Tips for Insurance Company | Commonwealth Law Group (2024)

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In a recent blog, we explored the perils of giving a statement to an insurance company that isn't your own, which you are never legally obligated to do and we generally advise against, since the information you give can be used to hurt your case against them.

However, when you've been hurt in an accident or had extensive property damage to your home through no fault of your own, it's possible that your own insurance company will want you to provide a recorded statement. This is a similar but different situation, since your signed insurance policy may state that you must cooperate with the insurance company's request for a statement.

If you are required by your own insurance company to give a statement, there are certain best practices that you and your attorney should discuss before you provide that statement. Below are some best practices to consider:

  1. Contact a lawyer. Your attorney will act in the best interest of your case and can help you prepare for the type of questions an insurance adjuster might ask and how best to answer them. The personal injury attorneys of Commonwealth Law Group have years of experience dealing with insurance adjusters and claims agents and can advise you on how best to proceed.
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. It's in the insurance company's best interest to minimize claim payouts, and this person works for that insurance company. Therefore, they are not your friend. Be wary of them; keep your guard up.
  3. Ask specifically that your statement not be recorded. If the statement is recorded, your exact words will be used to compare with other statements you may have given, such as your police statement. Any discrepancies, no matter how small or unintentional, can cause problems for your case.
  4. Give brief answers. Try to answer each question in as few words as possible. Don't explain. If you are specifically asked to explain, do so in as few words and with as little detail as possible.
  5. Don't volunteer information. Even if you think it will help your case. Let your lawyer handle anything that is left unsaid.
  6. Answer only the question asked. Think deeply about the exact question the agent asked, and only provide that specific information.
  7. Never admit to fault. Never admit to even being partially at fault.
  8. Never admit that you are uninjured. When you're in an accident, your body releases adrenaline, a powerful hormone that can mask injuries and pain to get us through stressful or traumatic situations. Because of this, it can take several days for an injury to surface after an accident. Yet if you speak to your insurance agent within 24 hours of an accident and say that you aren't feeling any injuries, it could negatively impact your potential compensation for your injuries.
  9. If you're unsure what you're being asked, refuse to answer. Don't offer an ambiguous reply such as "maybe" or "I guess so" – simply refuse to answer.
  10. Similarly, if you don't know the answer to a question, state firmly, "I don't know."
  11. Avoid discussing your injuries or your medical prognosis. Both are ongoing and subject to change as time passes. Your lawyer will do that for you.
  12. Stick to the basics. If you're asked about the specifics of the accident, simply let the agent know where your vehicle is so they can assess damages themselves. If they press you for details about the accident, refer them to the police report, since you have already given the police a detailed recollection of the accident.
  13. Don't sign any document from the insurance company without consulting your lawyer. This includes both the insurance company transcript of your statement and also any medical records release form.
  14. Don't let the insurance agent rush you into a settlement. Even though you might need the settlement to pay for repairs or medical bills, don't let them rush you into taking a settlement that could be far too low for the situation at hand.
  15. Don't assume that your insurance agent is on your side. Statements made to insurance companies are not protected by attorney-client privilege. Because of this, they can be subpoenaed into evidence in the event you move forward with a lawsuit and the opposing insurance company would then have access to your statement. In addition, there are circ*mstances where your own insurance company may not hold your best interests. For example, if the at-fault driver in a car accident is uninsured or loses coverage, your insurer may have to pay the claim on his or her behalf. In this case, your insurance company is at odds with your best interests and anything you said in your statement could hurt your case.

Always be honest when making a statement, but keep your best interests at the forefront of your mind by consulting with your attorney before the statement interview. Call us now to learn more.

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If you have been injured at work or through the negligence of another individual or entity, contact us at (804) 999-9999 or or use the form below to connect with our legal team. We will fight to get you the justice you deserve.

Tips for Insurance Company | Commonwealth Law Group (2024)

FAQs

How to answer insurance claim questions? ›

Below are some best practices to consider:
  1. Contact a lawyer. ...
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. ...
  3. Ask specifically that your statement not be recorded. ...
  4. Give brief answers. ...
  5. Don't volunteer information. ...
  6. Answer only the question asked.

