There are plenty of myths about insurance claim disputes and the attorneys who litigate in this space. The purpose of this article is to separate fact from fiction. Let's take a look at the top myths pertaining to insurance claim disputes and the attorneys who handle those claims.

 

Myth: Filing a Lawsuit Cancels the Insurance Policy

There is a common misconception that filing a lawsuit after an injury renders the insurance policy void and ineffective. The truth is taking legal action in the form of a lawsuit does not serve as a pretext for the insurer to cancel the insurance policy. Nor does filing a lawsuit set the stage for the insurer to raise the policy's rates.

State laws prevent insurance providers from terminating coverage or hiking the insured party's rates after hiring an attorney or filing a lawsuit against the company. The bottom line is insured parties are legally empowered to file a lawsuit against the insurance provider in accordance with the rights detailed in the policy.

 

Myth: Attorneys are Paid at the Outset of the Legal Process

Attorneys are not financially compensated at the start of the legal action. Insurance claim dispute lawyers with merit and integrity will not request money when the legal action commences. Rather, these professionals work on a contingency basis, meaning they are only financially compensated if the legal action results in a settlement or favorable court award.

 

Myth: Minor Injuries do not Require the Assistance of an Attorney

Work in the insurance industry long enough and you will likely find that it is in the victims' interest to meet with an attorney regardless of the extent of the injury. Even minor injuries potentially set the stage for a payout through an insurance provider. Those who attempt to obtain compensation pro se tend to fail. There is also the chance that the claim will be disputed.

Every attorney and victim should be aware of the fact that what might initially seem like a minor injury has the potential to progress into something much more serious. A stiff neck or headache in the hours or days after an accident often indicates whiplash or another serious injury occurred that causes considerable pain down the line. This is precisely why the assistance of a proven personal injury attorney is important even if the injury in question seems relatively minor in the immediate aftermath of the accident.

 

Myth: Insurance Companies are on the Side of Claimants

This myth is as pervasive as it gets. Though insurance providers claim to be on the side of their paying clients, the truth is that insurance is a business, and businesses need to make money. Though there are plenty of ads on the radio and TV about insurance companies insisting they are a good neighbor and in a client's corner when disaster strikes, it may not be the company's primary motivation.

Filing an insurance claim may change how insurers view their client. Even if a client paid his or her insurance premiums in full and on time for years, filing a claim will make the insurer that much more contentious. In the end, the overarching aim of an insurance provider is to maximize the bottom line.

 

Myth: Claimants Won't Have Much Money Remaining After the Lawyer is Compensated

There is generally plenty of money remaining after the lawsuit results in the acceptance of a settlement offer or a court award in favor of the plaintiff. The proceeds of the legal action are used to pay for the insured party's bills causally related to the event and also compensate the attorney. However, attorneys receive only a small percentage of the proceeds stemming from the lawsuit. Attorneys can also receive additional compensation in the form of interest and penalties paid by the insurance company.

 

Myth: An Insurer Cannot Deny Liability After Their Client Admits Fault

It is not uncommon for an individual involved in an auto accident or another incident to admit fault in the immediate aftermath of this traumatic experience. However, just because the allegedly negligent party admits fault after the incident occurs does not mean the insurer has to accept liability.

Even if the party that admits fault promises to pay for the cost of medical treatment and property repair, this promise is not guaranteed to be legally enforced. The insurance provider has every right to deny liability or even pin some of the liability on the opposing party after the accident occurs, regardless of what their client stated in the aftermath of the unfortunate event in question.

 

Myth: It is in the Interest of Claimants to Choose a Public Adjuster Rather Than a Lawyer

Search the web for "insurance claim dispute advice" and you will find a seemingly endless number of results, some of which state it is better for those in such a predicament to rely on a public adjuster to handle the dispute as opposed to an attorney. The truth is a denied claim can only be formally disputed in a court of law by an attorney.

Myth: Another Party's Insurance Company can be Sued

Suing the other party's insurer is not permitted. Though it is the opposing party's insurance provider that investigates the automobile accident claim and analyzes the crash to determine how much financial compensation should be provided, this party cannot be named as the defendant in the ensuing lawsuit.

Rather, it is the driver or other negligent party that is sued for failing to provide those in the vicinity with due care. Such legal action can be taken if a reasonable and fair settlement cannot be reached with the insurance liability carrier.

Myth: The Insurer Cannot Deny Liability After Paying for Auto Repairs

If the matter in question centers on an auto accident and the insurer paid for vehicle repairs, it is still possible for the liability insurance provider to deny liability. The insurer is legally empowered to cover the cost of repairs and/or even provide financial compensation after the vehicle has been declared a "total loss" only to deny liability for the ensuing personal injury claim.

Myth: Insurers Cannot Deny the Claimant's Injury After Paying for Medical Treatment

Even if the insurer covers part or all of the cost of medical treatment after another party's supposedly negligent act, it is still possible for that insurance provider to deny that an injury occurred. Some insurance providers will argue that the supposed causal relationship between the incident in question and the injury does not exist.

The sad truth is plenty of insurers will insist perfectly legitimate injuries stemming from an auto accident or another incident were not actually caused by that specific action. This means the insurance provider will deny there is a legitimate relationship between the cost of medical treatment and the injuries in question.

 

Myth: A Trial Jury can be Made Aware of Previous Demands or Offers

If the case transitions to trial, the injured party, and his or her attorney are not permitted to communicate to the jury members that the insurance provider previously made an offer. Courts do not permit communicating this information to the jury. Nor can the plaintiff's attorney communicate the amount of money requested during settlement negotiations. Furthermore, the jury trial cannot know the specific amount of money offered by the liability insurance provider or even the fact that the insurance provider made an offer in the first place.

 

 

About the Author: Lyle Solomon has considerable litigation experience as well as substantial hands-on knowledge and expertise in legal analysis and writing. Since 2003, he has been a member of the State Bar of California. In 1998, he graduated from the University of the Pacific's McGeorge School of Law in Sacramento, California, and now serves as a principal attorney for the Oak View Law Group in California. He has contributed to publications such as Entrepreneur, All Business, US Chamber, Finance Magnates, Next Avenue, and many more.

These views are the author's own.