What Not To Say To Insurance Adjusters - Stewart Law Offices (2024)

When you have been injured in an incident that was not your fault, you must be careful about what you say to the insurance adjusters. This is true whether you are simply filing a claim through your own insurance policy or if you are making a demand against the at-fault driver’s insurer. That’s because insurance companies are for-profit businesses that have a vested interest in paying out as little as they can get away with. If you say the wrong thing to an insurance adjuster, you could lose a lot of money and possibly have your claim denied. That’s a mistake you can’t afford to make.

AtStewart Law Offices, we have been helping injured South Carolinians navigate the insurance settlement process for more than 25 years. Keep reading to learn the five things you should never say to an insurance adjuster – and don’t hesitate to contact us if you need help from an experienced personal injury attorney in Rock Hill.

1. Do Not Admit Fault

You do not want to say anything to an insurance adjuster that could be taken as an admission of fault. To recover compensation, you’ll need to show that someone else was responsible for your injuries. If you admit fault for the accident, even if you say you are only partly responsible for what happened, your claim could be drastically reduced in value or denied outright.

Some key phrases to avoid saying to an insurance adjuster include:

  • “I’m sorry.”
  • “It was all/partly my fault.”
  • “I did not see the other person/driver.”

An important thing to understand about the fault is how it can be split between multiple parties. Under South Carolina’s comparative negligence rules, you can recover compensation for your injuries as long as your portion of fault for the accident is 50 percent or less.

However, if you are found partly at fault for your injuries, the compensation you receive will be reduced in accordance with your degree of fault. For example, if you are found to be 20 percent at fault for an accident, you would lose 20 percent of whatever compensation you are awarded. While these rules technically only bind the courts, insurance companies make decisions based on what they think would happen at trial. If an insurer’s legal team thinks it could prove you are 20 percent at fault in a trial, they’ll factor that into whatever settlement figure they offer you.

To maximize your potential compensation in a personal injury case, you must avoid saying anything that could potentially implicate you in the accident.

Call at866-783-9278orcontact usonline to arrange your free and confidential case review.

2. Do Not Minimize Personal Injuries to Adjuster

When discussing your injuries with an insurance adjuster, you need to walk a fine line. You do not want to exaggerate your injuries. Doing so could call your whole case into question and jeopardize your ability to get any compensation at all. However, you need to account for all the injuries you have suffered and the pain you are in.

Trying to “tough it out” after an accident or downplaying your symptoms can backfire. For one thing, the full extent of your injuries may not be apparent yet. If you downplay your injuries early on, the insurance company may doubt you later if your symptoms become more serious. Also,you have the right to seek compensation for all your injuriesand should absolutely exercise that right.Minimizing your injuries only hurts you in the long run.

3. Do Not Describe Your Injuries

The best way to avoid minimizing or exaggerating your injuries after an accident is simplynot to talk about them with an insurance adjuster. If an insurance adjuster asks you to describe your injuries in detail, you can refer them to yourcar accident lawyer.

Also, you should not let an insurance company look at your medical records directly. If you give an adjuster a blanket records release, they can go through your entire medical history and look for information to weaken your case. For example, you could have a pre-existing condition or prior injury that the insurance company claims impacts your more recent injuries. Do not give the insurance company any ammunition to use against you. Instead, let your lawyer present your case in the strongest way possible.

4. Do Not Hypothesize What Happened During the Accident

When describing an accident to an insurance adjuster,do not say anything beyond what you experienced directly.You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

You do not have to answer questions you are unsure about. If you do not know exactly what happened or cannot give a definitive answer about some aspect of the case, it is perfectly fair for you to say, “I don’t know.”

5. Do Not Provide a Recorded Statement

Do not agree to let an insurance adjuster record your statement. It is far too easy to make a mistake you can’t take back.If your statement is on the record, it could come back to haunt you.Your better option is to submit a statement in writing about what happened in the crash, as a written statement gives you more control over what you say. Also, your attorney can review the statement before you submit it to make sure nothing you’ve said could hurt your case.

Call at866-783-9278orcontact usonline to arrange your free and confidential case review.

