Here’s What Not to Say to an Insurance Claims Adjuster (2024)

March-22-2023

Here’s What Not to Say to an Insurance Claims Adjuster

A common misconception many people make when their homes or property is damaged is that their insurance company is on their side. The more factual story is that insurance companies want to save as much money as possible, and they do this by trying to avoid what they pay on policyholders’ claims.

What Not to Say to An Insurance Adjuster

For this reason, your insurance company will conduct its own investigation of your damage when you file a claim. And this investigation is likely to include looking for evidence that can be used to deny your claim or provide you with a lowball settlement offer.

With that in mind, we always recommend working with a skilled insurance claims attorney when you suffer a loss instead of directly dealing with the insurance adjuster. However, if you do have to speak with the company’s adjuster, here is what not to say to an insurance adjuster.

1. Don’t Admit Fault

What should you not say in a claim? First, it’s important to remember that honesty isn’t just recommended — it’s required when speaking with an insurance adjuster. Misstatements could lead to a claim being denied and even allegations of insurance fraud.

However, that doesn’t mean taking the blame for damage you didn’t cause after a disaster has struck your property. Along the same lines, don’t speculate about a fallen tree having been rotted or a collapsed ceiling needing replacement when you don’t know these things to an absolute certainty.

Admissions of fault, responsibility, or contributing to the problem are all things insurance adjusters have a trained ear for, and they will be listening to see if any statements you make can get their employers out of paying on your claims.

2. Don’t Downplay Damages

Victims whodownplay their damagesgive insurance adjusters a chance to downplay the settlement offers they make. This might include, for example, leaving out a certain section of the damage on a walk-thru, not mentioning damaged property items you would replace anyway, or saying that the insurance company doesn’t have to worry about this or that. You pay for your policy, so you should have a right to collect to the fullest extent possible if you are eligible.

Here’s What Not to Say to an Insurance Claims Adjuster (1)

3. Don’t Give a Recorded Statement

You should always avoid giving any on-the-fly recorded statements to the insurance adjuster. However, if the insurance company feels it needs to go that route, it should employ more formal procedures, such as a recording under oath with a reporter present. You should also be given a chance to be represented by legal counsel.

You should also be provided sufficient time to gather your thoughts and a chance to read or submit a prepared written statement. An adjuster who takes a statement quickly onsite will gain information almost guaranteed to be more beneficial to the insurance company than it will be to you.

Read now: Home Insurance Claim Adjuster Secret Tactics

4. Don’t Accept the Initial Settlement Offer

A common practice is for an insurance adjuster to start with a low offer amount and to hope you will accept it without challenge. An attorney, though, will be able to assist you in negotiating for an amount that is more fair in light of the losses you have suffered.

What Insurance Adjusters Consider When Evaluating Property Claims

When considering what you should not say in a claim, insurance adjusters often look for “the catch” that can get insurance companies out of paying the highest amount on your claims.

The adjuster will consider a variety of inputs in assessing your claim. Documents and information you should be ready to give them include statements describing your loss, an inventory of lost or damaged property, specifications and assessments for damaged structures, and receipts for additional living expenses if you have been displaced.

The adjuster will also likely conduct their inspection and ask follow-up questions. Being ready with all information on hand and having your story straight is the key to success in an insurance claims process.

Let the Insurance Claims Attorneys at McClenny Mosely & Associates Help You

at MMA Law Firm, our Houston homeowners insurance claim lawyers help clients interpret Texas homeowners insurance claim laws, understand their rights, and recover from their losses every day. Our attorneys are well-positioned to assist clients with insurance claims in Texas, including ensuring that insurance claims adjusters behave correctly under the law.

Let’s talk today!

Here’s What Not to Say to an Insurance Claims Adjuster (2024)

FAQs

Here’s What Not to Say to an Insurance Claims Adjuster? ›

Some key phrases to avoid saying to an insurance adjuster include: “I'm sorry.” “It was all/partly my fault.” “I did not see the other person/driver.”

How to answer insurance adjuster questions? ›

Guidelines for Answering Questions from an Insurance Company

Stick to the facts: Avoid giving an opinion about anything. Write down the adjuster's name and information for future reference. Do not guess answers: If you do not know the answer to a question, simply say so.

What not to say to an insurance investigator? ›

Admitting fault: Using apologetic language is enough for the insurance adjuster to assume you're admitting fault and use that against you. Even if you feel you're at fault, wait for the official investigation to prove what actually happened. Don't say things like “I'm sorry” or “it was my fault.”

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.

How to argue with an insurance adjuster? ›

Be Patient and Persistent: Don't settle for less; negotiate with the insurer for a fair settlement. Consider a Second Opinion: Get an independent appraiser or lawyer to assess your claim's value. Mediation and Arbitration: Explore alternative dispute resolution methods to resolve disagreements.

Can you disagree with insurance adjuster? ›

If you find yourself at odds with a claims adjuster over a settlement amount, it's important to advocate for the payment you deserve. Don't simply accept an offer you believe to be inadequate. Instead, arm yourself with evidence, negotiate firmly but politely, and don't be afraid to dispute their decision if needed.

What triggers an insurance investigation? ›

Insurance companies are more likely to investigate you when you file a large claim. Any large check that they write comes out of their profits. Therefore, they are looking for any way to escape paying for the damages their policyholder caused.

What is unethical in insurance? ›

Not investigating a claim or, in some cases, denying the claim without providing any reason. Unreasonably making demands for documents, interviews, and other information in a bid to delay or deny making payments.

What to say when making an insurance claim? ›

Give your name, address, policy number, and the date and time of your loss. Make sure to tell your insurance agent where you can be reached, especially if you are unable to stay in your home. Follow up the call with a letter detailing the problem. Keep a copy of the letter.

How do you write a strong claim sentence? ›

An effective claim is sharply focused and limited enough to be covered in the prescribed length of the essay. A claim must also answer the question: So what? Why/how does this issue matter to readers? What does it mean to make an argument about a text?

Are claims adjusters biased? ›

Dealing With Insurance Adjusters

The insurance adjuster has only the best interests of their client in mind and will perform their duties with a certain degree of bias. Some insurance adjusters may even go as far as to employ bad faith tricks to lower the potential payout the insurance company has to deliver.

Do insurance adjusters follow you around? ›

While the insurance company may follow you at any time, there are certain times where it is most likely to occur. We typically see insurance companies conduct surveillance around claim-related appointments. These claim-related appointments could include IMEs or interviews with insurance representatives.

References

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