There are options other than going to court when disagreements arise with your car insurance company.
The two steps are mediation, and then the more serious
arbitration.There are two main differences between mediation and
arbitration.Arbitration is more expensive than mediation. Rulings in
arbitration are binding, while decisions in mediation are only
advisory.The Insurance Information Institute offers the following
suggestions for resolving a dispute with your insurance company before
going through mediation or arbitration:
- Let your agent know you are unhappy.
If
your agent is unable to solve your problem, get the name and phone
number of the head of the insurer's claims department. Your insurance
company might have a consumer complaint department that might be
helpful.
- Be prepared to support your case.
Send documents and a letter to your insurance company, explaining why
you are not satisfied. Make sure you have the figures and documentation
to back up your argument.
- Review your auto insurance policy.
Most
companies offer either arbitration or appraisal services to help settle
differences and disputes. Your insurance policy will explain these
options.
- Contact your state’s insurance department.
If you have followed your insurance company’s rules for resolving a
dispute, and you remain dissatisfied, your state’s insurance department
might be able to help.
- Call the National Insurance Consumer Helpline.
If
after hearing from your insurance company's claims executive you still
feel your claim hasn't been handled properly, call 800-942-4242. This
is a toll-free consumer information telephone service sponsored by the
insurance industry. Trained personnel and licensed agents are available
to assist consumers who have complaints. The Helpline operates Monday
through Friday, 8:00 a.m. - 8:00 p.m. Eastern Time.
- Contact an arbitrator to hear your case.
An
independent arbitrator with experience in insurance matters can decide
if the settlement you were offered is fair. Your insurance company
might suggest an arbitrator, or you can get your own from the American
Arbitration Association at 212-484-4000 or at http://www.adr.org.
- Consult an attorney.
If
you feel the need for legal assistance, consult an attorney who
specializes in auto insurance. Each state’s bar association offers a
free legal referral service, which will give you names of qualified
candidates. Attorneys work either on an hourly rate or on a contingency
basis, depending on the type of case. Get the attorney's fee structure
in writing. You can remain current on the progress of your claim by
insisting you receive copies from your attorney of all correspondence.
Your attorney must have your agreement before committing to any
settlement. You may consult an attorney as part of any mediation or
arbitration, and you may have an attorney represent you at arbitration
hearings.
When
you can’t resolve a dispute with your insurance company, mediation can
help. The mediator acts as a neutral party to assist both sides in
reaching a compromise. The mediator does not have the authority to make
a binding decision or issue an award to either party. The mediator only
recommends a solution.
| There is a difference between mediation and arbitration. |
Mediation
is a good first step to take if both parties are willing to
participate, because it can negate the need for further expense on
either side. In order to mediate a claim, the first thing you
should do is check the language in your auto insurance policy. Most
policies spell out who will mediate or arbitrate a claim. You would
submit a Demand for Arbitration form to whoever is listed in your policy. Demand
for Arbitration forms are available from your state’s department of
insurance, or you can print out a copy of a demand form from the American Arbitration Association’s web site. On the Demand for Arbitration
form, you can specify whether you want mediation or arbitration. The
party who oversees the mediation should provide both sides with a list
of qualified mediators, and both sides can exclude names from that
list. Usually, the party the insurance company has chosen to oversee
the mediation process will make the final selection of a mediator. You can get legal advice from your lawyer about the mediation process. Your lawyer may also attend any mediation sessions.
You must first submit a Demand for Arbitration
form to the dispute-resolution organization listed in your policy. If
no dispute-resolution organization is listed in your policy, you can
submit the demand form to your state’s insurance department. Demand for Arbitration
forms are available from your state's department of insurance or
through the offices of the American Arbitration Association (AAA). You
can print out a copy of a demand form or submit it online at the AAA
web site.Both parties must agree to arbitration, just as in
mediation. There are more stringent rules in arbitration; however,
since the final decisions are binding.
| Taking your lawyer along in arbitration is often a worthwhile expense. |
If
your lawyer is representing you at an arbitration hearing, you must
inform your insurance company ahead of time. The insurer also has to
let you know if a lawyer will represent it at the hearing. Similar
to court proceedings, each side is allowed to present evidence
supporting its claims. Each side may introduce witnesses, who must also
submit to questioning by the other party as well as by the arbitrator.
The arbitrator is authorized to subpoena witnesses or documents, that
might help clarify the case. The insurer or the policyholder can
request a subpoena. The arbitrator may also issue a subpoena to
gather vital information for the case, even if neither side requests
it. In arbitration cases, a deadline is established by which a decision
and/or award must be made. If the time limit is not spelled out in your
insurance policy, the arbitrator will establish the deadline. The only
way that deadline can be extended is if all parties agree. The
arbitrator is allowed to determine whether you, as the insured, have a
right to receive any damages under your policy and, if so, how much.
The award cannot exceed the applicable policy limits. If you and the
insurance company reach an agreement on your own during the process,
the arbitrator can enter your agreement as the decision.
Once
you've completed the arbitration process and the decision has been
entered in the court system, you're done. In most states, once you've
arbitrated your issue, the decision is final. That's why it is
imperative you prepare your case before you head to your hearing.For
example, if you dispute the amount your insurance company has
determined as the replacement value of your car after an accident in
which the vehicle is totaled, there are some things to keep in mind.
Insurance companies do not use the Kelley Blue Book or the National
Automobile Dealers Association Guide to determine a car's value.
Insurers have specialized software to determine what it would cost to
replace your car, with its current mileage and in its pre-accident
condition, at a dealership in your area. That might mean the insurance
company gets a dealer's "take" price — the lowest price the dealer
would accept for the car — and not the price the dealer might charge
you. Also, manycar insurance companies will search within a 100-mile
range for price comparisons. If you live in a city, what you pay to
replace your car could be quite different from what it costs at a
suburban or rural dealership. To counter the insurance company's
offer, you need to get price quotes from dealers within a reasonable
distance from your home. Check with your state’s insurance department
to determine a “reasonable” distance. These quotes must show a higher
cost than the insurer is offering. You need to prove, in writing, it
will cost you more to replace your vehicle than the insurance company
is willing to pay. Regardless of the issue you are arbitrating,
you must have your evidence ready in advance. It is also advisable to
have an attorney assist you in preparing answers to questions from the
insurance company. Arbitration is one step removed from the
courtroom, and can be intimidating. Adding lawyers' fees will drive up
the cost, but in the long run it can still save you money over going to
court. |