CLAIMS GUIDE
Filing Your Automobile Insurance Claim
Every year millions of consumers file claims with their insurance agents
and insurance companies. The trauma of an auto accident or theft is stressful
enough without having to worry about your insurance claim. The following
information, prepared by the Independent Insurance Agents of America,
is designed to help you understand the claims process. Cole Harrison
will assist you and ensure your claim is handled promptly and fairly.
Taking It To The Road
There are two basic types of claims. The first involves loss or damage
to your automobile. The second type is a liability claim which arises when
someone else suffers an injury or damage to their property because of something
you did or did not do. For example, if you run a stop sign and hit another
vehicle, you could be liable for the damages to that vehicle and any injuries
that may have occurred. Liability claims may result in a lawsuit against
you. To cover these two key areas, most auto policies subdivide the coverage
into the following categories:
* Auto liability covers damage to property
of other people and injuries to the people.
* Collision covers damage to your own vehicle.
* "Other than Collision" or "Comprehensive" coverage
pays to repair damage to your car caused by fire, theft, vandalism, natural
disaster or similar events.
* Medical payments, termed "good faith" coverage, guarantees
immediate medical payments for you, your passengers and other parties involved
in the accident, regardless of who is at fault. The point is to help someone
who is injured get the necessary medical attention and deal with the issue
of fault and insurance later.
* Uninsured and underinsured motorists coverages protect you if you are
injured in an accident with others who themselves do not carry enough insurance
or have no liability insurance.
Is That It? No. There are additional coverages such as towing and temporary
replacement vehicles available for your auto insurance policy. In fact,
just about any contingency can be covered by adding clauses and conditions
known as endorsements or riders to a standard policy. After An Accident
For several reasons, the first conversation you have should be with your
independent insurance agent. Chances are your policy includes a stipulation
that the insurance company be notified promptly. Conversations with others
about the situation can inadvertently waive some of your rights in the
case. When The Time Comes If you do suffer property damage or injury or
incur liability, it is time to file a claim. You will be asked to fill
out a claim form -- the formal document on which you request benefits to
be paid according to the terms of the policy. Be complete and supply as
much detail as you can and, of course, be truthful. All this will help
your adjuster do his or her job and therefore speed the process. To support
your claim, it may be necessary to supply the insurance company with some
documentation such as a "proof of loss" form, auto repair and
medical bills, and a copy of the police report. Be sure to keep a copy
of your claim and any associated paperwork for your records. You may need
to refer to it in the future. What Is A Deductible? When you file a claim
for property or loss, the payment made by the insurance company is subject
to a deductible. Basically, when you purchase your insurance policy, you
agree to pay the first specified amount of any damage as your share of
the cost of repair or replacement. The insurance company adjusts its rates
accordingly, charging less for those who agree to pay a larger first share
-- or deductible. For example, if your car should sustain damages costing
$2,000 to repair and you have a deductible of $250, you would pay $250
and the insurance company would pay $1,750. What Is A Claims Adjuster?
Once you have reported your claim to your agent, he or she will contact
the claims adjuster of your insurer -- usually within the hour. The adjuster
will begin the settlement process, the length of which will depend on the
cooperation of the other party, if any. While some claims are relatively
easy and straightforward, others are more complicated. Your adjuster is
charged with investigating the claim and then making a recommendation to
the insurance company. The recommendation can be to accept the claim and
pay the full amount requested, accept part of the claim and make a partial
payment, or refuse the claim and make no payment. The insurance company
will then make a decision regarding your claim and notify you of its final
decision. A Final Note The amount of compensation offered can vary according
to the adjuster analysis of your claim. Keep in mind, if you feel it is
too low, you do not have to accept the first amount offered. While you
may have to do some research to prove a higher payment is valid, it may
be worth it. Your independent insurance agent should be able to assist
you in reaching a fair settlement.
Filing a Home/Renters Insurance Claim
There are two basic types of claims. The first involves loss or damage
to property such as your home or your possessions. The second type
is a liability claim which arises when someone else suffers an injury
or damage to their property because of something you did or did not
do. For example, if someone falls while visiting at your home, you
could be liable for any injuries that may have occurred. Liability
claims may result in a lawsuit against you.
On The Home Front
If you own your home, chances are you have a homeowners insurance policy.