What not to say to an insurance investigator? ›

Admitting fault: Using apologetic language is enough for the insurance adjuster to assume you're admitting fault and use that against you. Even if you feel you're at fault, wait for the official investigation to prove what actually happened. Don't say things like “I'm sorry” or “it was my fault.”

How to win against insurance? ›

How To Beat Insurance Companies
  1. Take detailed photos of the accident scene, vehicle damage, and injuries.
  2. Gather witness statements and contact information.
  3. Obtain the other party's insurance details and file a police report.
  4. Keep records of medical treatment and preserve relevant documents.
Feb 14, 2024

How to respond to a low ball settlement offer? ›

If you have determined to respond to a low settlement offer yourself, consider the following:
  1. Stay polite and professional. We understand it's a frustrating and emotional process. ...
  2. Ask questions. ...
  3. Offer the facts. ...
  4. Put your response in writing. ...
  5. Don't be bullied.

What is insurance best answer? ›

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company.

What is unethical behavior in insurance? ›

Not investigating a claim or, in some cases, denying the claim without providing any reason. Unreasonably making demands for documents, interviews, and other information in a bid to delay or deny making payments.

What triggers an insurance investigation? ›

Insurance companies are more likely to investigate you when you file a large claim. Any large check that they write comes out of their profits. Therefore, they are looking for any way to escape paying for the damages their policyholder caused.

Can you argue with your insurance company? ›

You can ask that your insurance company reconsider its decision. Insurers have to tell you why they've denied your claim or ended your coverage. And they have to let you know how you can dispute their decisions.

How to get the most money out of an insurance claim? ›

Consult a Personal Injury Attorney for More Info About Your Insurance Claim
  1. Investigate your case to gather evidence that supports your request for compensation.
  2. Represent you in interactions with adjusters and other attorneys.
  3. Review and explain your policy terms and any laws that apply.
Apr 10, 2023

Do insurance companies try not to pay? ›

Denying Claims

In an attempt to increase their bottom lines, insurers can refuse to recognize claims. They seek to reward the employees that successfully deny their insured's claims and even go as far as terminating employment for the employees that fail to do so.

Why do insurance companies drag out claims? ›

Car insurance companies have been delaying legitimate claims for years. This is one of many strategies they employ to avoid paying fair compensation to victims of driver negligence. They want to pay out as little compensation as possible or even no compensation by denying the claim.

Why is the first settlement offer so low? ›

Another reason for these low offers is that insurance companies hope to close the case quickly. They know that the sooner a claim is settled, the less chance there is of new information coming up that could increase the claim's value.

How do you win a lowball offer? ›

Winning Strategies for Lowball Offers
  1. Find Out the Seller's Motivation.
  2. Write a Clean Offer.
  3. Always Counter the Counteroffer.
  4. Divert Attention Away From Price.
  5. Give a Logical Reason Why Your Lowball Offer Is Fair.
Jan 24, 2022

How do you respond to an insultingly low offer? ›

A lowball salary offer can be frustrating and insulting, but don't let your emotions get the best of you. Don't accept or reject the offer on the spot, or express your disappointment or anger. Instead, thank the employer for the offer and ask for some time to think it over.

What to say when making an insurance claim? ›

Whether you file your car insurance claim over the phone, online, through a mobile app, or with an agent, your insurer will likely request the following details: Location, date, and time of accident. Name, address, phone number, and insurance policy number for all involved in the accident.

How do you write a response to a claim? ›

Answering the Claims for Relief

On a separate page or pages, write a short and plain statement of the answer to the allegations in the complaint. Number the paragraphs. The answer should correspond to each paragraph in the complaint, with paragraph 1 of the answer corresponding to paragraph 1 of the complaint, etc.

How do I argue against an insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

How do you explain an insurance claim? ›

An insurance claim is a formal request from the policyholder to their insurance company asking for payment after a covered incident, such as a hospital stay, a natural disaster, theft, and more.

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