How to Appeal a Denied Car Insurance Claim in Oklahoma
Oklahoma’s car accident laws require an accident victim seeking compensation for accident-related damages, like property damage to a vehicle, medical expenses, lost earnings, and compensation for pain and suffering, to file a claim with the responsible driver’s insurer. But what are the options when an insurer denies your valid car accident claim? Fortunately, you don’t have to take no for an answer after an insurance claim denial in Oklahoma. Instead, you have the right to file an appeal. The appeal process requires careful handling and compelling evidence. An Oklahoma City car accident attorney is a critical ally in the appeal process.
Why Do Insurance Companies Deny Car Accident Claims?
Oklahoma requires an insurance company to use good-faith practices and provide an explanation for its denial of your claim. If your claim denial did not come with an explanation, contact the insurance company and ask for a clear, written explanation for the denial and a copy of the at-fault party’s insurance contract.
Common reasons that insurance companies deny claims include the following:
- The insurer disputes their policyholder’s liability or shifted liability to you by assigning you 51% fault for the accident under the state’s modified comparative negligence law
- They claim that your injury did not occur in the accident or that your symptoms are caused by a pre-existing condition or previous injury
- The company’s medical experts claim that your medical course of treatment was not necessary for your injury
- They state that their policyholder’s coverage wasn’t in place at the time of the accident or doesn’t cover your types of damages
- The accident wasn’t reported within the required time limit
- Arguing that the policy was canceled due to a late or missed payment
- They may claim that the minimal damage to your vehicle indicates that you cannot be as seriously injured as you’ve reported
Insurance companies may also use tactics such as calling you on a recorded line and then taking your words out of context to assert that you admitted fault or that your injuries weren’t serious.
What Is the Appeal Process After a Car Accident Insurance Claim Denial?
After you receive a detailed written explanation for the denial, you can make your formal appeal by doing the following:
- First, contact an Oklahoma City car accident lawyer for a free consultation to evaluate the merits of your case by examining the at-fault driver’s insurance contract and the reason given for the denial
- Then, your attorney will investigate all aspects of the accident and document evidence of the at-fault party’s liability by showing that they violated their legal duty of reasonable care
- The attorney will document evidence of the validity of your damages by examining your medical report and consulting with medical experts
- Your attorney will file an appeal with the insurance company from an evidence-backed position of strength if the evidence supports your claim and seek the full value of your damages within the policy limits
If your OKC car accident attorney determines that the insurance company violated the terms of the policyholder’s contract, they may be able to obtain additional compensation through a bad faith insurance claim. When a court finds that an insurer acted in bad faith, it often awards the injury victim punitive damages to deter future bad faith actions by the insurance company, as well as additional compensation for the additional distress caused to you.