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Auto Insurance

How to file an auto insurance claim.

by insurance4day 2024. 2. 18.

If you're in an accident, you should immediately call the police, exchange information with the other motorist, and document the damage for your insurance claim. Depending on your coverage and the circumstances of the accident, you may be required to make a claim with either your own or the other driver's insurance carrier.

Each automobile insurance claim is unique. State insurance rules can have an impact on how the procedure develops, such as processing timeframes and fault assessment.

Understand your policyholder rights and what to do if an insurer refuses your claim or provides an unfair settlement.

KEY TAKEAWAYS

  • After an accident, alert the police, exchange information with the other motorist, document the
  • damage for your insurance claim, and contact your insurer.
  • If the other motorist caused the accident, you can normally make a claim with their insurance carrier. If you were at fault and have collision, comprehensive, and personal injury protection
  • (PIP), you should claim with your own insurance.
  • Insurers refuse claims if you do not have the necessary coverage, submitted inaccurate information on your application, or they suspect you of fraud.
  • Comparative negligence rules may restrict the amount of a settlement offer.
  • If you are dissatisfied with the outcome of your claim, your state insurance department may be able to assist.

What to Do at the Accident Scene: Steps to Take

So you got into a little collision. Here is what you should do:

Get to safety.

If your car is impeding traffic, relocate it to the side of the road if you can do so safely. However, if your automobile is leaking fluids, such as oil or gasoline, leave it where it is and move somewhere safe. Use flares or emergency triangles to alert other drivers.

Check for injuries.

Call 911 if there are any injuries from the collision. Provide first assistance until the ambulance comes.

Notify the police.

Contact the police department. In certain areas, police may only react to certain accidents. Even so, it's critical to tell the authorities since certain motor insurance plans mandate reporting within a particular time frame.

Exchange information.

Obtain the other driver's details, including:

  • Name Address Phone Number
  • Driver's licence number
  • The contact details of the insurer
  • Vehicle Identification Number (VIN).
  • Licence plate number
  • Make and model of vehicle

You may need to check the above information against the physical driver's license and car registration. It may be best to photograph the driver's license, license plate number, vehicle identification number, and registration.

Tip: Gather the contact information for all passengers and witnesses.

Document the damage.

Take photographs of the accident scene, including traffic lights. Take pictures and/or videos of any damaged automobiles. If you were involved in an accident and suffered damages or injuries, state law may compel you to report it to your state's motor vehicle department.

Call your insurer.

Contact your insurance carrier, even if the other motorist appears to be at blame in the collision. When you talk with a claims or customer support agent, ask the following questions:
What coverages do I have?

What are my coverage limitations?

What's my deductible?

Does my coverage cover rental cars?

The insurance may need you to submit images of your vehicle's damage or schedule an in-person examination. Typically, the insurance company will suggest that you drive your car to a body shop to get an estimate on repair expenses.

Fact: In certain areas, drivers are required by law to contact the authorities if an accident causes bodily harm or significant property damage. Local and state regulations differ, but failing to notify the authorities of an accident may be considered a hit-and-run, resulting in a driver's license suspension.

Filing a Claim against the Other Driver

Following a traffic collision, you can submit a claim with your own insurance carrier if you have the necessary coverage to repair your vehicle or pay for damages. However, if the other motorist was at fault for the collision, you may submit a claim with their insurer. A first-party claim is one filed with your insurer, whereas a third-party claim is filed with the carrier of another motorist.
Third-party claims have both advantages and downsides. If you strike a satisfactory agreement, their insurance will pay the claim. Your insurer won't.

However, the third-party insurer represents the insured, not you. After reviewing the accident, the third-party adjuster may give you a payment if they conclude that their policyholder was to blame for the incident. For this to happen, the policyholder must participate with the inquiry.

Body Injury Claims

Typically, an insurance company will only settle a bodily harm claim once all medical procedures have been finished. For example, if you break your leg in an accident, the insurance would most likely not pay your bodily injury claim until you have finished all doctor's appointments and physical therapy sessions.

When proposing a bodily injury settlement, the insurer will want you to sign a "release for damages" agreement. By signing the paper, you agree to the settlement and waive your right to pursue a subsequent claim. That is why you should wait until you have fully recovered from your injuries before accepting a settlement.

Making a claim using your own insurance.

If you are injured or your automobile is damaged in an accident, you can make a claim with your insurance provider. If you are at fault in an accident, you must make a claim with your insurance company as long as your policy applies. In most states, you file a first-party claim if you have

Collision: For collision-related accidents.

Comprehensive: For theft and vandalism.

Medical payments and personal injury protection (PIP) coverages: For injuries.

Uninsured motorists: If the other motorist was uninsured

If you simply have state-mandated liability coverage and are at fault, your insurer will not pay your injuries or property damage. However, in "no-fault" states like New York, you can submit claim with your own insurance for injuries.

Comparative Negligence

Certain states have comparative negligence laws. These regulations force insurance companies to determine the extent of fault caused by each motorist. For example, assume you are speeding and collide with the side of an automobile that is running a red light. Your provider and the other driver's insurance adjusters may conclude that the other driver was 90% liable for running the red light. However, you were also 10% liable since you drove too rapidly to escape the collision.
Some state laws establish a comparable negligence standard for claiming damages. For example, Utah law prohibits you from collecting damages if you are more than 50% at fault in the crash. In our case, the third-party insurer must pay for your car's repairs if you are less than 50% at fault. The third-party insurer may only give a 90% compensation since you were partially liable.

Next Steps

States may set limits on how long an insurer can wait to respond to a claim. For example, New York law compels providers to provide a property damage offer within six working days.
If your claim is accepted, the insurance company will pay the compensation according to the policy's coverage limit. For example, if an insurance covers $20,000 in property damage damages,

it will only pay up to $20,000 per claim.

