What To Do if Progressive Denies Your Accident Claim | Zanes Law (2024)

If you are dealing with the frustration of having your accident claim denied, it’s important to understand that you might have other options for recovering compensation. A Phoenix car accident lawyer can help you understand all your options and how to proceed.

This could include filing an appeal of your claim, gathering evidence, or even building a case for negligence, including reviewing time frames to ensure you don’t run out before it is settled.

Your lawyer can arm you with knowledge on what tactics insurance companies might use when denying claims and show you how to win financial compensation even if Progressive denies your car accident claim.

What Reasons Might Progressive Have For Denying a Claim?

There are a few potential reasons Progressive could deny your accident claim:

Lack of liability: If the insurance adjuster determines you were at fault or held the majority of fault for the accident based on their investigation, they may deny your claim.

Policy exclusions: Your policy may have exclusions that prevent coverage for certain types of accidents.

Pre-existing damage: If they believe some of the damage existed prior to the accident, they may deny that portion of your claim.

Fraud: In rare cases, Progressive may suspect fraud or misrepresentation related to your claim and deny coverage on that basis.

Lack of coverage: They could deny the claim if it is determined you do not actually have coverage for the type of loss or damage involved.

Failure to document: If you do not provide Progressive with needed documentation, information, or access to damaged vehicles/property, they may deny your claim

Statute of limitations: There are time limits to filing an accident claim. If you file outside that window, they could legally deny the claim.

Seeking legal advice could also be worthwhile to determine if their denial was justified or potentially in bad faith. There may be loopholes in the policy language or other ways to force the insurance company to honor your claim.

For a free legal consultation, call 866-499-8989

What Are My Options if My Progressive Claim is Denied or They Don’t Offer Enough Money?

If your Progressive claim is denied or you think they are lowballing you, here are some options:

Gather More Documentation and Evidence

Review your policy and gather estimates and documentation to support your claim. This can help strengthen your case if you appeal the denial.

Appeal the Claim Denial

Submit your additional documentation and evidence and formally appeal their decision. Request to speak to a supervisor or claims manager.

File a Complaint With Your State Department of Insurance

Most states have an agency that regulates insurance companies. Filing a complaint can prompt them to reconsider your claim.

Hire an Attorney

If the insurer still refuses to pay, your personal injury lawyer can review your claim and documentation to build a stronger case. An attorney can send a demand letter or threaten legal action.

File a Lawsuit Against Progressive

As a last resort, you can sue Progressive for breach of contract if they wrongfully denied your claim. A lawyer may be able to help you gather strong evidence and documentation to support your case.

Insurance Companies Have Legal Obligations

Progressive Insurance, just like any insurance company, is legally obligated to settle insurance claims in good faith. This means that they must obey the laws and regulations set in place and make honest attempts to solve any claims presented.

In order for a claim to be deemed legitimate, certain criteria must be met, including the fact that damages can not simply be denied without sufficient evidence. If a car accident is treated unfairly or maliciously by an insurance company, then it counts as bad faith insurance handling.

Some examples of bad faith can be:

  • Forcing claimants to litigate against the company to get fair claim payments
  • Using policy limitations or exclusions to deny claims, even if they are valid under the circ*mstances
  • Engaging in misleading, fraudulent, or dishonest strategies
  • Making unreasonably low settlement offers without evaluating the claim in its entirety
  • Deliberately prolonging the payment of valid claims in order to increase the pressure on the claimant to accept a lesser amount
  • Providing the policyholder with false or misleading information regarding the claim or coverage
  • Failure to notify the policyholder of the status of the claim investigation and delays
  • Unjustified claim denials – denial of valid claims without appropriate investigation or justification

Victims of bad faith insurance cases have the right to seek compensation from Progressive Insurance that equals the value of damages.

This includes anything related to:

  • Lost wages
  • Medical bills
  • Property damage
  • Vehicle repair or replacement
  • Other costs related to the accident

Furthermore, those who suffer from this type of mistreatment may also receive additional money if deemed necessary by a court ordering Progressive Insurance to act in good faith.

Click to contact our personal injury lawyers today

Contact Us Today to Find Out How a Car Accident Lawyer Can Help

If your Progressive insurance claim has been denied, you have options to fight the denial and pursue justice. A personal injury attorney can fight for you and seek the full value of your compensation. With years of experience in representing claimants against insurers, we have a deep understanding of how to combat their tactics.

We know that suffering a serious injury due to another person’s negligence is traumatic and complicated enough without being met with additional roadblocks from insurance companies. Our legal team will work closely with you toward getting fair compensation.

Zanes Law will handle all contact with insurance providers, aggressively negotiating to improve your financial recovery. We cover all litigation costs until the case is settled and handle your claim on a contingency fee basis, so there is no out-of-pocket charge to you. Contact us today.

