Insurance companies are most visible when they are hard selling their policies. Very few souls will be visible after the trauma of a natural catastrophe when you will be emerging from the debris of your home only to climb a mountain of paperwork and bureaucratese. Your claims may get routinely stalled by a brick wall of rules and obstacles. This is what needs to be done.
The ground reality
Health insurance claims get complicated primarily because providers have their own way of dealing with an insurer. It’s not uncommon to suffer an agonizing pain and wonder whether the condition is covered by the policy. Accessing providers that are outside the approved network may entail more out of pocket expenses. Non-networked doctors may submit bills without clearing it with the insurer so you don’t get to compare the bill with the insurer’s explanation of benefits or EOB.
What needs to be done
- Incomplete information provided by the non-networked doctor or service provider and codes that have been wrongly entered are common reasons for claim rejection. If an internal appeal does not work you can try the external appeal where a panel of medical experts scrutinizes the bills. In any case you have to provide the doctor’s certification justifying the treatment.
- Before and after out-of-network visits inform the insurer while furnishing the doctor’s prescription and explanation why it is essential to take the out of network treatment.
- If the claim is large and you don’t have the health to follow up the payment get the services of a professional claims specialist who can securitize the documents, liaise with the doctor, ensure correct submission of forms and tackle insurer’s queries to settle claims faster.
Fighting Homeowners insurance claims
- Do a video recording as professionally as possible of your possessions and store this information online using apps provided by National Association of Insurance Commissioners or Insurance Information Institute.
- Avoid cleaning up the disaster area till the insurance man comes around. Identify the real cause of the problem and take photos to emphasize and boost your claim.
- Pay the smaller claims from your pocket. Try keeping deductibles high so you can cut back on premiums.
- Keep reminding the insurance company and find out if anything needs to be done from your end.
- A joint survey of the property by the insurance claim adjuster and the contractor can place the damage in its correct perspective.
- Keep a meticulous record of all bills and receipts for stay, food and all other expenses during the crisis for reimbursement by the insurer.
- Contact the state department for insurance claims, they can speed up settlements.
- Be wary of hiring private insurance adjusters as they are likely to charge a percentage of the claim as a fee.
- Take as many photos as you can of the accident, the vehicles involved, the damages sustained, the driver’s license and registration card and insurers name, and the names of willing witnesses that can testify on your behalf.
- Obtain a copy of the police accident report. Some insurers allow videos or photos of the accident site to be uploaded to their website along with an accident report.
- Use car dealers approved and listed by the insurer to facilitate quicker car repairs in line with the policy coverage.
- Insurers may opine that repair costs are beyond policy coverage. An appraisal clause will help you get the claim verified by a third party appraiser.
- If the insurer has undervalued your car you can verify facts independently and contact the state department for help.
Getting the auto collateral loan to pep up insurance protection
The car equity loan can be availed simply by putting up the collateral of your car title. The auto equity loan will approve loans up to 60% of the car resale value, releasing the money quickly with the least formalities. The pawn car title loan charges interest of 25% APR which is reasonable considering the expensive APRs levied by payday loans and pawn loans. This is money that can be used to pay a clutch of insurance premiums of bigger policies that will give you substantial asset protection.