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Bad Faith
Insurance Claims

Investigating insurance bad faith complaints: delayed, underpayment and denied claims
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When Do You Need an Insurance Claims Attorney?

If you feel that your insurer has not upheld its end of the bargain, and has not met its duty as stated in the purchased policy, you may have a bad faith insurance claim.

Joe Lyon of The Lyon Firm is a highly-rated and experienced attorney, well-versed in the economic impact that unpaid insurance claims have on individuals and businesses.

A bad faith insurance claim dispute attorney can fight insurance companies on your behalf, and recover the compensation to which you are legally entitled. Contact us at (513) 381-2333 today for experienced legal help for your case.

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What Are the Most Commonly Denied Insurance Claims?

When times get tough after an accident or disaster, insurance policyholders turn to insurance agents for help, and are all too often met with delayed payments, underpayments or outright denied claims. Bad faith insurance claims have been reported after the following:

The Lyon Firm has experience working with plaintiffs who have been denied or low-balled after an accident or disaster. Call Joe Lyon to review your claim and to provide a free and confidential consultation.

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Joe Lyon has 17 years of experience representing plaintiffs in complex litigation. 

The Firm handles cases on contingency fees advancing all costs of the case and accepts the financial risk of the litigation. 

The Firm does not seek reimbursement for fees or costs in the event of a non-recovery. 

What Are the Responsibilities of an Insurance Company?

In exchange for the payment of premiums an insurance company agrees to the following:

  • Provide all coverage described in the specific policy
  • Communicate clearly when a claim is filed
  • Act fairly, promptly, and in good faith toward policyholders
  • Consider the interests of policyholders, and not merely its own financial interests
  • Deliver a prompt investigation for all claims and offer a monetary valuation
  • Uphold and honor policies and pay on your claim 
  • Defend policyholders. Insurance companies may have a responsibility to defend you or provide legal representation against third parties.

An insurance policy is a binding contract between a policyholder and an insurance company. When your insurance company delays or refuses investigation, they are acting in bad faith.

What Can You Do If You’re Denied Insurance Claims?

Delayed or refused claims are not uncommon, and they leave many policyholders wondering why they have insurance in the first place. Insurance companies sometimes do all they can to find reasons not to pay on certain claims, or intentionally delay payment for as long as possible.

Policyholders may even get so frustrated that they give up and pay out of pocket. That is playing right into the hands of the insurance companies, who benefit and profit from paying out on as few claims as possible.

If your claims are denied, however, and an insurance company is breaking their contract, you can contact a bad faith insurance specialist at (513) 381-2333 to help you engage the offender.

Our attorneys at The Lyon Firm have experience in handling delayed, underpaid, or denied claims on behalf of policyholders. We are ready to fight for you.

What Are Common Types of Bad Faith Behavior by Insurers?

Insurers may assign fault to avoid payment, may attempt to unfairly increase premiums, and deny your claims without justification. In some cases, you may have a good case and can file a bad faith lawsuit.

If you believe your insurance company has handled your claim unethically, unfairly, or illegally, contact an insurance bad faith attorney to review your case. Our attorneys have extensive experience filing insurance dispute lawsuits and have the resources to pressure insurance companies in honoring valid claims.

The most obvious type of bad faith from an insurance company is the outright denial of payment from a valid claim. The company or agent may cite a vague reason for the denial or avoid discussing the situation directly until a policyholder takes legal action against them. Other forms of bad faith include the following:

  • Unreasonably Delayed Payment— Claims can be delayed so long that policyholders cannot wait to fix serious damage and have to pay for repairs and costs out of pocket.
  • Lack of Attention and Investigation— Insurance companies may fail to properly investigate or defend a claim. In medical coverage issues, some insurers deny claims prematurely before all the details can be properly assessed.
  • Underpayment of Claim— Insurance companies frequently pay the insured less than the policy stipulates. If an insurance company underpays insurance claims without a good reason, and ignores obvious costs and estimates, it may be acting in bad faith.

Policyholders most likely have very busy lives and cannot spend months negotiating with insurance companies over a settlement. They often are forced to take low-ball offers or nothing at all… unless they contact an experienced attorney to assist in recoveries.

What Are Unfair Company Practices by Insurance Agencies?

Insurance companies may employ one or more of the following tactics to limit your benefits:

  • Offer you a settlement that does not reflect the true extent of your damages
  • Pressure you into settling before consulting with an attorney
  • Pressure you into signing waivers, statements, or releases which limit your ability to recover future compensation
  • Shift fault for the accident to you in order to reduce or deny a claim
  • Long delays in medical insurance coverage can result in serious injury or death

If you suspect you’re being treated unfairly, a free consultation with a bad faith insurance lawyer can help advise your actions (the first piece of advice: don’t sign anything until it’s reviewed by an attorney).

