What to Do If You Clash with Your Car Insurance Adjuster After an Accident (2024)

What to Do If You Clash with Your Car Insurance Adjuster After an Accident (1)

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Being in a car accident is stressful enough without having to battle your insurance company over fair compensation. 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.

Claims adjusters play a key role in the insurance process, assessing damage, determining fault, and deciding payouts after an accident. However, their goal is to minimize costs for the insurer. You may disagree with their valuation of your vehicle, their assessment of your injuries, or their determination of liability. Whatever the case, you have options.

Why You May Need to Dispute the Adjuster’s Offer

There are several common reasons you may end up at odds with an insurance adjuster over a settlement amount.

These include:

  • Undervaluation of your vehicle. The adjuster may use arbitrary formulas that don’t account for your car’s true market value. This is especially common with older, classic, or custom vehicles.
  • Lowballing your injury claim. Adjusters may try to downplay serious injuries as “soft tissue damage.” Provide medical evidence of long-term effects requiring treatment.
  • Denying certain coverage. Your policy entitles you to compensation for more than just vehicle repairs. Dispute if they won’t cover medical bills, lost wages, rental cars, and other expenses related to the incident.
  • Disputing liability. The adjuster may claim you were partially at fault, reducing your payout.
  • Poor accounting of damages. Adjusters may underestimate damages incurred from the accident, which will negatively impact your compensation.
  • Delays in claim processing. Adjusters may drag their feet, hoping you will give up and not continue pursuing your claim.
  • Simple unwillingness to pay out. Some adjusters take advantage of vulnerability, throwing out lowball offers, hoping you will take what you can get.

Knowing common reasons for unfair settlements will help you identify when and how to push back against the insurance company. With the right evidence and persistence, you can successfully dispute an adjuster’s low offer.

What to Do When the Insurance Adjuster Won’t Fight Fair

Even with a solid injury claim, some adjusters refuse to budge. If you aren’t making headway negotiating on your own, consider consulting an attorney. An experienced personal injury or car accident lawyer can advocate on your behalf. They know how to effectively negotiate settlement disputes and can take legal action if needed.

Our lawyers at Onward Injury Law offer free initial consultations, so you have nothing to lose by exploring your options. Seeking representation may make sense if you suffered major injuries, disability, or lost wages. A lawyer may also be advisable if the insurer disputes liability or your claim is denied entirely. For large, complex claims, an attorney’s experience can be invaluable.

But if you aren’t ready to take advantage of a free consultation, here are some other steps you can take.

Gather Evidence to Support Your Claim

Solid evidence is key to justifying a higher settlement amount. Thoroughly document the scene with photos and video, capturing damage to all vehicles and property involved. Obtain police reports, which can help establish flowbault if liability is disputed. Gather medical records that detail your injuries, treatment costs, and prognosis. Keep receipts for car repairs, rental vehicles, medical copays —anything accident-related.

The more evidence you have to demonstrate the true extent of damages and losses, the better your case for a fair payout. Quantify your claim by tallying all accident-related expenses. Also, calculate the value of your totaled or damaged vehicle using sites like Kelley Blue Book. Present this documentation to the adjuster to counter their offer.

Negotiate Respectfully But Firmly

If an adjuster offers less than you believe is fair, don’t be afraid to push back. Voice your disagreement calmly and respectfully. Explain your reasoning and provide evidence to justify asking for a higher settlement. Make a reasonable counteroffer based on your documentation.

However, avoid aggressive confrontations or threats. Instead, aim for cooperative negotiation focused on reaching an agreement acceptable to both parties. That said, don’t let an adjuster pressure you into accepting a lowball offer. You have every right to seek fair compensation.

Dispute the Decision and File a Complaint

If you exhaust other options without resolution, formally dispute the insurer’s decision. Many policies allow you to request arbitration through the insurance company. You’ll present evidence to an independent adjuster, who then makes a binding settlement determination.

You can also file a complaint with your state department of insurance. This alerts regulators to improper claim-handling practices. Your complaint may trigger another review and settlement reevaluation by the insurer seeking to avoid penalties.

Lawsuits should be a last resort, as they require time and expense. However, legal action may be warranted if the insurer refuses reasonable negotiation. An attorney can advise if litigation seems prudent.

Is the Insurer Acting in Bad Faith?

Insurance companies have a legal duty to act in good faith when handling claims. But sometimes adjusters engage in deliberate unfair claims practices. Identifying bad faith can strengthen your case for disputing a settlement.

Signs of potential bad faith include:

  • Denying a valid claim without reasonable investigation
  • Unreasonably delaying approval of a covered claim
  • Misrepresenting facts or policy provisions
  • Refusing to provide a reasonable explanation for denying a claim
  • Offering substantially less than the claim is worth based on evidence
  • Failing to consider evidence supporting the claimed amounts
  • Rejecting a reasonable settlement offer within policy limits
  • Making it extremely difficult or intimidating to pursue a claim

Document all interactions and repeatedly assert your rights under the policy. Seek legal advice, as bad faith may mean you can recover extra damages beyond policy limits. Don’t tolerate egregious stonewalling or misrepresentation. Pursue formal complaints and litigation if the insurer won’t fulfill their obligations in good faith.

