If you’ve ever tried to claim any insurance then you know how tough it can be. The conversation with the insurance company’s representatives can be too exhausting sometimes. Or even more, exhausting when you’re just waiting for your claim to be credited to your account.
Of course, Insurance companies do this a lot of times. Paying claims is the way they lose money. Usually, you pay your bills and then send them to the insurance company. And then you can wait for them to get reimbursed in your bank account. The insurance company might take around 90 days in order to reimburse your claim.
You’re already tired after the treatment, you’re not at your best physically and then you can go through all of the hassles to contact the insurance company. You can try to approve your claim request. What if even after 90 days of all of that, the insurance company still didn’t pay you the reimbursement?
In addition, the insurance companies take a lot of time to verify the treatment details, the bills, etc before they make any move to approve the claim. Sometimes this verification process is so slow that it might take months. This usually creates the customers.
In order to cope with such scenarios where insurance companies are stalling or delaying your claim, there are a few things that you as a customer can actually do.
Here are 3 things you can do when the insurance company is stalling or delaying your claims
1. Give all the necessary details to your insurance company
Insurance companies delay the claims when they’re looking for more documentation and proof that it is not a fraudulent claim. There are many people who file false claims due to which insurance companies lose money.
You can avoid the delay by providing the company with all the medical bills, pictures in case of accidents and statements from the healthcare centre or hospital to boost up the verification process. The more details you provide, the better chance you have of recognizing your claim quickly and easily.
2. Keep following up with the insurance company
Keep in touch with the representative who’s handling your documents regarding the claim. Ask him or her about the progress every couple of days. Following up creates pressure on the representative and as a result, he or she might be able to increase the pace of the process.
Be kind to the representatives but keep a hold of the progress. Note it down when the company representative provides you with any information like ticket number, policy information or anything else.
Following up on a regular basis can actually avoid the delay or stalling by the insurance company.
3. Take legal help when the insurance company stalls your claim.
You as a consumer have a right to take legal help. You paid premiums in order to get secured in case of any medical emergencies. When an insurance company stalls your claim, you can always hire an attorney and put pressure on the insurance company.
Insurance companies avoid lawsuits as it brings a dent to their reputation in the market. Hiring an attorney can boost up the progress, and the company might just approve your claim after all.
Reputed insurance companies only delay or stall claims when either plan doesn’t cover the claims. Or when there is not enough documentation to prove that such incidents ever happened. Knowledge of what your plan covers is important. Whenever you buy insurance, make sure that you’ve read all the papers thoroughly. And it covers everything that might ever happen to you. Provide all the proofs and be transparent to the company. This will avoid misunderstandings between you and the company most of the time. And it’d be easy for the insurance company to simply approve your claims.
See Also…
Things You Need To Know About How To Become An Insurance Agent?(Opens in a new browser tab)
Learn how to negotiate a settlement with an insurance claims adjuster?(Opens in a new browser tab)