Hiring an experienced lawyer to handle the insurance negotiations can increase your compensation to full and fair coverage.

How Can You Be Sure You’ve Received Fair Insurance Compensation?

While most insurance companies claim in their marketing and promotional material that they thrive in coming to the aid of victims after an accident, storm or disaster, the goal of insurance companies is to maximize profits.

The easiest way for insurance companies to maximize profits is by charging high premiums and limiting the benefits they pay policyholders.

The Lyon Firm has experience engaging insurance companies and recovering damage claims. If your car, home, or business has been damaged, and you have questions about the legal remedies available to receive fair compensation from an insurance company, contact The Lyon Firm for a free and confidential consultation. You will speak directly with Mr. Lyon at (513) 381-2333, and he will help you answer your critical questions.

Bad Faith Insurance FAQs

what is bad faith?

An insurance company has violated the implied good faith and fair business practices if it has not acted fairly and honestly toward its policyholder in response to claims.

It would surprise nobody that insurance companies elect to pay out the least coverage possible to turn a profit for their respective company. So when you purchase a health insurance policy, for example, you should be prepared for delays in coverage and care. If your health has suffered due to denied medical claims, and a health insurance company has acted in bad faith, you may be able to file a lawsuit against a negligent health insurer.

If an appeal process is also delayed and not promptly addressed, this could also constitute bad faith. The appeal processes for insurers are purposefully complex and long. the companies know that some individuals and policy holders will give up and just pay out of pocket.If the paperwork is too confusing, contact our lawyers to review.

Can I sue an insurance company?

Not every delayed or denied claim amounts to insurance bad faith, though if you find a breach of contract from an insurance company, you may have a valid bad faith claim. When an insurance company acts in an unreasonable manner and is simply protecting their own financial well-being, it should be held accountable and may be sued.

If a serious illness or injury could have been prevented by proper health insurance coverage, a plaintiffs may have a claim against a negligent company.

What are some examples of insurance bad faith claims?

Denial, Delay and Underpayment of a Valid Health Insurance Claim. 

The most obvious type of bad faith from an insurance company is the outright denial of payment from a valid medical coverage claim. The company or agent may cite a vague reason for the denial or avoid discussing the situation directly until a policyholder takes legal action against them. Other forms of bad faith include the following:

  • Unreasonably Delayed Payment—claims can be delayed so long that policyholders cannot wait to seek medical care and have to pay for treatment out of pocket. Many case of health insurance claim denials directly contribute to serious injury and death.
  • Lack of Attention and Investigation—health insurance companies may fail to properly investigate or cover a valid claim.
  • Underpayment of Claim—insurance companies frequently pay the insured less than the policy stipulates. If an insurance company underpays insurance claims without a good reason, and ignores obvious costs and estimates, it may be acting in bad faith.
  • Misrepresenting your health insurance policy’s language
  • Threatening you financially or legally
  • Employing biased experts for any claim review process
How do I handle a bad faith claim?
  • First, review your insurance contract, and confirm your suspicions of bad faith.
  • Document all communication you have had with your insurance agent: phone calls, texts, emails.
  • Make a final demand for payment or reimbursement.
  • Contact an insurance dispute attorney
  • File an official complaint
why hire the lyon firm?

Your insurance dispute attorney, while pursuing your claim, can determine whether a viable claim for bad faith exists. If a viable claim exists, your attorney will take the legal steps necessary to assist you in your bad faith insurance claim. The Lyon Firm works on a contingency fee basis, which means you pay nothing out of pocket, and we only get paid if we win the case. Our legal team assumes all financial risks and pays all legal fees. Call for a free consultation and case review.

Can I Sue a health insurer for delayed treatment?

If a health insurer denies immediate treatment that should be covered by your policy, and a serious injury or death results, you likely have a good claim against that insurer for improper denial or delay in treatment.

Cincinnati Storm Damage Claims Attorney

$850,000 Storm Damage Claim Jury Verdict:

Owners Insurance company denied the claims of a condominium complex that had sustained hail damage to its 12 unit complex.  The jury found that the roof damage and secondary water damage to the units were related to the storm and awarded Plaintiff damages for breach of contract and bad faith.  The Lyon Firm represented the Plaintiffs along with Lubel Voyls, LLP. 

CONTACT THE LYON FIRM TODAY

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Enforce your Contractual Insurance Rights 

Insurers Owe a Duty to the Insured to:

  • Provide all coverage described in the specific policy
  • Communicate clearly when a claim is filed
  • Act fairly, promptly and in good faith toward policyholders
  • Consider the interests of its policyholders, and not merely its own financial interests