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What To Do if Progressive Denies Your Accident Claim | Zanes Law (2024)

FAQs

What To Do if Progressive Denies Your Accident Claim | Zanes Law? ›

Your insurance company will investigate who's responsible for the accident, as well as whether there's coverage for the injuries, damage, or other loss you filed the claim for.

Why is Progressive investigating my claim? ›

Your insurance company will investigate who's responsible for the accident, as well as whether there's coverage for the injuries, damage, or other loss you filed the claim for.

Do insurance companies intentionally deny claims? ›

Companies will refuse to approve your request for compensation if your claim lacks support and evidence. The insurer may justify its denial by claiming that it believes your injuries were pre-existing at the time of the accident or that your own conduct made the injuries worse.

Does Progressive Pay claims well? ›

NAIC Insurance Claims Complaints Index: Progressive earned a score of 1.97 which is . 97 points above the national average. Even considering that they are a large insurer, this number shows lower customer satisfaction with their claims process.

How many claims before Progressive drops you? ›

Insurers may not drop a customer after their first one or two incidents. The first step is often to increase your car insurance rate. From there, if a customer has another accident or files more claims, the insurer may send a notice that they won't be renewing the policy at the end of its term.

What to do if Progressive Insurance denies a claim? ›

Consult with an attorney with experience in insurance claims if necessary. Finally, appeal the denial by submitting a formal letter to Progressive explaining your case and providing supporting evidence.

Is Progressive known to deny claims? ›

Fraud: In rare cases, Progressive may suspect fraud or misrepresentation related to your claim and deny coverage on that basis. Lack of coverage: They could deny the claim if it is determined you do not actually have coverage for the type of loss or damage involved.

How do I deal with a rejected insurance claim? ›

Steps to Appeal a Health Insurance Claim Denial
  1. Step 1: Find Out Why Your Claim Was Denied. ...
  2. Step 2: Call Your Insurance Provider. ...
  3. Step 3: Call Your Doctor's Office. ...
  4. Step 4: Collect the Right Paperwork. ...
  5. Step 5: Submit an Internal Appeal. ...
  6. Step 6: Wait For An Answer. ...
  7. Step 7: Submit an External Review. ...
  8. Review Your Plan Coverage.

Which insurance company denies most claims? ›

Claim denial rates by insurance company
CompanyClaim denials
UnitedHealthcare32%
Anthem23%
Aetna20%
CareSource20%
1 more row
May 15, 2024

What is a typical reason for a denied claim? ›

The claim has missing or incorrect information.

Whether by accident or intentionally, medical billing and coding errors are common reasons that claims are rejected or denied. Information may be incorrect, incomplete or missing.

How to negotiate with Progressive? ›

How Should You Approach Progressive?
  1. Analyze your full claim to identify all sources of compensation.
  2. Gather medical records and objectively assess the extent of injuries.
  3. Inspect vehicle and property damage to document claim scope properly.
  4. Challenge any unjust liability denials or premature conclusion of claims.

Does Progressive offer accident forgiveness? ›

As a new Progressive customer in most states, you'll receive this benefit automatically, as soon as your policy begins. Available as part of our Loyalty Rewards program, with Small Accident Forgiveness, your insurance rate stays the same for your first claim that's less than or equal to $500.

How long does Progressive Insurance take to settle a claim? ›

We resolve many property damage claims within 7 to 14 days, but repair times can vary greatly based on your vehicle, the damage, etc. No matter what, we'll work quickly and efficiently so you can get back to your normal routine.

What is double dipping in insurance? ›

Insurance claim double dipping involves collecting benefits from two or more insurance companies for the same loss. In this scam, fraudsters make identical claims for the same incident at multiple insurance companies to increase their payout.

Does Progressive Insurance go up after a claim? ›

Your rate may go up if you have comprehensive auto coverage and file a claim for incidents like car theft and vandalism, hitting a deer, fire, glass breakage (including a cracked windshield), hail/weather-related damage, and other acts of nature.

Does your insurance go up after a claim that is not your fault? ›

Under California law, an insurer cannot increase your premiums when you aren't at fault.

What does it mean when a claim is being investigated? ›

Your Car Insurance Claim Investigation Does Not Mean that You Are Automatically at Fault. A car insurance company is diligent and wants to protect against fraud. If you get into an auto accident, your insurer will ask you about the incident. They will question any other motorists involved in the accident, too.

What triggers an insurance investigation? ›

Insurance companies are more likely to investigate you when you file a large claim. Any large check that they write comes out of their profits. Therefore, they are looking for any way to escape paying for the damages their policyholder caused.

What is the final step in a claim investigation? ›

At the end of the investigation, an insurer can either reject or accept the insurance claim. Then, an insurance adjuster tables the initial settlement amount.

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