Insurance Disputes

Insurance adjusters, agents and lawyers are paid to protect their employers’ interests. While they need to do a good job to keep their company’s reputation positive, they also don’t want to pay you unnecessarily. Sometimes this leads to conflicts over whether your claim is legitimate. Steven P. Roberts Personal Injury Lawyers helps to get your claim resolved successfully and ensures that you are treated with respect.

Typical cases of insurance disputes

Disagreement often arises after a car accident when trying to prove that treatment is needed and attempting to get it covered:

  • Car insurance coverage — Auto insurance companies frequently argue back and forth over which driver is at fault. If this affects your payment for medical costs or other pressing concerns, then you may need to take the matter to court.
  • Medical billing — Healthcare coverage and preexisting conditions are a hot topic of conversation in politics and can affect your compensation for hospital bills and doctor visits.
  • Fault — Most insurance disputes come down to who is primarily at fault for an accident or other incident. If a company believes you are to blame, they will not pay you for your injury. Unfortunately, some insurers bring a bias to a claim, especially one involving motorcycles, and you can have your claim rejected unfairly.

Why was my claim refused, and what can I do?

The insurance company may believe that the circumstances were different from what is reported, or that the share of blame is different than what you claim. Even if your claim is refused, you can take the issue to court. If you do so, however, it is important to work with an attorney with experience handling insurance companies and their legal teams.

What is the Unfair Insurance Practices Act?

According to the California Insurance Code, it is illegal for any insurance company to:

  • Misrepresent the terms of your policy
  • Falsely advertise any offering or part of its business
  • Coerce or intimidate any claimant or policy holder
  • File false claims or make false reports
  • Institute unfair rate changes or offer different rates to statistically similar people

If you feel you have been unfairly treated in any of these ways, you should contact an attorney immediately.

Recognizing when an insurance company is acting in bad faith

If an insurance company outright overlooks the facts of your claim or delays payment unnecessarily, it is acting in bad faith and can be held accountable in a court of law. While it is a business’s goal to make money, insurance companies are expected to pay claimants when a legitimate claim is made. Any actions taken to avoid doing so, including refusing to pay or intentionally paying a lower amount than is reasonable is a bad-faith act.

Don’t let insurance companies bully you

Talk to Steven P. Roberts Personal Injury Lawyers about your accident, who was at fault and the medical care you need. With a team of medical advocates, we can determine the compensation you require and fight the insurance companies for payment on your behalf. The office is in downtown San Luis Obispo, just outside of the historical district. Parking is available. Contact us online or give us a call at 805.250.1511 today.