Property damage claims

When filing a first-party claim to fix your car, you can select the repair business. If you disagree with the settlement figure, you may request an independent evaluation. However, the insurance adjuster and appraiser will establish the vehicle's financial worth.

If the damage to your automobile surpasses its pre-accident monetary worth or there are other major difficulties, such as flooding, the insurance company may declare it a complete loss. In such circumstances, the insurance will only reimburse the automobile's depreciated worth. For example, if you total a vehicle worth $10,000, the settlement amount will be no more than $10,000.

Important: In general, the threshold for a "total loss" is determined state by state, either by percentage or by calculation.

Body Injury Claims

If another party was at fault for your collision, their bodily injury claims insurance coverage will

pay expenditures such as:

  • Medical and hospital bills
  • Lab fees
  • Lost wages
  • Rehabilitation expenditures

If you were at fault, medical payments and PIP coverage might assist cover the costs. A insurance may also provide compensation for pain and suffering. If you disagree with a pain and suffering compensation, you may want to see an attorney.

Important: Remember that you may only register a claim for up to the coverage limitations. Insurance plans may have limits such as 15/30 for bodily harm. This implies that the coverage only covers $15,000 per person harmed and $30,000 for everyone affected.

Alternative scenarios.

Insurance claims don't always go well. The insurance company may refuse your claim or provide

a payment that does not cover your damages.

When to sue?

In general, if there is a death, injury, or significant physical damage, you should contact with a lawyer. Find a lawyer who specializes in personal injury cases. The lawyer may advise you on the deadlines for accepting a claim offer or filing a lawsuit, if your case is worth pursuing, and what your next actions should be.

Your capacity to suit is determined by your state, the period since the accident, and the circumstances of your case. For example, North Carolina law prohibits a motorist from collecting damages on a claim if they are even substantially at fault for an accident.

In certain no-fault states, individuals are prohibited from suing an at-fault motorist unless the accident results in death, permanent disfigurement, significant injury, or property damage that exceeds a certain monetary amount.

Insurers may refuse claims for a variety of reasons, including:

Lack of coverage: Some claims require particular coverages to be in place. Without these coverages, you will be responsible for your own or your passengers' injuries or vehicle damage. If an unlisted driver from your family is involved in an accident while driving your vehicle, the insurance company may refuse your claim. Your claim may also be denied if it exceeds your insurance limit.

Providing inaccurate information: When applying for vehicle insurance, you must submit accurate information, otherwise the insurer may refuse your claim. For example, if you claim to store your car in a garage but really park on the street, your insurance company may refuse a comprehensive claim if it is stolen.

Suspected fraud: The insurer may believe that the accident did not occur or that you are exaggerating treatment and repair expenses. Alternatively, an insurer may believe the accident was purposefully induced or that another type of fraud happened.

If your claim is refused, consult your policy paperwork or contact your agent to see why it is not covered. If you are unsatisfied with the explanation, your next steps are determined by your state and insurance contract.

Some contracts allow you to utilize an assessment method to resolve damage amount issues. In such circumstances, you can submit a complaint with your state insurance agency to get aid from your insurer. In general, the state insurance department can only aid if the claim denial breaches the law or the conditions of your policy.

How Long Do You Have to File an Auto Insurance Claim?

Your window for making a car insurance claim is determined by your contract with your insurance provider and your state's statute of limitations. The "duties after an accident or loss" part of your vehicle insurance policy will explain what you should do next.

In most circumstances, the policy will simply state, "Promptly." However, the policy may specify further procedures, such as reporting a car theft, vandalism, or damage from a hit-and-run to police authorities within 24 hours. You may also need to make a medical claim within a specific time frame following treatment.

What Happens During a "No-Fault" Accident?

In a "no-fault" state, following an accident, each motorist makes an injury claim with their own insurance carrier, regardless of who was at fault. Personal injury protection (PIP) coverage, which was implemented to decrease vehicle accident litigation, compensates for your and your passengers' medical expenses following an injury accident. The state will demand a minimum level of insurance coverage, with optional greater levels available.

Can You Submit an Auto Insurance Claim Without a Police Report?

Yes. In certain areas, police only attend to major car accidents, which frequently include injuries. However, local and state regulations frequently require you to inform the police or the Department of Motor Vehicles about an accident within a certain time frame. Contact the police immediately after a traffic collision to prevent a potential fine or complications with an insurance claim.

What is insurance subrogation?

Assume you submit a third-party claim and the other driver's insurance company does not provide you a settlement that fully compensates for your losses. If you have collision or comprehensive coverage, you can submit a claim under your insurance policy. The subrogation process allows your insurer to try to recover the difference between your insured amount and the responsible party's insurance company. Subrogation can also occur if you make a collision coverage claim when the other motorist was at fault but do not pursue compensation from the other party's insurer. In this situation, your insurer will pursue payment from the other party's insurance carrier for the amount paid to you under collision coverage.

Should I file a claim after a minor car accident with minimal damage?

When you submit a car insurance claim, you risk having your premiums increased. Thus, it is best to avoid submitting a claim for small repairs that may be paid for out of pocket. In general, it may be advisable not to submit a claim when the accident:

Does not include another person's car or another form of property.

Is a little collision without injuries?

Property damage that falls below the reporting level in your city or state, or repair expenses that are less than the policy deductible.

The Bottom Line

The method for filing a claim differs per provider. Some insurers allow you to make a claim over the phone, while others require you to do it online or using a mobile app.

Before an accident occurs, learn about your insurance company's claim-filing regulations. Also, look into state and municipal rules governing police notification after an accident, as well as any requirements that insurance must follow while processing your claim.