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What to Do if You Have an Insurance Claim Denied

Written by admin on October 21, 2022 at 12:57 PM.

You’re not the first to have your homeowners insurance claim denied. Insurance companies deny claims every single day — sometimes for legitimate reasons, sometimes in error, and sometimes for reasons no one understands. However, there are steps you can take to challenge your homeowners insurance claim denial. 

What follows are a few tips for when you have a homeowners insurance claim denied when you have suffered property damage. 

Understanding Your Homeowners Insurance Policy and Why Your Claim Was Denied

 You should receive a formal denial letter rejecting your claim. This letter usually explains the reason for your claim denial. It will explain the specific language in your policy that justifies why your claim was denied. Read the letter carefully, and compare their explanation to your understanding of your policy. If there is a legitimate reason for denying your claim, i.e., the premium wasn’t paid, the type of loss is explicitly excluded from your coverage, or additional coverages weren’t in your policy, there is nothing more you can do.

However, if after comparing their explanation to your understanding, you still believe your property damage should be covered, immediately contact your insurance company’s claims adjuster and your insurance agent. Persuading an insurance adjuster to reverse a claim denial is not easy, but if the insurance coverage was promised in your homeowners policy, you have a case to fight.

File An Appeal With Your Insurance Provider

Arguing your case with insurance carriers and claims adjusters could be like fighting with a brick wall. You will need to file a formal appeal. Time is limited, however, and the clock starts ticking when your claim is denied. This period varies according to state law, for example, it’s 15 days in the state of Texas (via Forbes). The appeals process should be outlined in your homeowners insurance policy.

Filing a formal appeal triggers a review of your denied claim. It’s up to you to provide as much evidence and documentation as you can to support your position. The more organized, the better.

Consult a Public Insurance Adjuster 

Consulting a public adjuster is always a smart move when dealing insurance claims, even when they are denied. Unlike adjusters working for insurance companies, a public adjuster works for you, and has your best interest in mind. 

A public adjuster can verify your coverage, document damage and value your losses, and negotiate the maximum settlement allowed under the terms of your homeowners insurance policy. The sooner you seek their help the sooner you will begin the process of recovery from property damage and loss. 

File A Formal Complaint

The insurance industry is heavily-regulated. Courts in every state can overturn bad faith denials and assist in property claims disputes. If the treatment of your claim falls short despite your case to the contrary, you have the option to file a formal complaint with your state’s insurance commissioner.

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When It’s Time To Take Legal Action Against Your Insurance Company

It may be time to hire a lawyer for an insurance claim if you can’t reach an agreement with your insurance company or the insurer seems to be delaying the claim process on purpose.

You’ll want to find a specialist familiar with insurance laws. Be sure to get references that show a successful track record settling property insurance claims, not just an understanding of property law. If you can’t find one, you can start a search at the American Bar Association’s list of state bar associations. 

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Contact Stellar Public Adjusting if You’ve Had a Homeowners Insurance Claim Denied

As mentioned above,  public adjusters are an indispensable tool at getting larger claim settlements. If you’re in good standing with your insurance provider and have been making your insurance payments in a timely manner, and feel you are due a payout after a claim denial, we can use our expertise to help you. 

Stellar Public Adjusting does not outsource work, so the adjuster you deal with then you file your claim will be the same one assisting you through the claims denial process all the way until you get the money you deserve. 

Use our web form to contact us today. If you have an urgent problem that requires immediate assistance, call our office at 305-570-3519.

What Clients Are Saying About Us

I have full confidence in the team at Stellar and do not recommend that anyone file an insurance claim without them.

The insurance company is not on your side and they are not a good neighbor.

Stellar is on your side and they are in the neighborhood. Call them immediately when damage happens.

Marc C., Miami, FL

David has done multiple claims for our real estate company, as well as for myself and friends. Always exceeds expectations. Highly reliable, and completely on top of his game. Highly recommended.

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Glad I hired them. Stellar Public Adjusting assisted in my water damage claim in my condo from my neighbors pipe. They really know there stuff when it comes to claims. They obtained way more than my insurance company initially offered. A very professional company.

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Worked with Stellar on a project involving a kitchen flood. They were always there to help & answer all the questions I had - and they reached a fair settlement with my insurance for me. I probably wouldn't have gotten half of what I did without them! I'd easily recommend them to anyone needing a Public Adjuster.

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HIGHLY recommend Stellar Public Adjusting! Meticulously and professionally handled our claim, and stood by our side throughout the entire process! Thank you!


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