Yahoo Answers is shutting down on May 4th, 2021 (Eastern Time) and beginning April 20th, 2021 (Eastern Time) the Yahoo Answers website will be in read-only mode. There will be no changes to other Yahoo properties or services, or your Yahoo account. You can find more information about the Yahoo Answers shutdown and how to download your data on this help page.

?
Lv 4
? asked in Business & FinanceInsurance · 1 decade ago

Appeals Process on a Rejected Insurance Claim?

I recently submitted a claim (very legit) and the adjuster has rejected it. Is there an appreals process for this? We have asked the agent and adjuster about this and they say no. But there has to be one, with out getting a lawyer and dragging this on for 5 years.

Thanks!

7 Answers

Relevance
  • 1 decade ago
    Favorite Answer

    Call the main company (Allstate, Geico, whatever....) instead of the local agent and ask for the complete process, including address and contact name.

  • 1 decade ago

    What KIND of claim? Life? Auto? And on what basis did the adjuster reject it? You should be able to check the policy sections cited by the adjuster to verify the rejection basis.

    What you REALLY need to do is call your agent, sit down with them, and have them call the adjuster, and review the whole claim.

    Is it *possible* that the claim flat out isn't covered?? You'll be able to tell from reading your policy.

    Source(s): agent, 20+ years
  • Anonymous
    1 decade ago

    If your claim is within your state's small claim court limits, you can file there. Judges usually side with the insured in these cases.

    You can try your state's insurance department to see if they can help. Another agency that might provide help is your state's attorney general.

    You can contact the legal depatment of the insurance company and talk to them about it. The more businesslike you are the more likely you are to succeed.

    Finally, hire a lawyer if all else fails.

  • 1 decade ago

    Hi,

    Had you clearly mentioned the exact type of your claim, it would have been easier to answer, but anyways, you can get some info in the following link where Insurance Claims and Payments Issues are discussed. Hope that helps!

    Thanks

  • How do you think about the answers? You can sign in to vote the answer.
  • blb
    Lv 5
    1 decade ago

    Tell us about the claim and maybe one of us can give you more insight on why it was denied. Possible that there just is no coverage for the type of claim that you had.

    Source(s): Insurance Agent
  • 1 decade ago

    Call the head office of whatever insurance company you're dealing with and go beyond your agent.

  • 1 decade ago

    Please be more specific, what type of claim, your coverages and was your policy in force when the loss occurred ???

    Source(s): Licensed Agent and Claims Adjuster
Still have questions? Get your answers by asking now.