Types of Insurance Claims Protect Your Rights as a Policyholder

About the Types of Insurance Claims

Work with a Skilled Insurance Attorney: (888) 493-1629

If your insurance company has mistreated you, it is critical you contact an attorney whom you can trust to stand up for your rights. At Arnold & Itkin, we are committed to the success of our clients. If you are dealing with a complicated claim, we encourage you to contact us immediately.

Four different reasons why you should give us a call now:

  • We have recovered billions of dollars for our clients.
  • We have won hundreds of cases worth $1 million or more.
  • We offer contingency fees, so you don't pay unless we win.
  • We have won record-setting verdicts and settlements.

Understanding the Different Types of Insurance

People buy insurance to protect themselves from the unexpected: illnesses, accidents, property damage, and even natural disasters. Unfortunately, it is not unusual for insurance companies to undervalue, underpay, delay, or even wholly deny payment of a claim without proper justification or warning. For this reason, it is essential that insurance policyholders understand their legally protected rights.

Below, you will see a breakdown of some of the most common types of insurance claims, as well as how we can help protect you. To learn more, call (888) 493-1629 now.

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First-Party Insurance Claims

First-party insurance describes an insurance policy purchased by an individual directly from an insurance provider. When a policyholder experiences an illness or injury or incurs damage to an insured piece of property, he or she can submit a claim for payment or, in some cases, reimbursement, to their insurer. When a policyholder submits a claim under his or her insurance policy, it is considered first-party coverage. An insurance company dealing with that claim must treat the policyholder reasonably and in good faith. If they fail to do so, a policyholder may bring an insurance claim against the insurer, seeking damages beyond the initial contract benefits.

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General Claims

There may be a dispute over the scope of coverage, the amount of payment owed, and/or missed or late payments on the part of the insured. Disputes may also occur over misrepresentations made at the time of the policy's sale, and/or the amount of coverage provided by the insurer.

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Car Insurance Claims

Anyone who owns or drives a vehicle is required to carry some insurance policy. While some individuals carry state-minimum coverage, others pay additional monthly premiums to insure themselves against their vehicle's loss of value, accident-related injuries, injuries caused to others, or other types of claims. If you file a first party coverage claim after a car accident, you expect your insurer will cover your costs promptly. Unfortunately, this is not always the case. Insurers may reject or delay payment of claims, saying the loss is not within the scope of the policy's coverage. If insurers do not adequately investigate claims and/or unfairly deny legitimate claims, insured parties may file a claim against them.

Types of Car Accident Claims

  • Loss of value to vehicle
  • Personal injury
  • Injury by uninsured or underinsured defendant
  • Coverage for rental car during repair period
  • Reimbursement for property repairs

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Health Insurance Claims

Most people carry health insurance to protect themselves in the event of a severe accident or illness. Monthly costs are usually high but worth the price if a person becomes hospitalized and faces exorbitant medical bills. Sadly, insurers will do their best not to pay these bills, rejecting claims for reasons as varied as being seen by an out-of-network insurer to receiving experimental therapy. Insurers may also reject claims if the insured engaged in risky or dangerous behavior that violated the terms of policy coverage, if that behavior led to an illness or injury. It is important to understand the scope of your medical coverage prior to receiving procedures, if possible, in order to avoid out-of-pocket expenses. However, if, an insurance company delays or denies payment of a legitimate claim, an insured individual may have cause to file a claim.

Types of Health Insurance Claims

  • Hospital stays
  • Prescription medications
  • Surgeries
  • Emergency medical care

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Homeowner Claims

Most homeowners protect themselves against financial loss due to property damage caused by wildfire, wind, tornadoes, natural disasters such as hurricanes, and robbery or vandalism by carrying residential property insurance. Homeowners pay insurance premiums so that they will be covered if damage does occur. After a break-in, catastrophe or natural disaster hits, you expect your insurance company to pay full value on your claim. Unfortunately, insurers may delay your claim or say the limits of your policy exclude coverage for your incurred losses. Failure to investigate or fairly pay your claim can give a homeowner cause to file a first-party insurance claim against an insurer.

Types of Homeowner's Claims

  • Damages due to forces of nature (ex: water)
  • Theft and damage caused by vandalism
  • Land contamination
  • Damages due to appliance failure
  • Damage due to mold
  • Replacement cost issues

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Natural Disaster Claims

Many people carry insurance policies to protect them from damages caused by hurricanes, earthquakes, windstorms, and other natural disasters. Wind and hail insurance pays for damages resulting from hurricanes, tornadoes, wind, and hail. Typically, these policies do not pay for damage caused by floods or storm surges. Coverage for damage caused by flooding must be obtained from the National Flood Insurance program. Home, business, and commercial property owners making property insurance claims after a natural disaster may face disputes with insurers concerning policy limits, replacement costs, physical damage, cost of repair damages, business interruption, or application of exclusions. If an insurance company unfairly delays or denies a covered claim, parties insured against natural disaster damages may file a first-party insurance claim.

Types of Natural Disaster Claims

  • Flood damage
  • Hail damage
  • Wildfire-related losses
  • Tornado damage
  • Hurricane damage
  • Earthquake damage
  • Lightning strike
  • Excessively strong winds

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Houston Lawyer Protecting Your Rights as an Insurance Policy Holder

Insurance companies are legally required to deal with claims promptly. Texas law requires that insurers acknowledge first-party coverage claims, launch investigations, and/or request further information related to the claim within 15 days of receiving a filed claim. Once an insurer has all the necessary information, the company must notify the insured, in writing, within 30 days of the initial claim, of its approval or denial. If a decision cannot be reached within that time, the insurer must explain why more time is needed. The insurance company then has an additional 45 days to accept or reject a claim. If a claim is approved, the insurance company must pay the benefit within five days of the notified approval. If a claim is denied, the insurer must provide a written explanation. At Arnold & Itkin, we know the rights that you are owed as the insured. If you have been denied these rights, you can be confident knowing that a Houston lawyer from our firm will do everything possible to help.

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