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delayed and denied insurance claims Archives

The consequences of a denied insurance claim

From an auto insurance claim to business issues and property coverage, there are many different ways in which policyholders are covered. Unfortunately, unexpected challenges can arise, and these situations may pose serious challenges for those who are trying to recover from significant losses. Many people are relieved to know that they were covered when something went wrong, but they may be dismayed to find out that their insurance claim has been denied. Regrettably, there are many consequences associated with denied insurance claims for people in Austin and all across the state of Texas.

Who should I contact if my medical insurance is delayed?

Many health insurance delays are not actually the result of unethical administration by your insurer, so if you find your treatment is not promptly receiving coverage from your insurer, it is a good idea to make a few phone calls first before assuming that your Texas insurance company is intentionally causing trouble for you. Healthcare.com explains who you should contact in the event you experience delays in your health coverage.

Do not take an insurance provider's ethics for granted

Most of the insurance companies you are likely to encounter in the Texas marketplace aim for a high standard of professional ethics. They would assess the risks of carrying your policy, charge a fair premium and pay up in the event something unfortunate occurs. However, you should be aware that this is not always the case.

Common reasons for life insurance claim denials

When you purchase a life insurance policy in Texas, chances are, you do so expecting that it will help your loved ones regain their financial footing after your passing. Similarly, if you are the beneficiary of a particular life insurance policy, you probably expect that you will have a certain amount of money available to you following the loss of your loved one. Attorney Jon Michael Smith recognizes that many life insurance providers deny claims for similar reasons, and we have helped many people facing life insurance claim denials pursue solutions that meet their needs.

Insurance adjusters are not your friends

While there are many advantages to owning a home in Texas, there are also many significant issues that can arise in the wake of a catastrophic event. If your home becomes damaged or destroyed due to fire, plumbing leaks or severe weather, your insurance company will send an adjuster to assess the damage and determine the eligibility of your claim. You may assume that the insurance adjuster is working with your best interests at heart, but unfortunately, we at the law office of Jon Michael Smith have observed that the opposite is more often the case.

Understanding your health plan’s internal appeals process

As a Texas resident with a health insurance policy, you have the right to question your insurer’s decisions if the company denies you coverage or decides to terminate your relationship. The first step in the process involves requesting what is known as an “internal review.” Attorney Jon Michael Smith is well-versed in the methods health insurers often use to deny claims, and he has helped many clients facing similar circumstances pursue appeals and other solutions to meet their needs.

Choosing a life insurance policy

Protecting your family financially is an important consideration. That is why, at the legal practice of Jon Michael Smith, our team does everything possible to hold Texas insurers to their promises. However, our ability to secure benefits or damages is limited by the scope of internal insurance company negotiations and courtroom proceedings. Choosing the right insurance policy could go a long way towards securing your family's future.

Examples of bad faith insurance tactics

If you live in Texas and experience a car accident, develop a medical condition or otherwise have cause to file a claim with your insurance company, you may be counting on the entity to provide you with what you need to move forward. Regrettably, however, insurance companies sometimes prioritize profits over those they insure, which can leave you wondering how you will begin to rebuild without their assistance. Attorney Jon Michael Smith built a career upon going to bat against unethical insurance companies, and he has helped many victims of bad faith insurance seek appropriate recourse.

How can you fight an auto insurance claim denial?

If you, like many others across Texas, have ever filed an auto insurance claim after a car accident only to receive a denial in response, you probably understand all too well just how infuriating this can be. Expecting to receive a certain amount of money after your accident and then hearing that you will instead receive nothing at all can leave you scrambling to figure out how to make up the difference. You might be remiss, however, to simply accept your insurer’s claim denial without a fight, and there are certain steps you may be able to take to help fight your denial.

Tips for avoiding a heath insurance claim denial

If you are a Texas resident who has ever had the unfortunate experience of having your health insurance claim denied, you may know full well just how anxiety-inducing this can be. An unexpected claim denial can leave you facing massive medical bills, leaving you in the hole without knowing how you are going to pull yourself out. Attorney Jon Michael Smith understands how upsetting it can be to have your insurance company deny your claim, and he has helped many clients facing similar circumstances pursue appropriate recourse.

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Jon Michael Smith Attorney

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Austin, TX 78731

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