How Long Does it Take to Receive an Insurance Claims? The Process (2024)

How Long Does it Take to Receive an Insurance Claims? The Process (1)

If you suffer a personal injury in an incident such as a car accident that you did not cause, your lawyer may seek compensation on your behalf from the at-fault party’s liability insurance company.

The length of time it takes to get a settlement from things like a car insurance claim varies from case to case. Ideally, insurance carriers would respond quickly and pay every valid claim immediately. Unfortunately, insurance companies rarely operate that way.

Below we explain the claims process, steps you and your lawyer may take to speed it up, and what you can do if an insurance company or its adjuster does not respond to your demand letter in a timely manner.

Sending a Demand Letter to the Insurance Adjuster

The process of seeking payment from an at-fault party’s insurance policy usually starts with your personal injury attorney sending a demand letter on your behalf. (This is what makes this claims process different from the process of making a claim to your own insurance company, which typically begins with you filing a claim directly with your insurer via its website.)

Demand letters serve to put insurance companies on notice of a potential legal claim for damages against an individual, company, or organization to whom the company has issued liability insurance.

In the case of a vehicle accident, the letters typically provide important information to the auto insurance company about a damage claim such as:

  • What happened to cause an injury
  • Why the company’s policyholder is at-fault and must pay damages
  • A description of the client’s injuries
  • A calculation of the economic losses the client suffered as a result of the event, such as medical bills and lost wages
  • A calculation non-economic losses the client suffered such as pain and suffering, loss of consortium, and reduced quality of life

Attorneys may send the demand letter to the company directly, to the at-fault party directly, to the at-fault party’s lawyer, or to some combination of these parties.

When to Expect a Response to a Demand Letter and How Long Does it Take for an Insurance Company to Reply?

How Long Does it Take to Receive an Insurance Claims? The Process (2)

Upon receipt of a demand letter, an insurance company will assign an adjuster to handle it. An adjuster’s job at the company is to review claims and to decide whether the carrier should pay them as opposed to an insurance agent who sells and maintains insurance policies.

Typically, under the terms of the insurance policy and/or by state law, the adjuster must complete an initial review and send a response within a reasonable amount of time – usually on the order of 30 days.

This is the point in the process at which, if things operate as they should, the insurance company should acknowledge its policyholder’s legal liability and pay the claim right away.

Unfortunately, as we said above, oftentimes that’s not how things go.

You see, insurance companies and the adjusters who work for them have strong incentives not to pay the full value of a liability claim, and not to do so quickly.

Why not?

First, because you are not their customer, so they have little reason to make this easy for you. Second, because insurance carriers make money by holding onto it, not by paying it out. The less they can pay you, and the longer they can make you wait, the more money they earn.

So, instead of paying a claim quickly and in-full, liability insurance claims adjusters will often drag their feet.

They may do that by simply not responding until the last minute, by requesting additional information (which they often do not even need), or by making lowball or partial settlement offers.

These tactics have a common, dual goal: to delay payment for as long as possible, and to try to make the claim “go away” for as little money as possible.

How to Speed Up the Response Time

You and your attorney cannot force an insurance company to respond to a demand letter, but you can take some steps to help speed up the response time. For example:

By drawing on experience in cases like yours, your attorney can make sure to include all pertinent information with a demand letter to minimize the carrier’s opportunity to stall by requesting more detail about your claim.

The letter can request a response within a specific time limit, after which your attorney will commence legal action against the at-fault party.

Your attorney can follow-up by phone or email with the adjuster to begin a dialogue about the claim.

When appropriate, your attorney can file a personal injury lawsuit against the policyholder or, in the case of an auto accident, the at-fault driver to show the insurance company you mean business.

How Long Does it Take to Receive a Visit from an Adjuster?

Sometimes, the claims adjuster may want to meet with you in person in connection with evaluating your claim, your injuries, and the damages that have occurred.

Upon sending a demand letter you should be contacted via phone within 1-3 days to set up a meeting up to 2 days after that.

While setting up this meeting the adjuster should ideally deal with your attorney, However, sometimes the adjuster will try to go around your attorney and call you directly. Do not get into a conversation with an insurance adjuster if you can avoid it. Try to make sure all discussions – even simple ones about scheduling a meeting – happen through your attorney.

