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Three reasons why your claim may be delayed

On Behalf of | Apr 25, 2022 | Delayed And Denied Insurance Claims | 0 comments

Dealing with an insurance company can be a nightmare. You oftentimes have to navigate complex and confusing policy terms, and your insurance or someone else’s insurance who is going to cover your losses may be challenging to work with. As a result, you can see unnecessary delays, and your claim may be outright denied.

Why are claims delayed or denied?

One of a number of reasons can result in your claim delay or denial. It’s important to remember that insurance companies are businesses that are profit-driven. This means that the longer they can hold out on paying you, the more they can collect from premium payments and interest on certain accounts that they hold. Quickly paying out insurance claims works against that goal.

But as for the reasons for delays, here are just a few of them:

  • Inadequate investigation processes that are slow, cumbersome, and contain a lack of thoroughness.
  • Communication delays that leave you in the dark in regard to next steps with your claim.
  • Misrepresentations about terms of your policy, which insurance try to use to either delay your claim or trick you into accepting less than your claim is worth.

Keep in mind, too that there are a lot of justifications that insurance companies can use to deny your claim, too. This oftentimes includes a lack of information or a lack of evidence demonstrating that certain medical treatment is reasonably necessary.

Don’t play into the insurance company’s tricks

If you’re unfamiliar with the insurance claims process, then it can be easy to accept what the insurance company is telling you is true. But if you’ve read this post and others on our blog, then you should know that these companies aren’t looking out for you. Therefore, if you’re facing an insurance claim issue, then now may be the best time for you to reach out to an experienced attorney for assistance.

 

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