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? ›

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.

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.

What happens when insurance companies disagree? ›

When providers disagree. Car insurance companies may disagree on which motorist caused the crash, which can delay the payout of your claim. When this happens, carriers typically negotiate between themselves to reach a mutually agreeable determination.

Is Progressive known to deny claims? ›

Progressive denies claims if they are not covered by the policy. Common reasons why the claim may not be covered by the policy are if the policyholder failed to pay their premium by the due date or the end of any grace period, or if they did not have the type of insurance needed to cover the damages they are claiming.

How do I argue with my insurance 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

How do I challenge an insurance claim denial? ›

If an insurance company denies a request or claim for medical treatment, insureds have the right to appeal to the company and also to then ask the Department of Insurance to review the denial. These actions often succeed in obtaining needed medical treatment, so a denial by an insurer is not the final word.

Does Progressive have an appeal process? ›

With that notice, you can work through the appeals process on your own or enlist the assistance of a car accident attorney familiar with Progressive insurance policies. Once you decide to appeal with or without legal representation, you will begin to build your case for reconsideration.

How do I argue an auto insurance claim? ›

Submit a Claims Appeal Letter to the Insurance Company

This letter should explain why you believe the claim was incorrectly denied and include evidence to prove your argument. Evidence you should send with the appeals letter includes photos, videos, medical records, and witness testimony.

How many accidents can you have 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 is comparative negligence in law? ›

Comparative negligence is a tort principle used by the court to reduce the amount of damages that a plaintiff can recover in a negligence-based claim according to the degree of negligence each party contributed to the incident.

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.

What may cause an insurance company to deny a claim? ›

Policy-Based Reason for Denial

Failure to seek treatment or a delay in seeking treatment, which can lead to an injury worsening unnecessarily, may be grounds for denial. A health or disability insurance claim may also be denied when the claimant behaves recklessly after becoming injured.

What not to say when talking to an insurance adjuster? ›

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.

How to counter offer an insurance settlement? ›

Countering a Low Insurance Settlement Offer
  1. State that the offer you received is unacceptable.
  2. Refute any statements in the adjustor's letter that are inaccurate and damaging to your claim.
  3. Re-state an acceptable figure.
  4. Explain why your counteroffer is appropriate, including the reasons behind your general damages demands.
May 14, 2024

How to get the most out of an insurance claim? ›

Let's dive into the thick of it!
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
  6. Ensure the Insurance Company is Aware of Matching Elements That Also Need to be Replaced.
Jun 6, 2023

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.

What is it called when an insurance company refuses to pay a claim? ›

Bad faith insurance refers to an insurer's attempt to renege on its obligations to its clients, either through refusal to pay a policyholder's legitimate claim or investigate and process a policyholder's claim within a reasonable period.

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.

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.

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