How Long Does an Insurance Company Have to Investigate a Claim (2024)

How Long Does an Insurance Company Have to Investigate a Claim (1)

You have been hurt in a car accident. Your medical bills are piling up. You have been unable to work and have other bills to pay.

Someone else was responsible for what occurred to you, and you believe the insurance company should be providing for your losses. How long does an insurance company have to investigate a claim? When can you expect to see compensation for your losses?

At John Foy & Associates, our Atlanta car accident lawyer works closely with you to pursue compensation as quickly as possible for your losses. Yet, beyond a doubt, it is frustrating when an insurance company seems to take a long time to get back to you. Having an attorney may help, especially as that means the insurance adjuster knows you are serious about receiving compensation.

We recommend contacting us for a free consultation if you have been waiting too long.

What to Know about the Insurance Company’s Right to Investigate

Insurance policies are contracts that provide very specific rules for all parties to follow. These contracts provide some basic rights. Insurance companies are tasked with being fair and reasonable, as well as to be timely. However, they also allow the insurance company to be thorough in its investigation.

Typically, insurance companies have 15 days to acknowledge receipt of the claim you submit. That does not mean they have to decide within that time frame. They then have 15 days to investigate the claim. They have 40 days to settle the claim from start to finish.

Why Is Your Claim Taking Longer?

There are many situations where you may find there are delays. Those 15 days of investigation can also seem very long, especially if you are not receiving any communication from the insurance company or they continue to ask for more information. There are some situations where it can take longer, especially if the situation involves multiple claims from various people or there is any situation in which there are concerns about the legitimacy of the claim.

Can the Insurance Company Request More Time?

The insurance company can make a claim for needing more time. In some situations, they simply want more time to “make a decision” or to “further investigate” the claim. The insurance company can make a formal request for more time. If they do so, they can request up to 60 additional days to make a decision.

What Happens After Those 15 Days?

Insurance companies have 15 days after accepting the claim information to make a decision on it. That decision may include denying or accepting the claim. If they deny it, they must tell you why. If they accept it, that does not mean the insurance company will give you all of the compensation you have requested. They may state that they do not believe you are owed full compensation, or they may try to prove that you were partially at fault for the incident.

This type of scenario can lead to some negotiations between you (or your car accident attorney) and the insurance company. Their goal is to keep the payout as low as possible. Our goal is to maximize the compensation.

When no agreement can be reached between the two parties, the next step is to go to court. This can delay the process significantly. We recommend going to court when there is likely to be significant compensation available to you if you do. We do not recommend settling your case for less than what you are owed – we will fight for the compensation owed to you in every case.

For a free legal consultation, call

404-400-4000

How Our Attorneys Negotiate Your Claim to Get Maximum Compensation

When you work with our car accident attorneys, our goal is to do all we can to maximize your compensation from the insurance company while still getting those funds to you as soon as possible. That is a balancing act that we take seriously.

Gathering Evidence

The more evidence and information available, the more likely it is for the insurance company to settle fairly. No one wants to go to court because it is expensive and time-consuming, and when we can provide clear information about your losses through evidence, it is very difficult to refute that payment.

We Handle Delays Fast

Insurance companies cannot ignore the rules when it comes to meeting timeline requirements. Under Georgia Code section §33-6-34, they may be found in violation of unfair settlement practices if they delay in making payment or simply do not acknowledge your claim within these timeframes. If they do not provide a reasonable and accurate explanation of why they denied your claim or they do not provide payment to you within the 10-day timeframe allowable, you can file a lawsuit against them.

We Keep You Advised of Your Options

There are many steps in filing a claim after a serious car accident. Without a doubt, our legal team at John Foy & Associates has the goal of getting the claim settled for the most amount possible in the fastest time frame. We will continue to provide you with updates about your legal options and rights throughout the process.

Our team is transparent with you about your options. We do not promise more than we believe you are owed, and we do not stall in fighting for your compensation.

Set Up a Free Consultation with John Foy & Associates Now to Get Help

After a car accident, you just want to move on. When it seems that the process is taking a long time, you may be unsure what steps to take. Now that you know how long an insurance company has to investigate a claim, you may be ready to push them to get funds in your hands sooner. We can help you do that.

Contact John Foy & Associates to learn more about the legal options available to you. We provide a free consultation to our clients to offer them insight and guidance on all of the options available to their situation. Set up a free consultation with our team now – there is no cost to you if we do not help you receive compensation.

