Even if you have never had a homeowners insurance claim refused, you should be aware of these reasons to avoid them.
Wear and Tear
Typical wear and tear might lead to insurance claims being rejected. The most familiar type of refused homeowners insurance claim is this one. In contrast to damage that occurs suddenly, this is damage that has been happening over a lengthy period. A typical insurance policy doesn't provide coverage for this.
Consider the scenario where an old sewage pipe was leaking in your basement, but you weren't aware of it because you don't spend much time there. When you go downstairs one day and notice water on the floor, you understand what has been happening. Sadly, your insurance company won't pay to repair the damages, and your water damage claim will be rejected.
Fortunately, this occasionally only leads to partial denial. Even though your insurance might not cover a new pipe, the damage it caused might be (water damage). A typical HO3 special form would cover this.
Vacancy
If there is property damage (fire, water, vandalism, or theft) and the property has been empty for more than 30 days, your insurance provider will not pay for the losses.
Equipment Failure
A typical homeowner's insurance policy won't cover your equipment breakdown-related damages. A power surge, for instance, may destroy your TV, refrigerator, washer, and dryer. Your insurance provider will contest this even if the damages may exceed your deductible and you wish to file a claim. If you want situations like this to be covered, you should add equipment breakdown coverage to your insurance.
Intentional Damage
Even accidental damage to your property will not be accepted. Unfortunately, your insurance provider will not pay for this, and your home insurance claim will be denied if you step through your roof while on your roof installing a satellite dish.
Pest and Animal Damage
No matter how much damage an animal or pest causes, you cannot claim for it if they are present in your home. For these damages, you'll be responsible for paying out of pocket.
Following the Wrong Plan
Your home insurance claim will be denied if you have the wrong coverage for your house and how you use it. Your insurance provider may reject your claims if you use your house as a rental property and do not have the appropriate policy (landlord insurance/rental property insurance). Sometimes they'll pay for some of your claims, like the house and the belongings, but not the rent loss. Make sure you obtain the appropriate coverage to prevent this!
Actions to Take If Your Property Damage Insurance Claim Is Rejected
We comprehend the frustration that comes with having your claim denied. Especially if the cost to repair the damages is high according to your claim. What to do if your homes insurance rejects a claim is as follows:
Wrongful Denial of An Insurance Claim For Property Damage
Consult a lawyer to review your policy and your property's damages if you think your claim has been wrongly rejected. Then, if yoo think your claim is being wrongly refused, go forward with a lawsuit. They will strive to have the incorrect denial overturned on your behalf.
Equal Deny of Claims (Not Wrongful)
You will be required to pay out of pocket to repair the damages if your property damage insurance claim is unfairly denied. If this occurs, you should check with your insurance agent after the repairs are made to ensure they are satisfactory. If the damages at your house are not fixed properly, subsequent homeowners insurance claims may be rejected.
How to Ensure That Your Claim Isn't Denied
Calling an insurance attorney early is the greatest way to save your property damage insurance claim from rejection. When you hire a lawyer before calling your insurance company to report your damages, they can stop you from doing two things: they can stop you from saying something to your insurance company that could lead to a denial, and they can stop you from calling them if they think your claim will be rejected. It would be advisable to avoid calling your insurance provider because a refused insurance claim reflects poorly on your record.
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