Top 10 Questions Our Insurance Attorneys Get About Denied Claims

With over 50 years of combined experience working in denied insurance claims for and against insurance companies, our clients know when they come to MGW they are going to get answers to their questions about their denied insurance claim. MGW partners John Mayer and Ryan Graff know how to navigate some of the most complex denied insurance claim circumstances, but here are the top 10 most common questions we get from our clients when they walk through our door.

1: Why was my insurance claim denied?

Insurance claims can be denied for various legitimate reasons, including insufficient coverage, policy exclusions, documentation errors, or disputes over the cause of damage. Understanding the specific reason for your denial is critical in determining your next steps. When insurance companies unjustly deny an insurance claim this is considered bad faith insurance, which is what MGW Law specializes in.

2: My claim was denied, what do I do next?

Although there are many legitimate reasons your claim may have been denied, we work with clients who believe their case was unjustly denied, which is called bad faith insurance. If you believe your claim may have been denied unjustly, your insurance provider keeps delaying your payment, or the offer they gave you does not cover your damages, call MGW today so we can review your case.

3: What are bad faith insurance practices?

Bad faith insurance refers to an insurance company’s attempt to renege on its obligations to its clients, either through refusal to pay a policyholder’s legitimate claim or investigate and process a policyholder’s claim within a reasonable period. Insurance companies act in bad faith when they misrepresent an insurance contract’s language to the policyholder to avoid paying a claim. There are many ways in which an insurance company may act in bad faith. If a policyholder suspects bad faith, they should reach out to MGW Law immediately.

4: What happens if my insurance provider is found guilty of bad faith?

If an insurer is found to have committed bad faith, it is responsible for the consequences of those actions. Depending on the situation, this can include the waiving of any right to further challenge the claim, the payment of the policyholder’s attorney fees, and punitive damages. Insurers do not enjoy paying policyholders and their lawyers these sorts of damages and attorneys representing policyholders need to understand that these types of recoveries will not come without a fight.

5: Can I appeal a denied insurance claim?

Yes, most insurance policies provide the option to appeal a denied claim. The appeals process typically involves submitting additional information or documentation to support your case and addressing the reasons for denial outlined by the insurance company. Attorneys specializing in insurance law can expertly navigate this process and help you understand your policy.

6: What steps should I take after my insurance claim is denied?

After receiving a denial, it’s essential to review the denial letter carefully and gather all relevant documentation related to your claim. It’s important to contact your insurance company to request clarification for the reasons for denial and explore options for appeal. This request for more information should be in writing and documented.

7: How long does a typical lawsuit last against an insurance company?

There is no typical case when it comes to a lawsuit against an insurance company. Factors include the complexity of the case, the jurisdiction in which the lawsuit is filed, the efficiency of the court system, and the willingness of the parties to negotiate a settlement outside of court. MGW cases are often resolved out of court and in a timely manner, however more complex cases do go to court and can take years to settle. The burden of work in a case is entirely on the MGW attorneys and do not need extensive involvement from our clients.

8: What are my rights when dealing with a denied insurance claim?

As a policyholder, you have rights under your insurance policy and state laws. These rights may include the right to appeal a denial, the right to receive a detailed explanation for the denial, and the right to pursue legal action if necessary.

9: Should I hire an attorney to help with my denied insurance claim?

While it’s possible to appeal a denied insurance claim without legal representation, hiring an experienced attorney who specializes in insurance law can provide valuable expertise and support throughout the appeals process. MGW Law can provide consulting on the legitimacy of your case, appeal and if bad faith insurance could be in play.

10: Will my insurance premiums increase if I appeal a denied claim?

Appealing a denied insurance claim should not directly impact your insurance premiums. However, if your appeal is unsuccessful, and you file multiple claims or engage in protracted legal proceedings, it could potentially affect your rates. It’s essential to weigh the potential consequences and consult with an attorney before pursuing an appeal.

MGW Law is the only firm in Wisconsin representing those facing denied or delayed insurance claims. It’s not a part of what we do; it’s all we do. With over fifty years of combined experience working for insurance companies, we know how the process works and we’re prepared to make your insurance provider pay what’s fair. If you’re facing a denied or delayed insurance claim, we can help.

We are ready tofight your case