Don't file an insurance claim until you read this (2024)

Don't file an insurance claim until you read this (1)Our daughter Jaime called to tell us, through angry tears, that she learned from her mortgage company that her homeowner’s insurance policy had been cancelled.

Evidently, when the mortgage holder tried to make a payment from Jaime’s escrow account, the insurance company couldn’t accept it because Jaime was no longer insured. After cooling down and gaining her composure, she contacted her insurance company who affirmed the cancellation. The reason? She had filed three claims over a nine-year period.

“Why,”she asked, “didn’t anyone caution me that I was about to be dropped? And, pray tell, why didn’t you tell me when you dropped me?”

“We sent you a cancellation letter before the policy was dropped. It was returned to us as ‘non-deliverable,’”the agent stated coolly. “That is all we are required to do. If you didn’t get it, it is not our fault.” (Note from Joe: This makes no sense because Jaime still lives in the same “insured” house she had been paying premiums on all those years.)

With her mortgage holder breathing down her neck, Jaime contacted several insurance firms before finding one who agreed to a policy which cost twice as much as her previous one. She feels betrayed by her former company and unwilling to trust her new one.

So, what can we learn from this nightmare? Should you even file an insurance claim?

“Of course!” is the logical answer. “Why should I pay for insurance if I am not going to use it?” Yes, that is good logic, but who says insurance companies are logical? The stark truth is that you may be better off paying the claim yourself.

Here are some guidelines . . . .

When toFile the Insurance Claim

1.File ifit’s a Big One

When the size of the claim is small enough that you can handle it out of pocket, you probably should. However, when the big ones come, go ahead and file. This is why you bought the insurance. Tricky challenge: Define what “big” is for you.

2. File ifYou Have a First-TimeForgiveness Policy

Some policies offer a one-time freebie, meaning that you will not be penalized by filing that claim. In many cases, this provision only applies if you have been accident-free for a number of years.

3. File ifYou Haven’t Had Any Recent Claims

This is similar to the first-time forgiveness policy, but it is a good idea to communicate with your agent before filing the claim. At this point, you need to be coy about the incident. Why? Because some agents are required to note in your file that you have had an incident even if you don’t file a claim. Ask hypothetically, as in “if I were to have an accident, would filing a claim raise my future premiums?”

4. File if Someone Was Injured

If there is a chance that someone was injured in the accident, go ahead and file in order to protect yourself from a possible injury lawsuit.

When Not to File the Insurance Claim

1. Don’t FileIf the Claim Amount is Close to Your Deductible Amount

There is no need to get flagged by your insurance carrier if you are going to be paying most or all of your loss out-of-pocket anyway.

2. Don’t Fileif You Have Had Moving Violations

Some auto insurers consider your driving violations as good cause to raise your premiums or drop you. Adding a claim to these violations will likely kick off some punitive action.

3. Don’t Fileif You Have Had Other Claims

Filing several claims in a short time frame is asking for trouble. You will certainly get your premiums bumped up and you may get canceled (although, as previously noted, my daughter’s three claims were spread over a long period).

Helpful Insurance Tips

1. LearnAhead of Time

Talk to your agent now, while there are no claims pending, to learn the company’s policy on raising premiums and canceling policies. Ask your agent to explain the surcharge schedule, which shows how much rates will increase after a claim. The agent is more likely to be forthcoming when no money is at stake.

Am I saying that agents may misrepresent those policies when there ismoney on the line? Yes.

2. Consider Raising Your Deductibles

The larger deductible you can afford, the lower your premiums will be and the less likelihood you will file a “minor” claim, triggering a rate hike or cancellation.

Hint: Make sure you have a big enough emergency fund to cover those deductibles. Consider $1,000 on auto and $2,500 on homeowners.

3. Get a C.L.U.E.

What is C.L.U.E.? Comprehensive Loss Underwriting Exchange. This quote from their website explains their services:

The C.L.U.E. Personal Property report provides a seven year history of losses associated with an individual and his/her personal property. The following data will be identified for each loss: date of loss, loss type, and amount paid along with general information such as policy number, claim number and insurance company name.

The C.L.U.E. Auto report provides a seven year history of automobile insurance losses associated with an individual. The following data will be identified for each loss: date of loss, loss type, and amount paid along with general information such as policy number, claim number and insurance company name.

Simply put, you have free access to the same accident and claim history your insurance carrier has. Knowledge is power, so get that knowledge.

