Corresponding with your Insurance Company

 

DO:

  • Do read your policy coverage, exclusion and limitations sections.
  • Do read your dollar caps and limits.
  • Do read letters from your insurer regarding its position concerning coverage for your claim.
  • Do review the notes you (hopefully) took and kept from all conversations with your claims adjustor.
  • Do review the notes you (again, hopefully) took and kept from conversations with the insurance agent when you purchased the insurance.
  • Do determine, based on what you were told by the agent and adjuster, and based on the policy itself, why you believe there should be coverage for your claim, and why you think the amount owed is what you have calculated.
  • Do hire your own expert (estimator, appraiser, contractor, medical expert etc.) to provide you with his or her opinions regarding key issues.
  • Do write a succinct, factual, statement (letter/appeal) explaining your position. If possible run it by an insurance policyholders lawyer before mailing it.

 

DO NOT:

  • Do not rely on the policy interpretation opinions of any representative of the insurance company.
  • Do not rely on insurance company experts about factual matters (such as the customary and reasonable cost of treatment, the reasonable cost of repairs, the reasonable replacement value of real or personal property).
  • Do not shade or exaggerate anything you say in your letter.
  • Do not threaten anyone or use hostile, intemperate or abusive language.
  • Do not send a cc to the President or other irrelevant luminaries.