Insurance Policy Misconceptions Part 2 – My Claim is Below Deductible Is my claim denied?

​The Wedontsee Insurance Company has inspected the damage to your property and you are told that they will review the claim and get back to you. You receive a letter informing you “our adjuster’s estimate to repair your damaged property is below the amount of your deductible so therefore, we are unable to issue a payment at this time”. You think to yourself, “great, my claim has been denied and I don’t have enough money to repair the damage. What am I going to do?”  Not so fast!  First of all, your claim has not been denied and I will explain.

The letter you received reads something like this:

Damage to Coverage A: $1,567.24
Deductible Applied:        $2,500.00
Net Claim Amount:        $ - 932.76
 
In the sometimes confusing and head scratching language of insurance speak, the insurance company has actually made a payment on the claim. They feel that they owe $1,567.24 to repair the property and have afforded coverage for your claim. But because the deductible amount is greater than the payment amount, they cannot issue a payment. This is a far cry from getting your claim denied.
 
Here is where a public insurance adjuster can come to the rescue (enter stage left). Often times when asked to review these types of claims, we find that the insurance company has under paid for a variety of reasons. The Wedontsee Insurance Company and either overlooked damages, missed damages that could be hidden from view or they misapplied coverage.  We have been very successful in re-opening these claims and getting our clients the proper claim settlements they need to repair their property.
 
Yankees all-star catcher Yogi Berra is famous for saying “it ain’t over till it’s over”. At Reliant Insurance Adjusters we say “it ain’t over till we say so!”  For additional information, a FREE claim review or answers to any of your questions please contact us here or call 561-288-6434.