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Prince Rajput

Navigating insurance claims after an accident

Written by: Prince Rajput,4th Year B.A.LL.B (hons.), 7th semester ,Bihar Institute of Law

Abstract

After an accident, the most difficult aspect to cope with is dealing with the consequences, especially considering that you have to understand how to deal with the insurance claims procedures. Nevertheless, determining the effectiveness of such a procedure is critical as it simplifies the chances of denial and guarantees that one gets the compensation that they are entitled to. This detailed guide will ensure that you understand each step of submitting an insurance claim after a car accident.


1.      What to do right after the Accident[1]?

Check for safety and Collect information

There are a number of key things you should do when filing an insurance claim after an accident which assist you to ensure safety and also collect information needed. First of all, make sure of safety by looking for injuries and calling emergency pros if it is the case.

Move to a safe position in order to prevent additional accidents. When one is not in danger anymore, police photographs should be taken of vehicles, any damages which can be witnessed and the vicinity surrounding the scene, also referred to as a photograph scene. Share contact and insurance details with the other driver, for example, name, phone number, address, driver’s license number, license plate number, insurance policy details, etc.

It is important to collect witness details even if the accident occurred under the full isolation a massive event may have happened, and bystanders could understand it better. Collect their phone numbers and what they saw because such information would be important as supporting evidence for your claim.

2.      Notify appropriate authorities

Inform the police

There is a need to report the accident to the police and other supporting agencies in case there are several injuries or there has been great physical destruction from the accident. In the event of taking an insurance cover after an accident has occurred, the police report of the accident will serves as an independent statement regarding that particular accident.


3.      Communication Following the Accident with your Insurance Company

(a) Early notification

You can start the process of making an insurance claim by first making the insurance company aware of the accident that has occurred and how serious the circumstances were. Almost all insurance companies stipulate that accidents should be reported in a specified duration after which they are notified of that accident; failure to notify within that time frame will result in the claim being declined.

The description of the Accident: In this respect, be as brief and objective as possible. Offer a brief, courtesy account of the incident without accepting liability, or interposing unnecessary arguments.

(b) Inquire

Get yourself informed what will be the next thing that needs to be done, what documents will be needed as well as the length of time that will be taken in the settlement of the claims.

4.      Getting a grasp of How Much the Insurance Policy is worth

Gaining thorough understanding of your insurance policy plays an important role in claim processing that comes after the car accident. To begin with, learn basic terms such as deductibles, coverage limits and coverage exclusions. Confirm what types of coverage you have: liability, collision or comprehensive insurance. This information about your policy helps to prepare one for the coverage and what to do immediately after the accident.

Report the accident to your insurance company as soon as possible and do not forget to take pictures and video of the accidents and all the injuries suffered if any, as well as the police report if any is available. Do not avoid your insurance company, communicate and get directions concerning what is required for the repairs as well as documents for the claims. Being organized and being likely to keep documents and information, the claims can be addressed quicker and more easily thereby reducing the waiting period and the loss of time off the road.

5.      Filling the claim

(a)   Documentation

When submitting a claim, all the necessary documentation should be collected and presented. These disabled: Police report Pictures of the accident scene and damages medical reports and bills Repair

(b)  Claim form

manage the insurance claims procedure smoothly after an accident and the claims form should be filled out accurately, and all obligatory documentation should be provided.  Transparency and accuracy should be maintained to assist in a swift resolution. any irregularities can set back the assessing your claim.

6.      Initiation of the authentication of the claim

Claimants should notify their insurers as soon as they sustain any loss, failure, or damage and provide any requested information ad precisely as requested. This kind of frankness helps to fast track all the subsequent actions involved in the claims process ensuring no time wastage or disagreement ensues. In addition, it is also important to acknowledge that these policy particulars. Understanding the policies of coverage, limits, and retainers help people lower their expectations and avoid surprises. Additionally, it is also important to deal with adjusters professionally. Those persons are the ones who[2] assess the damages as well as handle the cases and negotiate agreeable terms on the basis of the facts at hand. It is important to uphold the rights of the insured to be fairly compensated but still work within the confines of the insurance firm’s processes. Lastly, it may also be the case that patience may be the ultimate vice. It is necessary to keep checking the status of the claim and the developments made so far about the issues hitherto raised and which are still outstanding in order to make further progress. It would be fair to say that claimants will be able to make good use of the insurance as intended without fallacy that the whole process has only benefits to the claimants improving and hastening the turnaround time at which the claims are severally addressed.

7.      What will one gain and at what cost?

(a)   Settlement Offer

You can expect to receive a settlement offer once the adjuster has reviewed everything. Go through the insured's offer very well. If this is so, you can always argue with the adjuster and present supplementary documentation in support of the repair costs or the value of the car instead of simply accepting it.

(b)  Deductible

It is important to note that the amount payable by an insurer following an insurance claim is always subject to a deductible specified in the insurance policy. Make sure you understand how this presents a significant 'hit' to the total amount you will have illusory in the end.

8.      Engaging In Analysing Conflict Resolution In managing disagreements with the vehicles rental company, effective negotiation will take place.

·         There is a good chance that you can go beyond the settlement if you wish. Try to substantiate your position with appropriate documents such as, repair rates from other garages or other estimates worth of your vehicle. Citing such reasons makes one firm on what they want.

·         Mediation and conciliation do involve mediation. If these alternatives do not work, think of the mediation or arbitration. Alternative methods used in resolving disputes without escalating to the legal system with the help of a third person who is not involved in the matter.

9.      How to Seek Legal Advice?

·         If the accident is serious and the injuries sustained are grave or if there are disagreements in the identification of the respondent and in compensation, it would be prudent to adopt legal assistance. An attorney assists with wrapping of simple and complex claims, payments from the insurer, and representation in court.

·         Professionally engaging with a seasoned attorney will offer an insight into the external opinion of the case and help evaluate if the proposed deal is reasonable and just within the confines of the settlement agreement documentation.

Conclusion

 Insurance claims after road accidents are challenging, but if the claimant is armed with relevant information and documents, it makes all the difference in the world. Make sure of safety, gather all necessary facts, comprehend your coverage, and talk. By proceeding with these steps, the claims process can be optimized, allowing you to focus an rejuvenating and getting back on the road. Accidents are never convenient, but with the right knowledge and approach, you can navigate the aftermath with confidence and ease.

 


[1] (INSURANCE ACT 1938)

Jaszczuk, Martin. 2023. 18 December. Accessed september 3, 2024. https://jaszczuk.com/navigating-insurance-claims-a-guide-for-policyholders/

[2] (KIRWWOOD v STATE FARM MUTUAL AUTOMOBILE INSURANCE CO. 2000)

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