Homeowners insurance covers damage to your property -- structures and
your possessions -- within specified limits. This coverage extends to
possessions that you carry for personal use when you travel. You usually
have coverage for damage to both structure and personal property caused
by:
* Fire or lightning
* Windstorm or hail
* Explosions
* Riot or civil commotion
* Aircraft
* Vehicles
* Smoke
* Theft or vandalism
* Weight of ice, snow or sleet
* Freezing of a plumbing, heating air conditioning or other such household
system.
If you should experience damage from an above listed caused, you can
make temporary repairs (e.g., to the roof) to prevent further damage
to your property. Remember to keep all receipts for the insurance company,
and do not sign any deals with contractors or lawyers until you have
spoken with your independent insurance agent.
Suitable Coverage
Unfortunately, there are other risks involved in everyday living besides
loss or damage to your property. That old tree you kept meaning to remove
may come crashing down during the next storm right on your neighbor garage.
Or that pesky skateboarding teenager down the street may pick your sidewalk
to have a spill and break a bone. If you find yourself involved in a
situation where you may be held liable, it is important to notify your
independent insurance agent. You may talk to the "nice" parents
of the skateboarder or with your neighbors, but leave the insurance discussion
and negotiating up to the professional. For several reasons, the first
conversation you have about the incident should be with your independent
insurance agent. Chances are your policy includes a stipulation that
the insurance company be notified promptly. Plus, in chatting about the
situation you can inadvertently waive some of your rights in the case.
More importantly, by inviting the insurance company in early in the process,
the company can sometimes offer an early settlement that avoids a lawsuit.
After all, the insurance company has a team of experts -- claims adjusters,
appraisers, lawyers, and medical experts -- who have probably been down
this road before and know exactly how to get mutual satisfaction for
both sides without straining neighborly relations.
Is that It?
No. There are additional coverages such as flood and earthquake damage
for your home. In fact, just about any contingency can be covered by
adding clauses and conditions known as endorsements or riders to a standard
policy.
When The Time Comes
If you do suffer property damage or injury or incur liability, it is
time to file a claim. You will be asked to fill out a claim form -- the
formal document on which you request benefits to be paid according to
the terms of the policy. Be complete and supply as much detail as you
can and, of course, be truthful. To support your claim, it may be necessary
to supply some documentation. Pictures of your tree atop the neighbor
garage, details on the sofa, chairs and CD collection destroyed in the
fire, and so forth. The better you document your property beforehand
with pictures, receipts and other evidence, the more likely your claim
will be processed smoothly.
Figuring Out The Costs
How much financial settlement the insurance company offers you of course
varies with the situation. However, for property damage, it helps to
know that there are two basic ways to value your property:
* Actual Cash Value - The replacement cost of the item minus depreciation.
For example, a new television set may cost $500. If your 7-year-old TV
set gets damaged in a fire, it might have depreciated 50%. Therefore,
the televisions remaining value would be $250.
* Replacement Coverage - The cost of replacing an item without deducting
for depreciation. So the current cost for a TV set with features similar
to the 7-year-old one damaged by fire would determine the amount of compensation.
If the similar new television costs $500, that would be the amount of
your coverage.
You may want to check your policy to see which kind of coverage you currently
have. For example, if you would prefer replacement coverage and do not
have it, this coverage can be added to your policy for an increase in
your premium of about 10% to 15%.
What is A Deductible?
When you file a claim for property or loss, the payment made by the insurance
company is subject to a deductible. Basically, when you purchase your
insurance policy, you agree to pay the first specified amount of any
damage as your share of the cost of repair or replacement. The insurance
company adjusts its rates accordingly, charging less for those who agree
to pay a larger first share -- or deductible. For example, if your home
should sustain damages costing $2,000 to repair and you have a deductible
of $250, you would pay $250 and the insurance company would pay $1,750.
What is A Claims Adjuster?
Once you have reported your claim to your agent, he or she will contact
your insurer claims adjuster -- usually within the hour. The adjuster
will begin the settlement process, the length of which will depend on
the cooperation of the other party, if any. While some claims are relatively
easy and straightforward, others are more complicated. Your adjuster
is charged with investigating the claim and then making a recommendation
to the insurance company. The recommendation can be to accept the claim
and pay the full amount requested, accept part of the claim and make
a partial payment or refuse the claim and make no payment. The insurance
company will then make a final decision regarding your claim and notify
you.
A Final Note
The amount of compensation offered can vary according to the adjuster
analysis of your claim. Keep in mind, if you feel it is too low, you
do not have to accept the first amount offered. While you may have to
do some research to prove a higher payment is valid, it may be worth
it. Your independent insurance agent should be able to assist you in
reaching a fair settlement
See our Insurance
FAQ section
for further information |