Insurance Claims

Is an insurance company denying your claim? Don't know where to turn to? Our Colorado Springs insurance claims attorneys make sure you're not bullied by the insurance companies.

Certainly, at times, insurance companies are justified in not paying out on an insurance claim. But how do you know for sure when it's justified? That's when you need an attorney with insurance claims experience on your side. We know the rules and we know when the insurance companies are breaking them.

Save yourself the frustration and wasted time of trying to fight an insurance claim on your own. Give us a call at Springs Law Group. We're here ready to help. Your first consultation is free of charge and strictly confidential: (719) 421-7141

What Is an Insurance Claim?

An insurance claim is when you file a formal request with your insurance company asking for payment. The payment amount is based upon your previous agreement with the insurance company. The insurance company checks out your claim and either denies or approves the payment. If approved, they will pay your claim.

How Often Are Insurance Claims Denied?

You might be surprised how often insurance claims are denied. The following stats show the frequency of such denials:

  • There are 200 million health insurance claims that are denied each year according to AARP.
  • Insurance companies that cover home and auto deny around three percent of claims each year.
  • Workers compensation and life insurance claims are also denied on an alarming basis.

In addition to denials, insurance companies might not deny your claim outright, instead offering instead pennies on the dollar of the value of your claim.

Why Insurance Claims Might Be Denied?

A profitable insurance company will never pay out all the claims it receives. Therefore, they will typically use any reason they can find to deny a claim in many cases. For instance, let's assume you are injured in a wreck caused by another driver. The other driver's insurance company will often do all in their power to prevent or reduce the size of a payout. Even a small detail can prevent you from getting the payout you deserve. The following are some examples of why an insurance company might deny a claim:

  • Questioning Liability: If you are injured and seeking a claim from the responsible party's insurance company, you have to prove negligence. In other words, you have to prove another person or company was negligent in some way that led to your injury and accident. How denied liability is applied depends on the type of accident in question. If you are injured at work, the insurance company might try to claim you knew the risk of your job and took on the risk. This takes the negligence away from your employer and puts it on you. You might also be accused of doing something to cause your accident or make it worse by not seeking care soon enough.
  • Minimizing Your Injuries: Another common tactic insurance companies employ is to minimize your injuries. They do this by seeking out evidence that shows your injury or accident wasn't as severe as you claim, or that part of it was caused by a pre-existing condition or a subsequent, unrelated incident. They will even go to the trouble of hiring a medical doctor to attest to this fact.
  • Demanding More Evidence: Insurance companies demand that you prove your case with certain evidence. If you are unable to do so, they sometimes will deny or minimize your claim because of "lack of evidence." Evidence can include documentation from a physician that shows proof your injury came from the accident as you claim. A police report is also very important after a car accident. Without one, an insurance company can question who was at fault for the accident. Keep the following items together as evidence of your injury and accident:
  • Photographs of injuries or damage to your car or home;
  • Records of your lost wages;
  • Medical records showing treatment; and
  • Medical bills showing amounts charged for treatment.

Remember, the more evidence you have on your injury, the easier it will be for you to prove your case. Your case will be stronger as a result.

How Can an Attorney Help with Insurance Claims?

Ideally, an insurance company would pay out what they owe without question. That isn't how today's world works. Instead, insurance companies have adjusters, doctors, nurses, and even lawyers working on their side. Their whole goal is to get you to say the wrong thing or do the wrong thing so they can justify not paying your claim or paying a reduced amount.

That's why our services at Springs Law Group are crucial. We understand all the tricks insurance companies utilize and are ready to fight for your rights. Mary Beth Senkewicz, who is the former executive at the National Association of Insurance Commissions, said the following about claim denial:

"The bottom line is that insurance companies make money when they don't pay claims. They'll do anything to avoid paying."

There are two main scenarios where a lawyer would be advantageous when it comes to an insurance claim:

  • Your Own Insurance Company Denies Your Claim: This situation can occur if your own insurance company denies a claim. For example, it might mean they refuse to pay for property damage when you have a homeowners insurance claim. Another situation might involve your auto insurer not covering you in an accident you caused, or not covering injuries caused by someone else that were supposed to be covered under Uninsured/Underinsured Motorist or Medical Payments (MedPay) coverage.
  • Someone Else's Insurance Refuses to Pay: This scenario can take place when you are injured by someone else. Either their personal insurance or their employer's insurance would then be responsible for paying your medical bills and other damages. In many cases, they should reimburse you for lost wages, pain and suffering, and other damages as well.

When Do I Need to Contact an Attorney to Help Me with an Insurance Claim?

Time is of the essence when dealing with an insurance claim. Therefore, as soon as possible after an accident, seek the help of an attorney. At Springs Law Group, we offer free consultations. This meeting will reveal how we can help you with your insurance claim.

How Much Does it Cost to Hire an Attorney's Help?

The type of claim will have a lot to do with the cost of an attorney's help. In many cases, which involve large amounts of money, an attorney takes a cut of the damages awarded after a case is won (i.e., contingency fee). In other cases, they might charge a flat fee or hourly. We can discuss with you our fees and how we go about earning our fee when you come in for your free consultation. Keep in mind that your claim can provide you with compensation significant to replace lost wages and other damages, including pain and suffering. Therefore, your first priority should be to find out how to get the compensation you are owed.

How to Get Help Right Now

Contact Springs Law Group to learn what your options are and whether or not you have a good case. The first consultation with one of our insurance claims lawyers in Colorado Springs costs you nothing.

Free Consultation

Contact us for a free initial consultation to discuss your case.


Contact Information

Springs Law Group
6215 Corporate Dr, Suite 101
Colorado Springs, CO 80919

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