Call or text

404-400-4000 or complete a Free Case Evaluation form

How Long Does an Insurance Company Have to Investigate a Claim (2024)

FAQs

How Long Does an Insurance Company Have to Investigate a Claim? ›

Typically, insurance companies have 15 days to acknowledge receipt of the claim you submit. That does not mean they have to decide within that time frame. They then have 15 days to investigate the claim. They have 40 days to settle the claim from start to finish.

How long can an insurance company take to respond to a claim? ›

In California, an insurance company has 85 days to completely settle a claim after it has been filed. However, up until those 85 days, there are some ways that an insurer has to communicate with the injured victim and their attorney.

Do insurance companies have a time limit? ›

Generally, insurance companies are required to pay a claim within a reasonable amount of time. Unfortunately, there is no exact definition of what constitutes a reasonable period of time. As you may have guessed, your idea of what's reasonable and the insurance company's idea could be very different.

What happens if a claim is taking too long? ›

If your insurer unreasonably delays your insurance claim, you may have grounds to file a bad faith lawsuit.

When an insurance company doesn't respond to a claim? ›

Insurers Do Not Need to Respond to Demand Letters

However, your attorney will be ready to take action against the company if they refuse to give your claim the attention it deserves. This might be by filing a civil lawsuit against the company if they continue to handle your claim in bad faith.

How long does validation of a claim take? ›

Validation usually takes between 8 and 10 working days from start to finish. To speed up the process, be sure to provide any requested information as soon as you can.

How long does an insurer have to resolve a complaint? ›

AFCA will send your complaint to the insurance company for it to respond – usually within 30 days. The insurer will send you a response to your complaint.

What is the time limit for claim settlement? ›

The time limit set for the claim settlement process by the IRDAI is within 30 days of raising the claim. Most insurance companies settle the claims within 10 days. Read on to know everything about the claim settlement process.

How long before an insurance company offers a settlement? ›

In many situations, insurance companies will respond to offers and counteroffers quickly, usually making a decision within a few days to a few weeks. However, this can go on much longer. There are some situations where it can take weeks to months before you can agree to the settlement amount offered.

What is a time limit demand for insurance? ›

(2) "Time-limited demand" means an offer prior to the filing of a complaint or demand for arbitration to settle any cause of action or a claim for personal injury, property damage, bodily injury, or wrongful death made by or on behalf of a claimant to a tortfeasor with a liability insurance policy for purposes of ...

Why do insurance companies drag out claims? ›

Why Do Insurers Drag Their Feet in Handling Your Claim? Since insurance companies take the money they receive from premiums and invest it, the longer they keep those funds, the more interest they earn. This gives them a significant incentive to delay paying out on claims as long as possible.

Can you sue an insurance company for ignoring you? ›

You have tried to reach your insurance company multiple times and they are ignoring your request to reimburse you. You can sue your insurance company in small claims.

How long does an insurance company have to investigate a claim in the UK? ›

The other party (or their insurer) has 21 days to acknowledge your Letter of Claim, and then they have three more months to investigate your claim. After that, they'll either accept liability for your injuries – or deny responsibility.

Why is my claims adjuster ignoring me? ›

Ignoring your calls and being unresponsive are common tactics insurance companies use to get the upper hand and minimize payouts for claims. Here's why: Insurance companies make money by not paying claims. If they can ignore you and pay you less, it means more profits in their pockets, helping their bottom line.

How long does an insurance company sends an answer for a claim? ›

Generally, the insurance company has about 30 days to investigate your claim. Pro tip: Your state's statutes of limitations will also determine how much time you have to file and settle a claim. The statute of limitations for insurance claims varies by state, as well as by claim type.

What happens if insurance doesn't want to settle? ›

Insurers' Good-Faith Duty to Settle

When an insurance company refuses to settle, it may be liable for the full amount of the excess judgment after trial, notwithstanding the lower policy limits.

How long does it take for an insurance company to make a decision? ›

Typically, insurance companies have 15 days to acknowledge receipt of the claim you submit. That does not mean they have to decide within that time frame. They then have 15 days to investigate the claim. They have 40 days to settle the claim from start to finish.

How long can an insurance company contest a claim? ›

Under California law (California Insurance Code section 10113.5), all life insurance policies delivered or issued in California must contain a provision that states the contestability period is no more than two years.

Why do insurance companies take so long to respond? ›

Investigating Submitted Claims

Investigating an accident can take considerable time. Insurance companies often have to do their own investigating when it comes to determining liability. This includes collecting information about a submitted claim, reviewing evidence, and other tasks.

How long do you have to respond to a claim? ›

The date you receive the court papers is known as the 'date of service', which is two days after postmark. You must respond to the claim within 14 days from this date. However, first of all, check if the section headed 'Particulars of claim' on the claim form contains the text 'Particulars of claim to follow'.

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