The Ultimate Guide to Appealing an Insurance Claim Denial


What if an insurance company doesn’t fairly pay out on your claim? It happens all too often. If you’ve been in an unfortunate accident or suffered property damage, what can you do if your claim denial is not justified?

Here are a few steps to take when appealing an insurance claim denial.

Gather Your Evidence

When you’re appealing an insurance claim denial, the first step is always to gather your evidence and get organized. This means having all your documentation in order, including any correspondence you’ve had with the insurance company.

Once you have everything in order, you can start the appeals process. It can be complex, so it’s essential to have your documentation in order before you start.

Make a Formal Appeal to the Insurance Company

By following the insurance company’s appeals process, you have a chance to have your claim reconsidered.

The first step is to find out why your claim was denied – this information should be included in the denial letter. Once you know the reason for the denial, you can start to build your case as to why the decision should be reversed.

Be sure to follow the appeals process strictly, as each insurance company has different requirements. With time and effort, you can improve your chances of having your insurance claim denial overturned.

Be Prepared to Negotiate

When appealing for life insurance claim denials, be prepared to negotiate. Often, the insurance company will not give you the total amount you are asking for. They may try to lowball you or give you a fraction of what you are owed.

However, if you are prepared to negotiate, you can often get a better settlement. Be sure to have your paperwork in order before you start negotiating. This will give you the best chance of success.

How to Follow Up After You Submit Your Appeal

If you have submitted an appeal to your insurance company and have not received a response, it is essential to follow up.

You can do this by calling the customer service number on your insurance card and asking to speak to someone in the appeals department. Be polite and explain that you have submitted an appeal and would like to know the status.

You may also want to send a certified letter to the appeals department requesting a response. Include your name, address, phone number, and policy number in the letter.

The Basics of Appealing an Insurance Claim Denial

If you’re appealing an insurance claim denial, you’ll need to start by gathering information about why your claim was denied in the first place. From there, you can begin to craft your appeal.

Include any new evidence or information that may have arisen since you filed your original claim. Your goal is to convince the insurance company that they should reconsider their decision.

If you enjoyed learning more about appealing insurance claims and denials, look at some of our other posts!