that insurance company. Therefore, they are not your friend. Be wary of them; keep your guard up.
  3. Ask specifically that your statement not be recorded. If the statement is recorded, your exact words will be used to compare with other statements you may have given, such as your police statement. Any discrepancies, no matter how small or unintentional, can cause problems for your case.
  4. Give brief answers. Try to answer each question in as few words as possible. Don't explain. If you are specifically asked to explain, do so in as few words and with as little detail as possible.
  5. Don't volunteer information. Even if you think it will help your case. Let your lawyer handle anything that is left unsaid.
  6. Answer only the question asked. Think deeply about the exact question the agent asked, and only provide that specific information.
  7. Never admit to fault. Never admit to even being partially at fault.
  8. Never admit that you are uninjured. When you're in an accident, your body releases adrenaline, a powerful hormone that can mask injuries and pain to get us through stressful or traumatic situations. Because of this, it can take several days for an injury to surface after an accident. Yet if you speak to your insurance agent within 24 hours of an accident and say that you aren't feeling any injuries, it could negatively impact your potential compensation for your injuries.
  9. If you're unsure what you're being asked, refuse to answer. Don't offer an ambiguous reply such as "maybe" or "I guess so" – simply refuse to answer.
  10. Similarly, if you don't know the answer to a question, state firmly, "I don't know."
  11. Avoid discussing your injuries or your medical prognosis. Both are ongoing and subject to change as time passes. Your lawyer will do that for you.
  12. Stick to the basics. If you're asked about the specifics of the accident, simply let the agent know where your vehicle is so they can assess damages themselves. If they press you for details about the accident, refer them to the police report, since you have already given the police a detailed recollection of the accident.
  13. Don't sign any document from the insurance company without consulting your lawyer. This includes both the insurance company transcript of your statement and also any medical records release form.
  14. Don't let the insurance agent rush you into a settlement. Even though you might need the settlement to pay for repairs or medical bills, don't let them rush you into taking a settlement that could be far too low for the situation at hand.
  15. Don't assume that your insurance agent is on your side. Statements made to insurance companies are not protected by attorney-client privilege. Because of this, they can be subpoenaed into evidence in the event you move forward with a lawsuit and the opposing insurance company would then have access to your statement. In addition, there are circ*mstances where your own insurance company may not hold your best interests. For example, if the at-fault driver in a car accident is uninsured or loses coverage, your insurer may have to pay the claim on his or her behalf. In this case, your insurance company is at odds with your best interests and anything you said in your statement could hurt your case.

Always be honest when making a statement, but keep your best interests at the forefront of your mind by consulting with your attorney before the statement interview. Call us now to learn more.

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If you have been injured at work or through the negligence of another individual or entity, contact us at (804) 999-9999 or or use the form below to connect with our legal team. We will fight to get you the justice you deserve.

Tips for Insurance Company | Commonwealth Law Group (2024)

FAQs

How to answer insurance claim questions? ›

Below are some best practices to consider:
  1. Contact a lawyer. ...
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. ...
  3. Ask specifically that your statement not be recorded. ...
  4. Give brief answers. ...
  5. Don't volunteer information. ...
  6. Answer only the question asked.

How to win against insurance? ›

How To Beat Insurance Companies
  1. Take detailed photos of the accident scene, vehicle damage, and injuries.
  2. Gather witness statements and contact information.
  3. Obtain the other party's insurance details and file a police report.
  4. Keep records of medical treatment and preserve relevant documents.
Feb 14, 2024

What not to say when talking to an insurance adjuster? ›

When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

How to respond to a low ball settlement offer? ›

If you have determined to respond to a low settlement offer yourself, consider the following:
  1. Stay polite and professional. We understand it's a frustrating and emotional process. ...
  2. Ask questions. ...
  3. Offer the facts. ...
  4. Put your response in writing. ...
  5. Don't be bullied.

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 I make a successful insurance claim? ›

You'll need to include copies of all paperwork that will help your claim, including receipts or medical certificates. You should also keep copies of the originals in case your claim is queried or refused. Your insurer may ask if you have other insurance that may cover the claim.

Can you argue with your insurance company? ›

You can ask that your insurance company reconsider its decision. Insurers have to tell you why they've denied your claim or ended your coverage. And they have to let you know how you can dispute their decisions.

Do insurance companies try not to pay? ›

Insurance companies are a business. Their profit is the money they make in premiums minus their expenses and the insurance claims they pay. Like other businesses, they want to increase their profits by controlling expenses like insurance claims. This is why insurance companies try to get out of paying claims.

How to get the most money out of an insurance claim? ›

Let's dive into the thick of it!
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
  6. Ensure the Insurance Company is Aware of Matching Elements That Also Need to be Replaced.
Jun 6, 2023

How to argue with an insurance adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

What happens if you disagree with insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

What questions should I ask a claims adjuster? ›

Additional Information
  • “Will you admit fault for the accident?” ...
  • “How much insurance coverage does your driver carry?” ...
  • “Will you pay for my car to be repaired to manufacturer's specifications, without used or after market parts?” ...
  • “Will you pay for my medical bills and lost wages as they are incurred?”

Do insurance companies try to lowball you? ›

Dealing with a personal injury claim can be frustrating, especially when insurance companies constantly try to undermine your experience. It is normal to get a lowball insurance settlement offer after a personal injury accident. It's common for insurers to lowball claimants in hopes of minimizing their payouts.

How to counter a settlement? ›

If you cannot agree to settle, your reply should be a formal business letter that makes the case for your higher demand. Your letter should clearly: State that the offer you received is unacceptable. Refute any statements in the adjustor's letter that are inaccurate and damaging to your claim.

Why is the first settlement offer so low? ›

Another reason for these low offers is that insurance companies hope to close the case quickly. They know that the sooner a claim is settled, the less chance there is of new information coming up that could increase the claim's value.

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.

What do you say when appealing an insurance claim? ›

To Whom It May Concern: I am writing to request a review of your denial of the claim for treatment or services provided by name of provider on date provided. The reason for denial was listed as (reason listed for denial), but I have reviewed my policy and believe treatment or service should be covered.

How do you explain an insurance claim? ›

An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.

How do I disagree with an insurance claim? ›

Your right to 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. External review: You have the right to take your appeal to an independent third party for review. This is called an external review.

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