Receiving fair compensation after an accident shouldn’t be a battle. But if an adjuster disputes your claim, know your options. Gather evidence, negotiate firmly but fairly, and seek legal counsel. Our personal injury attorneys at Onward Injury Law can help you recover the maximum compensation the law allows.

Contact us today for a consultation.

What to Do If You Clash with Your Car Insurance Adjuster After an Accident (2)

Author Bio

Joshua Rohrscheib is the Owner of Onward Injury Law, a Central Illinois personal injury law firm. With more than 17 years of experience in injury law, he is dedicated to representing clients in a wide range of legal matters, including car accidents, trucking accidents, construction accidents, medical malpractice, nursing home abuse, and other personal injury cases.

Josh received his Juris Doctor from the University of Illinois College of Law and is a member of the Illinois State Bar Association. He has received numerous accolades for his work, including being named among the “Top 40 Under 40” in 2019 by The National Trial Lawyers and a “Rising Star” in 2019 by Super Lawyers.

LinkedIn | State Bar Association | Avvo | Google

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What to Do If You Clash with Your Car Insurance Adjuster After an Accident (2024)

FAQs

What to Do If You Clash with Your Car Insurance Adjuster After an Accident? ›

Dispute the Decision and File a Complaint

How do I argue with my car insurance adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

How do you answer an insurance adjuster question? ›

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 when talking to insurance adjuster? ›

When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

Why is my claims adjuster ignoring me? ›

If your insurance adjuster won't respond, it could be due to any number of reasons. It could be due to a change of personnel, bad customer service or an oversight. It could also be something that needs to be addressed on your end, regarding the claim itself.

What to do when you disagree with an insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

How do I negotiate more money for a car accident claim? ›

How the Negotiation Process Works in Car Accident Cases
  1. Initiate your claim as soon as possible after a car accident. ...
  2. Keep accurate records about your accident and injuries. ...
  3. Calculate a fair settlement. ...
  4. Send a detailed demand letter to the insurance company. ...
  5. Do not accept the first offer. ...
  6. Get everything in writing.

What are the 3 key goals of a claims adjuster when settling claims? ›

Claims adjusters have three main goals when settling claims: accurate claim assessment, timely settlement, and customer satisfaction. They investigate and evaluate claims, ensuring that the claim amount accurately reflects the covered losses.

How do I interview a claims adjuster? ›

General claims adjuster interview questions
  1. Tell me something about yourself.
  2. Why do you want to be a claims adjuster?
  3. Are you comfortable working nights and weekends?
  4. What do you know about our company?
  5. Why do you want to work here?
  6. Where do you see yourself in five years?
  7. What's your greatest strength?
Jan 26, 2023

How do I succeed a claims adjuster? ›

Be empathetic and professional when dealing with policyholders who have experienced a loss. Stay up-to-date with industry developments and advancements in technology. Maintain a high level of organization and attention to detail to ensure a smooth and efficient claims process.

How to respond to insurance claims? ›

Promptly respond to letters and requests if they are unreasonable. If they are, say so, in writing. Be proactive: Give your insurer proof of your losses and ask for the dollar amounts you are entitled to. Don't wait for them to tell you how much they owe you.

How stressful is insurance adjuster? ›

Insurance claims adjusting is a high-stress job that can be mentally and emotionally draining. Claims adjusters often work long hours, handle difficult clients and situations, and have to manage multiple claims simultaneously. All of these factors can lead to stress and burnout.

Should I tell my insurance company it was my fault? ›

If you admit blame, even a small portion, for an accident, you provide grounds for the insurer to deny your claim, make lowball settlement offers and dispute liability for your damages. Of course, you should never lie to an insurance company, but you don't have to offer them more information than they need.

Can you sue an insurance company for ignoring you? ›

You may be able to sue your insurance company for bad faith if they intentionally neglect to perform the duties necessary according to your policy. If the insurance company knows that the claim is valid but they deny it anyway, you may be able to sue for bad faith.

How do you negotiate with a Claims Adjuster? ›

Don't Jump at the First Injury Settlement Offer

Or, it may be a reasonable offer, just too low. If the offer is reasonable, you can immediately make a counteroffer that's a little bit lower than your demand letter amount. This shows the adjuster that you, too, are being reasonable and are willing to compromise.

What if my insurance company is slow to respond? ›

If your insurance company is taking too long to respond or pay out on your claim, you have the right to sue. In some cases, simply hiring an experienced attorney to remind the company of its obligations under state law is enough to get your insurer to take your claim seriously.

Should I negotiate with an insurance adjuster? ›

You should always be prepared to negotiate and ask for more.

This will give you a clear understanding of what the actual cost of repairs should be. Once you have compared the estimate to the insurance company's offer, you can begin to identify areas where you can ask for more money.

How do I argue an insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

How to get the most from an insurance claim? ›

There is no single silver bullet that automatically ensures you get the most money out of your insurance claim. Instead, you can help maximize your options by keeping records, knowing the terms of your policy, and not accepting an initial settlement offer.

How to negotiate a diminished value claim? ›

If you decide to negotiate your diminished value claim on your own, being well-prepared is your best offense. Put together as much documentation and evidence as you can to support your claim. This may include calculations, specific market examples, and any other valuations or appraisals you're able to gather.

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