Insurance Claims·2 min read

What to Do After a Car Insurance Claim Denial

A car insurance claim denial is not necessarily final. Here is what to do after receiving a denial, from reviewing the reason to filing an appeal or complaint.

Informational purposes only. This article is for general informational purposes only and is not legal advice. Laws vary by jurisdiction. If you need advice about your specific situation, consider speaking with a licensed attorney.

## Short Answer

After a car insurance claim denial, get the denial in writing, review the specific reason against your policy, gather additional documentation if needed, and file a formal appeal with the insurance company. If the appeal fails, file a complaint with your state insurance regulator.

Step 1: Get the Denial in Writing

You have the right to receive a written explanation of why your claim was denied. If you only received a verbal denial, request a written denial letter with the specific reason and policy provision cited.

Step 2: Review Your Policy

Compare the denial reason against your actual policy language. Insurance companies sometimes deny claims incorrectly or apply policy exclusions too broadly. Reading the exact policy provision yourself — not just the adjuster's summary — is important.

Step 3: Gather Additional Documentation

If the denial was based on insufficient documentation, gather what is missing: police reports, repair estimates, photographs, medical records, or witness statements.

Step 4: File a Formal Appeal

Most auto insurers have a formal internal appeal process. Submit your appeal in writing, address the specific denial reason with documentation, and keep copies of everything. Note the deadline for filing an appeal — missing it may waive your right.

Step 5: Request an Independent Review or Appraisal

For disputes about the dollar amount of a claim, many auto policies include an appraisal clause that allows both sides to get independent appraisals and have a neutral umpire resolve disputes.

Step 6: File a Complaint with Your State Insurance Commissioner

Every state has an insurance regulator that handles complaints about insurers. Filing a complaint is free and can prompt the insurer to reconsider. Find your state's department of insurance through the NAIC at naic.org.

Step 7: Consult an Attorney

For significant denials, a bad faith insurance attorney can evaluate whether the insurer's denial was proper and whether you have grounds for a legal claim.

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*This article is for general informational purposes only and is not legal advice. Consult a licensed attorney for advice specific to your situation.*

Informational purposes only. This article is for general informational purposes only and is not legal advice. Laws vary by jurisdiction. If you need advice about your specific situation, consider speaking with a licensed attorney.