Having Trouble with an Insurance Company After an Accident? Contact an Accident Lawyer in Rock Hill Now

Dealing with insurance companies on behalf of accident victims and helping them recover maximum compensation is what we do at Stewart Law Offices. If you have been injured in an accident and an insurance company is pestering you,contact usimmediately for a free consultation with a personal injury lawyer in Rock Hill.

What Not To Say To Insurance Adjusters - Stewart Law Offices (2024)

FAQs

What Not To Say To Insurance Adjusters - Stewart Law Offices? ›

Admitting fault: Using apologetic language is enough for the insurance adjuster to assume you're admitting fault and use that against you. Even if you feel you're at fault, wait for the official investigation to prove what actually happened. Don't say things like “I'm sorry” or “it was my fault.”

How to argue with a claims adjuster? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

What not to say to an insurance investigator? ›

Admitting fault: Using apologetic language is enough for the insurance adjuster to assume you're admitting fault and use that against you. Even if you feel you're at fault, wait for the official investigation to prove what actually happened. Don't say things like “I'm sorry” or “it was my fault.”

What not to say when filing a claim? ›

Don't admit fault. Don't say you aren't injured. If they ask, you should be adamant that you are not sure. Don't sign any release to release your medical records without checking with your lawyer.

What happens if you disagree with insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

How to answer insurance adjuster questions? ›

You may provide the most basic details such as your name and contact info, the location and date of the crash, and what car you were driving. Other than that, politely decline to give more details. You have the right to refuse to answer the adjuster's questions or to consult with a car accident lawyer first.

How to get the most from an insurance claim? ›

There is no single silver bullet that automatically ensures you get the most money out of your insurance claim. Instead, you can help maximize your options by keeping records, knowing the terms of your policy, and not accepting an initial settlement offer.

Do insurance companies use scare tactics? ›

Before digging into what to do to scare an insurance adjuster, it's useful to know a little about how they try to scare those who file a claim. One of the most common scare tactics they use is to delay a decision on your claim. They know that when you're dealing with a severe injury, time is not your friend.

Are claims adjusters biased? ›

Dealing With Insurance Adjusters

The insurance adjuster has only the best interests of their client in mind and will perform their duties with a certain degree of bias. Some insurance adjusters may even go as far as to employ bad faith tricks to lower the potential payout the insurance company has to deliver.

What is unethical in insurance? ›

Not investigating a claim or, in some cases, denying the claim without providing any reason. Unreasonably making demands for documents, interviews, and other information in a bid to delay or deny making payments.

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 to say when making an insurance claim? ›

When you file a claim, you'll be asked to provide some basic details, such as where and when the accident or incident took place, contact information for everyone involved and a description of what happened. You might also be asked to give an estimated cost of the damage from the accident—if you have that available.

What are the 3 most common mistakes on a claim that will cause denials? ›

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:
  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

How to argue with an insurance adjuster? ›

If you disagree with the insurance adjuster, it's crucial to gather supporting documents and consider consulting a car accident lawyer to help you navigate the claims process and ensure you receive the fair settlement you deserve.

What are 3 important things to do when you file a claim? ›

Important Tips
  • Read your policy. ...
  • If you don't understand your policy, ask your agent and/or company for clarification.
  • If you have an accident, call the police. ...
  • Get as much information as possible at the accident scene to furnish to your agent and/or insurance company.

Do insurance adjusters follow you around? ›

While the insurance company may follow you at any time, there are certain times where it is most likely to occur. We typically see insurance companies conduct surveillance around claim-related appointments. These claim-related appointments could include IMEs or interviews with insurance representatives.

Top Articles
Latest Posts
Article information

Author: Lilliana Bartoletti

Last Updated:

Views: 5968

Rating: 4.2 / 5 (73 voted)

Reviews: 88% of readers found this page helpful

Author information

Name: Lilliana Bartoletti

Birthday: 1999-11-18

Address: 58866 Tricia Spurs, North Melvinberg, HI 91346-3774

Phone: +50616620367928

Job: Real-Estate Liaison

Hobby: Graffiti, Astronomy, Handball, Magic, Origami, Fashion, Foreign language learning

Introduction: My name is Lilliana Bartoletti, I am a adventurous, pleasant, shiny, beautiful, handsome, zealous, tasty person who loves writing and wants to share my knowledge and understanding with you.