Insurance Policy Disputes In North Dakota
Insurance policy disputes occur when policyholders and insurance carriers disagree on the terms or the execution of an insurance policy. Such disagreements are relevant because they impact how claims are settled, which can affect financial stability. The goal is a fair settlement where both parties agree upon compensation that accurately reflects the policy terms and the damage incurred.
Insurance companies have teams of lawyers ready to support them. Claimants involved in insurance disputes also need a team. Our attorneys at Knoll Leibel LLP have four decades of experience helping insurance dispute clients in North Dakota. If legal recourse becomes necessary, we have the knowledge and skills to represent your interests, protect your rights and get a fair settlement.
What Is An Insurance Policy Dispute?
An insurance policy dispute arises when there is a disagreement between the policyholder and the insurer regarding the terms or execution of an insurance policy claim. Common types of disputes include:
- Coverage denials where the insurer refuses to pay a claim
- Underpayment is when the compensation offered is less than expected and fair
- Claim delays happen when there’s a prolonged period before processing a claim.
Not every claim is valid, and policies are so complicated that adjusters may not even interpret their own policies correctly. Moreover, insurance companies are businesses worried about their profit margins and often try to minimize payouts, prioritizing investors, stockholders and partners over customers.
Areas Where Misunderstandings Arise
Insurance policy misunderstandings often arise from unclear terms or overlooked details in the policy. Confusion often centers on things such as:
- Scope of coverage: A homeowner might assume their policy covers all types of water damage, but in reality, it might only cover sudden and accidental water damage, not gradual leaks or flooding from natural disasters, unless you add a specific policy for those issues.
- Exclusions: A health insurance policy might exclude coverage for specific elective procedures or alternative therapies. A policyholder might expect coverage for treatment only to find out it’s excluded.
- Claims process: Life insurance beneficiaries might assume they will receive the payout immediately after filing a claim. However, there may be delays because carriers ask for additional documentation about the cause of death, perhaps repeatedly and sometimes for information previously provided.
Regardless of the type of insurance, understanding the nuances of your insurance policy can help avoid these common misunderstandings and ensure you are adequately protected.
Steps To Handle Insurance Disputes
An insurance dispute lawyer can effectively guide clients through the following steps:
- Review your policy: Help you review and understand the terms and conditions of your insurance policy.
- Gather documentation: Collect all necessary documents, including policy documents, correspondence with the insurer and evidence of the claim.
- Communicate clearly: Maintain precise records of all communications with your insurer. Be proactive in following up on claim status.
- Appeal a denied claim: Formally appeal the decision, providing additional evidence or clarification as needed.
- Legal recourse: By taking legal action in court, policyholders can potentially recover the benefits owed under the policy and sometimes additional damages for the insurer’s misconduct.
How can an attorney help you with an insurance policy dispute?
An attorney can assist by reviewing your policy, advising on legal rights, negotiating with insurers and representing you in court if necessary, ensuring you receive a fair settlement.
What are my rights as an insurance claimant?
As an insurance claimant, you have the right to a fair assessment of your claim, timely communication from your insurer and access to all policy documents and explanations for any claim denial.
How long does it take to settle in North Dakota?
The time it takes to settle varies according to the complexity of the dispute. On average, it ranges from several weeks to a few months.
You Deserve A Fair Settlement
At Knoll Leibel LLP, our lawyers can provide the guidance and representation needed to ensure you receive the settlement you deserve. Call 701-255-2010 or use our intake page.