Your Claim is Denied by your Insurer

Your insurer may refuse to pay the amount you request or deny you coverage if you attempt to file a claim.

This page explains why an insurance company might do this

  • Examine why your insurance rejected your claim
  • Your insurer might refuse to pay you if:
  • The policy was not in effect when you made your claim back on cis

The policy is invalid because the applicant didn’t tell truth or disclosed something that could affect your claim. This applies to policies issued, renewed, or modified before 6 April 2013.

The policy is invalid if you intentionally or carelessly withheld or misled your insurances (for policies renewed or modified after 6 April 2013).

Your policy does not cover the item

  • There is an exclusion clause that states that you cannot claim for any events.
  • You’ve missed some instalments of premium
  • You didn’t inform your insurance about any changes in your situation
  • You haven’t properly followed the claims process
  • You haven’t adhered to a condition in your policy

You have exaggerated your claim and are trying claim more than you should

Your insurer must provide a reason why they are refusing to pay your claim. To ensure that they are reasonable, you should carefully review the policy details.

You can negotiate with your insurer if you feel your insurer is refusing to pay your claim. You can also complain about the way they handled your claim for immediate if you are still unhappy.

For polices that were issued, renewed, or modified before 6 April 2013, more information on how your insurer may deny your claim.

Your business interruption insurance may not cover coronavirus losses if you are refused coverage

They may be able to appeal their decision. The Financial Conduct Authority website allows you to check if your insurance should have paid for your coronavirus loss.

Your excess and uninsured losses

Sometimes, your policy will not cover a claim. Uninsured losses are also known as a claim. A power outage may cause your freezer contents to have to be thrown away, but your policy may not cover the cost for replacing them.

An excess is a loss that your insurance policy does not cover. An excess is the amount you have to pay for any claim (e.g. the first PS50).

If you are financially unable to pay your bills and your insurance company isn’t covering you, you might be able take the person or company responsible to court to get your money back.

Excessive payments for an accident that’s not your fault

If you have not received legal expenses coverage, and you are required to pay excess money for an accident that was not your fault, the insurance company may reimburse you for the excess. You can sue the driver or insurance company to get your money back.

Your insurance company should pay the excess back if they have handled the claim. A credit hire company may also be able to file a car accidents claim if you are not at fault in an accident.

Credit-hire Companies  If the accident was not your fault

  • Your insurer may not cover the entire amount
  • Your insurer might agree to pay a portion of your claim but not the entire amount. It could be due to:
  • You have underestimated the value of your claim, and you don’t have enough insurance to protect your losses. This is known as being underinsured.
  • Your insurer believes you have placed a false value on your claim and will only pay a portion of it
  • If you do not have a policy for new or old items, your insurer will not pay you more than what it would cost to replace the item with a new one. Because you’ve already used it.
  • Your policy has a limit on how much the insurer will pay you for any item.

You will have to pay an additional amount

You deliberately withheld or misled your insurance companies when you renewed, changed or renewed your policy. The insurer would have charged you a workplace accident higher premium for this.

You should negotiate with your insurer if you feel your insurer is refusing to pay your claim in full. You can file a complaint with your insurer if you are not satisfied by the offer made.

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