Sunday, April 24, 2011

Insurance Company profits linked to paying less on claims

As we all know, Insurance companies are businesses and thus their goal is to make a profit. I have no problem with that concept. The problem is that insurance companies are selling a promise to pay the full value of a claim when they write the policy. Since an insurance company's greatest expense is paying claims, the companies make more profit if they pay less on claims. For instance, in Michigan, I have noticed that in certain companies, the adjuster, (the person assigned to process the claim), has complained that the company no longer gives them authority or descretion to settle cases. These are trained and experienced adjusters.This process delays the settlement. The adjuster must go to his boss who handles hundreds or  in some cases thousands of claims. The result is that people who have not hired a qualified personal injury lawyer get discouraged and end up with a nominal, "This is all we are offering settlement". They actually may have no idea what they are entitled to under the policy. Experienced lawyers know that if they have a good case, the insurance company has obligations to pay the claim. If the insurance company refuses to act in good faith, they can be sued for additional damages. This is called a "bad faith insurance claim." It's unfortunate but some, not all, insurance companies are spending more and more on advertising and less on paying claims. Let the "buyer beware" and know your policy and your company.