How to Resolve a Claim Dispute with Your Insurance Provider
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I love getting to know my clients and working with them to provide an insurance portfolio that meets all of their needs, but some clients are more difficult than others. I’m sure this is the case for anyone whose job has a customer service component. I refer to these more difficult clients as “accident prone.”
Some of my clients pay their premium when they should and go years without a claim. But then it seems like I hear from others every month.
When a client has a claim turned down or gets dropped by an insurance company, I often hear the same complaint: I pay my premium; I should receive the insurance benefit.
True, but the insurance companies are running a business. They try to figure out which claims are legitimate and covered by the insurance plan to avoid paying out for false or unnecessary claims.
I’m not saying you should never file a claim. It’s probably written into your contract to report any and all incidents. I want all my clients to receive the insurance benefits they deserve, based on the plans they pay for.
Sometimes all you need is a little bit of communication to solve a claim dispute or speed up a processing delay. We had a client who was told her claim was denied because of an oversight that needed to be reviewed with the underwriter. The client called us; we reviewed the file and discussed the case with the underwriter. Then the claims department reviewed the procedure and coverage and processed her claim.
Long story short, a good insurance agent can serve as an intermediary with the underwriter and help get your claims processed properly.
Here are some things you can do if you need to file a claim dispute:
Have you had to file a claim dispute? How did you deal with it? Did you receive the outcome you desired?
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