The insurance industry in the United States boasts one of the largest budgets in the country. Insurance company CEOs and CFOs are paid in the hundreds of millions of dollars per year and the profits seen by these companies average nearly $20-$30 billion per year. That’s a lot of money. Where is it going? Who does it really “benefit”? This lapse of transparency is where accident victims get hurt. Insurance companies receive monthly premiums that are meant to bolster the protection provided to accident victims in the event of a catastrophe. Then, when catastrophe strikes, the insurance company is nowhere to be found.
This practice is known in the legal world as Deny, Delay, Don’t Pay.
Deny, Delay, Don’t Pay is a common practice employed by insurance companies to keep victims from ever seeing a dollar of what they’re owed after an accident. This practice not only harms victims, but is downright deceitful in the way it’s deployed on such an arbitrary and regular basis.
The appalling statistics show that even accident victims with life-threatening claims are being forced out of the care they need due to the insurance companies using Deny, Delay, Don’t Pay tactics. Keeping victims in the dark, hoping they’ll give up and “go away” after so many denials is primarily what the insurance companies hope for in an effort to save money. Can you believe that? An industry that averages $30 billion a year in profits attempts to save money by denying victims the payout they rightfully deserve when they’ve been injured. And, more importantly, aren’t insurance companies there to provide that seemingly elusive protection for accident victims?
This article will seek to explain Deny, Delay, Don’t Pay and what victims must do if they find themselves an unwitting party to the games an insurance company tries to play.
When it comes to contacts, the average person should never be expected to understand the “word salad” that accompanies an insurance claim. This is common practice among most insurance companies: the more large, inexplicable words they use, the more the claimant will simply become exasperated and sign on the dotted line. This may not be “purposeful”, but it certainly serves a purpose on behalf of the insurance company in the long run. It’s another deceitful practice used to confuse victims into simply giving up.
The same deception goes for the fine print worked into nearly every insurance policy available to consumers. “Anti-concurrent” clauses in otherwise innocuous sounding insurance policies are buried under pages of fine print, leaving accident victims with no protection when they need it most, all due to something they had no idea they signed (and would not have signed had they known). These clauses are so obscure, they may not ever even come up until the victim needs to use their insurance policy most.
Shunning the sick
Insurance companies only want to cut costs. The nicest phone representative still doesn’t have a policy holder’s best interest at heart. Many accident victims will find themselves becoming disarmed by the friendliness they’re greeted with when they call to make a claim on their own behalf. This is by design. The nicer the representative on the phone is to the policy holder, the less likely they’ll be to become upset or fight back when they’re given the news of their denied or delayed claim. Insurance companies don’t discriminate against whose claims they deny. Everyone from trucking accident victims to cancer patients have been denied the care they need during the most critical time in their lives.
Even some of the nation’s largest insurance companies are known for deceptive denial practices. Big Insurance has been known to deny legitimate claims simply because they’re told to meet a specified bottom line. Usually, however, the bottom line is arbitrary, and the goal post moves in a way that will never be fair to accident victims no matter where it’s placed. The insurance companies have an unfair advantage; there will never be level playing field when it comes to accident victims making a successful claim on the first attempt, no matter how injured they’ve become.
In truth, just because a policy holder pays a monthly premium, it doesn’t mean the insurance company will uphold their obligations.
Where to turn
What happens after an insurance claim is delayed, denied, and dismissed by the insurance company? An accident victim is in pain, the medical bills are piling up and they’re out of work with no income coming in save for the possibility of meager unemployment benefits (and, unemployment benefits don’t last forever). With no way to pay the bills and medical help being consistently denied by a company that prioritizes profits over patients, what happens? The prospect of the victim remaining injured, in pain, and suffering mental anguish for an extended period of time is never acceptable.
That’s where a board certified (or, double board certified) civil trial lawyer should come in. The only way to successfully deal with the insurance companies who deny victims what they need–compensation and medical care–is to bring in a team of legal experts to fight from start to finish, and never rest until the victim is properly compensated. Only a board certified attorney can go to bat, in court at trial if need be, with the insurance companies.
No self-respecting insurance company will continue to play games once a board certified trial lawyer is on board. A lawyer with experience actually fighting the insurance companies is a must. Clients must never settle for a “paper pusher”, an attorney that only “wins” their cases because the client was compensated, but not compensated to the full extent of the law. These claims cannot be considered successful. Clients should never employ these firms to represent them, and if they find themselves in one of these offices, they should head for the door as quickly as possible.
Don’t play the game
When it comes to the insurance companies, the best thing a victim can do is retain legal counsel as quickly as they’re able after an accident. Trying to fight the insurance companies alone is a losing battle; not because the victim doesn’t have a claim, but quite the opposite! When the insurance companies receive word of a legitimate claim from an accident victim, the game begins. It’s imperative to never allow the insurance company to begin their game in the first place. Hiring an attorney to fight these deceptive companies is the best thing one can do for themselves after becoming injured.
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