How to Appeal a Car Insurance Claim Decision in Burlington, Vermont

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How to Appeal a Car Insurance Claim Decision in Burlington, Vermont - Car

Burlington, VT Car Insurance Claim Lawyer

In Vermont, the at-fault driver is generally responsible for reimbursing you for damage and expenses from a car accident. Typically, you would receive a settlement from their car insurer. However, the process of getting what you deserve is rarely straightforward. Insurance companies often minimize, delay, or deny claims hoping victims will go away or settle for a lowball offer. 

Don’t let an insurance company shortchange you. If you suffered injuries and financial losses due to another’s fault, you are entitled to adequate compensation. Morgan & Morgan has your back if you can’t get a fair settlement from an unscrupulous insurer. Our determined car accident attorneys want nothing more than to help victims to get the full value of their claim so they can put their lives back together. If you want to know how to appeal a car insurance claim decision in Burlington, contact us for a free consultation today.

Appealing Against an Insurer’s Decision

If your insurer denies your claim, you have the right to challenge the decision. You can do so in several ways, including:

Internal Appeal 

Most insurance companies allow you to file an internal appeal against their claim decision. However, it is critical that you understand the reason for the insurance’s decision and can argue against it with proof. You should contact the insurance in writing, explaining why you believe their decision was wrong, and include relevant evidence to back up your claim, such as:

  • Medical reports
  • Receipts of expenses 
  • Photographs of your injuries and damages
  • Eyewitness statements
  • Police report

The insurer should then review its decision and inform you of the outcome. However, insurance companies may try to drag the process out, and you should follow up regularly regarding your appeal. Keep a record of all the times you contacted the insurance, including the person you spoke with, and the topic and outcome of the conversation. These details can be critical evidence if you later need to file a lawsuit.

Filing a Complaint

You can file an official complaint against the insurance company with the State of Vermont Insurance Division online, by mail, email, or fax. Your complaint should be accompanied by the relevant documents. 

Contact an Insurance Attorney for Help and Advice

Consider contacting an attorney from Morgan & Morgan as soon as you receive the letter denying or reducing your claim. Our qualified Vermont insurance dispute attorneys can assess your claim, review the insurance policy, and determine your next best steps. If an insurer acted in bad faith, you may be able to sue and recover your initial damages and others.

Legitimate Reasons Why Insurers Deny or Underpay Claims

In some cases, a claim denial could be valid. Car insurance companies in Vermont may deny or underpay claims due to: 

Lapsed Policy

The driver who caused your accident may have stopped paying premiums or failed to renew their car insurance. However, if you got hurt in an accident with an uninsured driver, you could file a claim with your own insurer. Drivers in Vermont must carry a minimum of $10,000 in uninsured/underinsured motorist coverage. 

Limits in Coverage 

Coverage limits generally apply, whether you file a claim with the at-fault driver’s insurer or your own insurance company. If you suffered a severe injury, coverage limits might mean that your insurance settlement will be too small to cover all your damages. 

Driver Not Named on Policy

If the driver causing the accident is not named on the car insurance policy, the insurer may deny the claim. This can happen when someone borrows the car from the vehicle owner, or a teenager drives their parent’s car without permission.

Work Trips

If the driver causing the accident was using their personal vehicle for business activity, they may not have insurance coverage. As a claimant, you would be left empty-handed as the insurer would most likely deny your claim.  

Even if your claim is legitimately denied, you could have options for recovery, such as suing the at-fault driver personally. A car accident attorney from our firm can help you understand your legal rights and move forward with a lawsuit if you are unable to receive a settlement.

Bad Faith Insurance in Burlington, Vermont

Sometimes, an insurer does not have a legitimate reason for refusing a payout and acts in “bad faith.” You could have legal recourse if an insurance company unfairly denies or underpays a settlement. Vermont’s Insurance Trade Practices Act 8 V.S.A. § 4724(9) prohibits insurance companies from engaging in unfair practices. When liability has been established in a car accident, an insurer must not withhold payment. Examples of bad faith insurance include: 

  • Trying to settle for an unfairly low amount
  • Failing to respond to you
  • Wrongfully denying a valid claim
  • Unreasonably delaying your claim
  • Failing to investigate your claim
  • Misrepresentation of policy terms 

However, not all claim denials occur in bad faith. For example, it is not bad faith if your opinion clashes with an adjuster regarding the loss amount. It is common for insurance adjusters to start negotiations at the lower end. Likewise, an insurance company making a mistake does not count as bad faith. 

If an insurance company unlawfully denies your claim, one of our knowledgeable insurance attorneys can step in and fight for your rights to a full and fair settlement.

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