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Procedure in a Bad Faith Insurance Case

There is an implied duty of good faith and fair dealing in every insurance contract. If you have questions about bad faith insurance practices, contact our firm to schedule a consultation with an experienced attorney for straightforward solutions that will work for you.

Bad Faith Insurance Practices in Montana

Far too often, insurance providers deny and delay claims at the expense of their policyholders. Harman, Warren & Harris, PLLP stands up for the rights of people seeking the insurance coverage they have the right to receive. We handle all types of insurance coverage disputes and bad faith insurance claims involving homeowners insurance, car insurance, liability insurance, health insurance and life insurance. The following is general information regarding bad faith insurance practices and your legal options. Schedule your free initial consultation with one of our lawyers to discuss your specific situation by calling toll free at 406-545-4377 or 1-866-894-3762.

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Has your insurance company failed to respond to your claim in a timely manner or is treating you unfairly? You complied with your terms of the agreement by paying your premiums. The insurance company must comply with their terms of the agreement and provide you the coverage you are entitled to receive.

If you feel your insurance company has acted in bad faith, call Harman, Warren & Harris, PLLP at 406-545-4377 or 1-866-894-3762 to schedule your free initial consultation with an attorney. You may also contact us online and someone will be in touch with you promptly.

Procedure in a Bad Faith Insurance Case

If your insurance company denies your claim for benefits, you may wonder what your options are. You do not have to accept that initial denial as the final answer. As a first step, you may ask a supervisor at the insurance company to review the claim and denial. You can also contact your state's insurance regulatory agency about the claim, and finally, you can speak to an attorney. If you suspect that the insurance company acted in bad faith in processing or denying your claim, talk to an experienced lawyer at Harman, Warren & Harris, PLLP in Billings, Montana, about your situation.

Initial Stages — Document Denial of the Claim

Keep notes of every conversation you have with the individual who reviewed the claim, including the person's name and dates and times of all conversations. In addition, keep copies of all written correspondence with the insurance company regarding your claim. If your claim is denied, request that a supervisor review the claim and denial.

If the insurer does not reverse its denial, consider appealing the denial to your state's insurance regulatory agency, which is a state office charged with reviewing contested insurance claims. It is possible that, during the course of this review process, your insurer will reconsider the denial of coverage.

Contact an Attorney

If your regulatory appeal is unsuccessful, and you still believe your claim was unfairly denied, discuss your situation with an attorney. The attorney can review your policy and other documentation and correspondence regarding the claim. As a first step, your attorney can write a letter to the claims adjuster and other key personnel that sets forth the applicable provision of your policy, the facts of your situation and why you are entitled to coverage and formally demand payment of the claim. This may trigger closer scrutiny of the claim and may result in payment. If, however, the insurer still refuses to pay, the attorney can initiate a lawsuit.

Initiating a Lawsuit

When drafting the complaint, the plaintiff will need to decide whether it should be filed in state or federal court, and select a forum that will have jurisdiction over the defendant insurance company. The complaint will likely include claims for breach of contract, bad faith, fraud, negligence and, if there is an unfair settlement practices statute in the jurisdiction, a claim for violation of that statute. The complaint should seek payment under the policy and damages for the defendant's bad faith. Even if insurance company later pays the claim, the plaintiff can still proceed with bad faith claim.

Discovery

During discovery, your attorney can request that the insurer produce certain documents relevant to the case and answer written questions called interrogatories. Your attorney will also be able to depose (question under oath) the claims adjuster, supervisor and other representatives of the insurer. Probably the most important piece of evidence your attorney will request is the claim file, which contains the insurance adjuster's notes about your claim. The claims file may contain evidence that the insurer was neglectful or fraudulently handled your claim. In addition, your attorney should request the insurer's claim manual, which sets forth the insurer's procedures for processing claims. A claim manual can be invaluable in establishing bad faith, and can help provide evidence that an insurer's own investigation process was not properly followed.

Trial or Settlement

It is possible that your claims could be settled before trial. Typically, parties will continue to negotiate and discuss settlement throughout the course of the lawsuit. If your case proceeds to trial, the parties will present evidence and arguments and question witnesses. A judge or jury will decide the issues.

Conclusion

If you believe you were wrongfully denied payment on a covered insurance loss, there are certain steps you can take to seek a reversal of that denial before initiating a lawsuit. An experienced insurance lawyer at Harman, Warren & Harris, PLLP in Billings will review your case and take the steps necessary to protect your rights.

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DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

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