Reasons insurance may deny a car accident claim

The Illinois Department of Transportation reported from 2016 to 2020 57,782 auto accidents involving serious injuries or death.

Being involved in a car accident can be a stressful and often life-altering experience. In such situations, you rely on your insurance company to provide financial support and assistance. However, there are various reasons why insurance companies might deny a car accident claim, leaving you to cover the costs on your own.

Policy exclusions

Insurance policies often include specific exclusions, which are situations or circumstances the policy does not cover. For instance, if your policy does not cover accidents that occur during certain activities, such as racing or committing a crime, your insurer may deny your claim.

Lapsed or inactive policy

If your insurance policy lapses or you have not paid your premiums, your coverage may be inactive, leading to a claim denial.

Late reporting

Timely reporting of the accident is important. Failing to report the incident promptly might result in a claim denial. Insurance companies require notification to assess the situation and begin the claims process.

Misrepresentation

Providing inaccurate or false information when purchasing your policy or filing a claim can lead to denial. Honesty and accuracy are essential when dealing with insurance matters.

Pre-existing damage

If your insurance company believes that the damage existed before the accident, they may deny your claim. Clear documentation and evidence can help prove otherwise.

Failure to seek medical treatment

If you suffer an injury in an accident but delay seeking medical attention, your insurance company may question the severity of your injuries and deny your medical claim.

Disputed liability

When the insurance company believes that you were at fault for the accident or that liability is unclear, they may deny your claim. Having evidence and witnesses to support your case can help in such situations.

Unapproved repair shops

Using a repair shop that your insurance does not approve may result in a denial. Insurance providers often have a network of preferred repair facilities that they trust.

Policy limitation

Your policy may have limits on certain coverages. If the cost of damages exceeds these limits, your insurer may partially pay or deny your claim for the excess amount.

Inadequate documentation

Failure to provide sufficient evidence of the accident, injuries or property damage can lead to a claim denial. Documentation, such as police reports, medical records and photographs, can bypass this issue.

Understanding the reasons why insurance companies may deny a car accident claim can assist you avoid these potential pitfalls. If you do receive a claim denial, you can often appeal the decision and provide additional evidence to support your case.