Meeting with an accident or losing the capacity to earn on a temporary or permanent basis is a mentally and emotionally challenging phase. We don’t understand how to go about it while applying for insurance claims, and our lack of knowledge can deny us the coverage we deserve.
In this article, we will help you with nine factors that will help you understand how to do the needful while negotiating for claims so that you don’t need to sit for these negotiations unprepared. From learning how much you should share with your adjuster to when you should opt for legal help, this article will increase your awareness of the claims process and how it works.
Read on to make the most of your insurance claims, as you have every right to!
1. You can always opt for legal advice in you’re unsure
Once you face a serious injury or fatal accident, your insurance adjuster would like to know your side of the story from the start to every little detail so that he can assess the spectrum of the legal landscape and make an offer. This may not always compensate you in the way you expect to be insured. In some cases, they’d suggest you against counseling a lawyer.
Ideally, you are not supposed to make any statements about an incident before consulting your lawyer, nor are you legally obligated to provide any information to the adjuster.
Hence, if your adjuster tells you that the insurance cannot be filed without a recorded statement, let them know that you do not wish to speak without a lawyer or provide any recorded statement.
The insurance adjuster can always open a claim without a recorded statement. Instead, you should work with a lawyer if required and protect your rights. Hence, you can always take legal help if you are unsure.
2. You need to sign a medical release only under limited circumstances
An adjuster often requests access to your medical history and any past accidents you have been involved in to assess your physical condition and comprehend the claim offer. Please remember that you only need to share your complete medical records in injury-related insurance claims.
The adjuster can file the claim without going through your medical records. The opponent only pays the compensation once the claim is settled. The ideal way to handle the negotiation process is by allowing the attorney to provide the medical records directly related to the insurance claim. They can assess what you have signed for and revoke any medical release that risks jeopardizing your claim.
3. Quick settlements are an easy road downhill
The insurance adjuster may try to process the claim immediately to help your situation, comprehending that it would help cover your hospital bills and expenses and that an attorney will only leave you high and dry.
Remember that going for a quick offer may not be in your best interest. You could run the risk of additional medical costs, lost wages, or permanent disability if you have not reached the point of Maximum Medical Improvement and may not have the resources to file for another claim. Therefore be patient and understand your claim terms and benefits before applying for any claim.
4. Only genuine insurance adjusters have the client’s best interest in mind
This one’s a hard pill to swallow, but truth be told, not all insurance adjusters have your best interest in mind. More often than not, they try to settle the coverage as little as possible.
Therefore it is important to understand your requirements and opt for insurers who have experience in the field and have acquired positive client testimonials. This shows their authenticity and the fact that they genuinely care about their clients.
Asteya is one such insurance company that has made it possible for customers from all walks of life to apply for claims and benefits to the maximum.
5. Insurance adjusters might advise against legal help
As mentioned briefly, your insurance adjuster will advise you against getting a lawyer as it might not be in your best interest. Experienced insurance adjusters are well-trained and experts in understanding customer psychology and manipulating clients to make statements that can be held against them in case of any dispute.
With a lawyer, you would know which policy you are signing up for and have clear pictures of the policy terms and conditions. Therefore, it is always better to get hold of an attorney or an insurance adjuster from a reputed insurance firm who ensures you receive the compensation you deserve.
6. The initial offer is not the best one
As adjusters negotiate and understand your requirements, they usually offer a claim amount that will not offer complete coverage. Hence, their first offer is usually much less than you deserve; it’s more like a trial and error process, where both parties try to agree on a deal that works out!
Serious injuries and disabilities or illnesses come with a comprehensive range of other problems, such as panic attacks, anxiety, and PTSD. The actual cost of these conditions is hard to narrow down; your adjuster might overlook these cases and reduce the coverage amount. Therefore, the ideal stance is to decline the first offer and wait out.
Adjusters will come around with a better offer a second time, with your best interest in mind, and you can consider your coverage amounts only if it fits your needs. The insurance adjuster’s strategy is to offer a standardized settlement, so you must keep an eye on and go on board with a policy when the amount is sufficient.
7. Your adjuster May not consider everything you are entitled to
If you are not applying for insurance claims from a trusted insurer, your insurance adjuster might leave out most of the things to which you are entitled. They can conveniently eliminate factors such as the physical damages caused, your prescriptions, and loss of wages.
They are trained professionals who know which aspects to stress during the negotiation and which to avoid. Contrarily, an insurance provider with genuine intentions will understand that you might be a layman and help you have a clear picture of the coverage you deserve and the amount you are entitled to.
With multiple insurance agencies cropping up that work on a profit-first basis instead of a customer-first approach, you must settle for adjusters who have your best interest in mind to get the compensation you deserve.
8. Go through your policy documents carefully at all times
Insurance adjusters are well-seasoned in pitching claims and often say things like “This is the best offer that we have” or “We cannot offer you more than this given your condition.” comprehending your financial and physical condition.
You shouldn't take your adjuster’s words at face value and make careful considerations before signing up for a claim. Adjusters are known for their capacity to connect with customers emotionally and apply different techniques to offer claims beneficial for both the insurer and the consumer.
You should look for experienced insurance providers who do not indulge in manipulative or fraudulent behaviors. Some companies have the customer’s best interest at heart and offer coverage that will genuinely help the cause; hence, do your research and background check on the insurance company before applying for a claim.
9. Do your research before choosing an adjuster
Insurance adjusters often compare the coverage they offer with other competitors and downplay them to gain the client’s trust. This is an old tactic and often does the job.
However, in today’s digitized world, you need not be fooled by such adjusters and can look out for competitors and their client history by visiting their websites. An authentic insurance company will have clean content and intend to streamline the policyholder’s journey.
Choose the best insurance adjuster and get the coverage you deserve!
When unfortunate things happen, we are not in the best mind to decide for ourselves. We apply for insurance claims in the hope of assistance in times of need and wait for the claim to be sanctioned at the earliest. However, there are better ways to go about it. We hope this article helps you clarify how to negotiate for claims and take the right steps.