Posts

Many purchase insurance without properly understanding the process of a claim. Most reasons being to simply comply with their banks loans or purchase a car. However, this can lead to experiencing problems   when they actually get into an accident. Frustration rises as they try to solve the unfamiliar issues based on their expectations rather than putting into consideration government regulations and the rights of an insured.

One of the most frequently asked questions is the time it takes to receive compensation. The insurance industry is supervised by the government, and although it varies from state to state, almost all states stipulate insurance claim procedures and compensation periods.

For example, once a claim is opened, the insurance company must notify the claimant that the claim has been filed within 15 days. Another is that if the insurance company denies your claim, it must provide sufficient reasons based on your insurance declaration.  Let’s take a closer look at what you can do to receive proper compensation on a claim.

 

Take time to review your policy declaration

If you have questions on your coverage, contact the insurance company or your agent.

 

Inform the insurance agent of the damage

 Before contacting your insurance company or agent, write down details on the accident. You will be talking to your agent or insurance company multiple times. To keep the story consistent, it is best to keep a memo rather than rely on your memory every time.

 

Assess the damage as accurately as possible

It is important to provide accurate information when reporting a claim. You may be tempted to give an over-estimation of the damage in order to secure enough payout.

However, insufficient evidence or data to support the extent of the damage will result in unnecessarily longer processing time and you may receive less compensation than you’d want.

Reporting an over estimation, for the damages on a commercial property with a co-insurance clause, may backfire and also put you in disadvantage. Accurate estimation of the damage is crucial in deciding whether it’s worth opening up a claim.

 

How to get an accurate estimation of the damage

Asking a professional for an estimation of the damage is recommended. For example, calling a roofing company if you suspect hail damage. They will be able to estimate the severity of the damage and the cost to repair it.

 

Keep a note on the phone conversation you had with the insurance company

If you write down when and what you talked about, you can use it appropriately when needed. Afterall, claim procedures are processed by humans and there is the likely case of mistakes.

 

Gather all detailed evidence of loss

Insurance companies pay out for damages based on proof of damage or loss. In other words, simply hoping that that adjusters will provide you with sufficient coverage may not be enough. The more concrete and detailed proof provided, the easier the claim process will be.

 

Keep a copy of all the documents submitted to the insurance company

When submitting documents, it is recommended to keep at least one copy for yourself in case the mail is lost or misplaced. Since insurance companies are also for-profit, they acknowledge the importance of providing quality service to clients. Therefore, each insurance company strives to process claims quickly and fairly. As for insureds, knowing what to expect and what they can prepare to facilitate claim process will make the whole experience smoother.

Your employee was injured at work. What next?

When your employee is injured on the job, it is important to move quickly in providing medical attention and opening a workers compensation claim. Doing so will help minimize the total cost and the severity of the injury.

Following these three steps will help employers plan ahead and be prepared in the event of an injury.

Step 1 – Preparedness is key

Business owners can prepare by finding ways to prevent workplace injuries. In the event one occurs, finding ways to respond quickly is critical. These preventative and response methods include:

Planning to prevent injuries is the best way for business owners to reduce risk. However, prevention is not always possible, so preparing for the worst is essential.

Step 2 – Respond quickly after injury

  • Evaluate the scenario – Move the injured to a safe place and evaluate the injury. Take note of the severity of injury and what caused the accident.
  • Help the injured – If the injury is minor – such as scrapes, cuts and burns – treatment using first aid supplies may be all that is required. If the injury necessitates more serious treatment, seek professional help or emergency medical services.
  • Complete an incident report – Collect and keep information and any evidence relating to the incident as quickly as possible. Write down the details of the incident and secure witness statements. Gather evidence of the incident by collecting surveillance video, photos, equipment, etc. Incident reports should be made even if employees say they are fine. They may seek medical attention later in time.

Being prepared to respond to an accident will help lessen panic, thereby allowing business owners to remain calm and collected.

Step 3 – Stay committed to communicating and following through

Business owners should work along with their employee on opening a workers compensation claim with the insurance company.

Keep in mind that it is favorable to the business owner if he or she maintains communication with all parties related to the incident. This includes the claims adjuster, insurance agent and injured employee.

In the event the injured employee sues, it is important to maintain open communication. More specifically, business owners should provide attorneys and adjusters with information and documentation relating to the claim. Settling a claim early in the process can prevent an expensive, drawn out lawsuit.

 

Taking steps to prevent workplace injuries from occurring in the first place will help avoid expensive claims and potential litigation. However, if an injury does occur, being prepared and responding quickly can help minimize the severity of the injury and protect the employer.

If you have any questions, please contact us here.