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Strategies for Resolving Disputed Home Insurance Claims

Jul 12, 2023

Home Insurance

home insurance claim settlement home insurance claim settlement

When it comes to protecting your home and belongings, you rely on home insurance policies. Sometimes your claims and settlements may be denied, leaving you feeling helpless and uncertain about how to proceed. Continue reading to learn about the common reasons behind home insurance claim denials, the importance of understanding your policy, and steps to avoid having your claim denied.

Reasons for Claim Denials

  • Lack of coverage or exclusions
  • Negligence, including failing to maintain the home or make repairs
  • Missing deadlines for filing a claim
  • Insufficient documentation, including videos, photos, or witness statements

How to Dispute Home Insurance Claims and Settlements Denials?

Review Your Coverage and Claim

By understanding what is covered by your policy, you can minimize the risk of falling into a coverage gap. Review your policy to understand the covered events and property, exclusions, deductibles, and the claim submission process. When filing a claim, provide sufficient supporting evidence and documentation. If you find your insurer has misjudged your claim, understand the details so that you can better prepare for a follow-up conversation.

Make an Appeal

Sometimes, adjusters may fail to notice some things during their initial assessment, eventually denying your claim. So, you can explain the missed things, or if you have any uncertainties about the extent of your coverage as outlined in your policy. To file an appeal, provide details, such as specific dates, detailed incident descriptions, photos, videos, and witness statements.

Seek for Second Opinion

If your request for a claim appeal is denied or provides the same result, you can consider getting another professional opinion, either from an independent appraiser or a public insurance adjuster. The professionals are not affiliated with any particular carrier, so they can provide unbiased assistance and guidance on supporting or appealing your claim. 

Rise a Complaint with Your State’s Insurance Department

If your claim is still denied or you have offered low settlements despite hiring a third-party appraiser, you can file a complaint with the state insurance department. If your claim is refused unfairly, filing a complaint would help your state insurance department to enquire whether your insurance contract and state insurance laws were properly followed while deciding to deny your claim.

Hire a Lawyer

Considering hiring an attorney to guide you through your case. It is important to understand that while an attorney can provide valuable assistance, there is no guarantee that your claim will be approved. Before making a decision, carefully evaluate whether the benefits of hiring a lawyer outweigh the associated time and costs.

Protect Your Home with CF&P Insurance

At CF&P Insurance, we offer all-in-one home insurance coverage that provides comprehensive protection to your home against several perils. Our experienced team will help you navigate the complexities of the claim process and get adequate coverage for your home. You can visit our website or contact us at (925)- 956- 7700 for more information.

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