Insurance Claims 101: How to Successfully File and Win

Step 6: Understand the Settlement Offer

Once the adjuster completes their evaluation, you’ll receive a settlement offer. This is the amount the insurance company is willing to pay based on your coverage and the adjuster’s assessment. Here’s what to do:

• Review the Offer: Carefully review the settlement offer to ensure it covers all your losses. Compare it with your documentation and receipts.
• Ask Questions: If anything is unclear or seems incorrect, don’t hesitate to ask your insurer for clarification.
• Negotiate: If you believe the offer is too low, negotiate. Provide additional documentation to support your claim for a higher amount.

Step 7: Appeal if Denied

If your claim is denied, don’t panic. There are steps you can take to appeal the decision:

• Understand the Reason: Review the denial letter to understand why your claim was denied.
• Gather Evidence: Collect additional evidence or documentation that addresses the reasons for denial.
• Write an Appeal Letter: Draft a formal appeal letter outlining why you believe the denial was incorrect. Include all supporting evidence.
• Seek Help: Consider hiring a public adjuster or an attorney who specializes in insurance claims if your appeal is complex or substantial.