Final Thoughts

Insurance is aptly defined as a transferring of risk. Because most of us don’t have the bankroll to finance our own risks, we need insurance. But the best plan for the long run is to maintain a big enough emergency fund to allow you to raise those deductibles, keep premiums down, and file only big claims.

Have you ever had your insurance policy canceled? Were you properly notified ahead of time? What kind of hassle did you incur getting new insurance? Did you end up changing insurance companies? Leave a comment!

Don't file an insurance claim until you read this (2024)

FAQs

Is it better to not file an insurance claim? ›

It's crucial to file a claim for major property damage and bodily injuries. A claim might not be worth it for one-car accidents when nobody is hurt. A bad driving record could increase your auto insurance premiums for three years.

What not to say when filing a claim? ›

Don't admit fault. Don't say you aren't injured. If they ask, you should be adamant that you are not sure. Don't sign any release to release your medical records without checking with your lawyer.

What is the downside of filing an insurance claim? ›

It could increase your premiums

The higher your perceived risk, the more likely you are to pay more in premiums. Your claims history tends to play a direct role. If you've filed homeowners insurance claims in the past, your insurer may see it as a red flag that you'll continue to do so in the future.

Should you file an insurance claim before or after repair? ›

Report the Claim Before Making Repairs

Because it could not accurately calculate the damage due to the repairs, the insurance company was not required to pay anything on the claim. Do not let this happen to you.

Will my insurance go up if I don't make a claim? ›

Unfortunately, the simple answer to this is yes. Whether the accident was your fault or not, making a claim will usually lead to an increase in your car insurance premium the next year and you could see an increase even if you don't make a claim.

Is it bad to file too many insurance claims? ›

If you file too many claims, your insurance company may choose not to renew your policy, even if the claims were beyond your control. You can help prevent claims by practicing defensive driving and storing your car in a secure place where it's less likely to be damaged by weather, falling objects, or vandalism.

What are the 3 most common mistakes on a claim that will cause denials? ›

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:
  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

How to argue with an insurance adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

Should I get a quote before filing an insurance claim? ›

Almost every major car insurance company advises potential claimants to file a claim first, and then get a repair estimate. While you can almost always choose where to get your vehicle repaired, the insurance company is usually going to want to be involved in the vehicle inspection/damage estimate process.

Is it worth claiming on the insurance? ›

In some cases, if the amount is quite small, you may not want to make a claim because if you do so your future premiums could increase by more than the amount you have claimed. However, it's a good idea to make an insurance claim if someone has been injured.

Why are most insurance claims denied? ›

Insurance claims are often denied if there is a dispute as to fault or liability. Companies will only agree to pay you if there's clear evidence to show that their policyholder is to blame for your injuries. If there is any indication that their policyholder isn't responsible the insurer will deny your claim.

What to do before making a claim? ›

10 Things to Consider Before Filing an Insurance Claim
  1. File Quickly. It's best not to wait to file a claim. ...
  2. Show Your Knowledge. ...
  3. Be Diligent. ...
  4. Find Experts to Help. ...
  5. Make a List. ...
  6. Work With Insurance Adjusters. ...
  7. Document Insurance Adjuster Interactions. ...
  8. Report and Document Damages.

What not to say when filing a homeowners insurance claim? ›

What Not to Say to An Insurance Adjuster
  1. Don't Admit Fault. What should you not say in a claim? ...
  2. Don't Downplay Damages. Victims who downplay their damages give insurance adjusters a chance to downplay the settlement offers they make. ...
  3. Don't Give a Recorded Statement. ...
  4. Don't Accept the Initial Settlement Offer.
Mar 22, 2023

When would you make an insurance claim? ›

If your car is damaged in a motor car accident, you may want to make a claim on your insurance for the cost of repairs. Whether you can make a claim depends on what type of insurance you have. You may need legal advice before deciding what to do.

Why should you not ignore insurance? ›

- Insurance helps you to protect yourself and your belongings in the case of an accident. - Almost all of the states (49 out of 50) require drivers to have auto insurance.

What is the purpose of filing an insurance claim? ›

When you file an insurance claim, you're making a formal request to your insurance company to receive money to help you pay for repairs and other expenses caused by a policy event (like a car accident or a home burglary) that is covered by your insurance.

Should I get an estimate before filing a claim? ›

Getting a repair estimate is the key first step toward resolving your vehicle damage claim after an accident. When you're making an insurance claim after any kind of traffic accident, getting a trustworthy repair estimate (or two) is a necessary first step toward getting your vehicle fixed and back on the road.

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