Why Insist on Keeping Your Lawyer Between You and the Adjuster?

Because insurance adjusters are trained in interview techniques designed to get claimants to say something that might undermine the value of a claim. Even in a simple scheduling call, an adjuster might try to slip in a few questions aimed at tricking you out of your legal and financial rights.

Insisting on your personal injury lawyer dealing with the adjuster as much as possible minimizes your risk of falling for these tactics.

If a time comes when you need to meet with the adjuster in person, your lawyer can also prepare you and, if necessary, attend the meeting with you to steer you away from danger.

What to Do if Your Insurance Adjuster Isn’t Responding

How Long Does it Take to Receive an Insurance Claims? The Process (4)

Sometimes, your attorney sends the demand letter and the adjuster simply does not respond.

In that circ*mstance, you and your attorney are in the dark. There could be a simple explanation for the lack of a response, such as that the adjuster is backed up with work or went on vacation, or the demand letter got lost in the shuffle at the insurance company. Or, your claim could require extra work and time to process, because of the severity of your injuries or damages.

Finally, the delay could reflect an insurance company tactic to draw the process out, hoping you might give up or get impatient enough to take a lowball settlement offer.

So, you need to find out what’s what. However, as above, that’s not something you, personally, should handle if you can avoid it, because it could put your rights at risk.

Instead, let your attorney handle an insurance adjuster by:

  • Following up with phone calls;
  • Sending an email;
  • Going to the insurance company’s website to “chat” with a representative, if applicable; or
  • Contacting the adjuster’s supervisor (contact information for the supervisor can usually be found on the company’s web page along with the adjuster’s information).

Try to stay patient and confident in this part of the process. The insurer must respond at some point, or face potential legal complications. Your attorney can guide you through this process and identify if the adjuster may be negotiating in bad faith.

How Long Does it Take to Receive a Settlement?

Ultimately, the goal of making a demand to a liability insurance company is to convince the company to pay a claim, without having to take the claim to a trial. The agreement between the injured person and the at-fault party (represented by a defense lawyer and the insurance company) is called a settlement.

In the typical settlement, the injured party (you) gets money from the at-fault party’s insurer, in exchange for releasing the at-fault party (and that party’s insurance carrier) from any future liability relating to the claim.

It can take as little as 7-8 days, and up to more than 30 days, to reach a settlement in cases that only involve property damage once negotiations between your personal injury lawyer and the adjuster begin.

In personal injury claims, the length of time it takes to receive a settlement may be longer as the scope of your injuries and the full cost of your medical expenses is being determined.

Related Posts

  • Is an Auto Accident Settlement Taxable?

Let The Miley Legal Group Help You with an Unresponsive Insurance Company

After suffering injuries in an accident caused by someone else’s careless or reckless conduct, you want to receive the money you deserve as soon as possible.

You deserve a fair settlement to cover your medical treatment, property damage, lost wages, and any other damages you experienced as a result of your accident.

The most reliable way to achieve a favorable outcome efficiently is to trust an experienced accident attorney to handle the claim process on your behalf.

Contact The Miley Legal Group today for a free consultation to discuss the details of your accident case. Our experienced law firm in West Virginia knows first hand the tactics that insurance companies use to benefit themselves and how to win the compensation you deserve in a timely manner.

Author Bio

How Long Does it Take to Receive an Insurance Claims? The Process (5)

Tim Miley is the Founder of Miley Legal Accident Injury Lawyers, a West Virginia personal injury law firm he formed in 2006. With more than 30 years of experience in personal injury law, he is dedicated to representing clients in a wide range of personal injury cases, including car accidents, trucking accidents, motorcycle accidents, brain injuries, wrongful death, and other personal injury matters.

Tim received his Juris Doctor from Duquesne University and is a member of the West Virginia State Bar and the Harrison County Bar Association. He has helped his clients win more than $10 million in personal injury verdicts and settlements and has further served the people of West Virginia by filling legislative roles in the state’s government since 2004.

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How Long Does it Take to Receive an Insurance Claims? The Process (2024)

FAQs

How Long Does it Take to Receive an Insurance Claims? The Process? ›

Typically, under the terms of the insurance policy and/or by state law, the adjuster must complete an initial review and send a response within a reasonable amount of time – usually on the order of 30 days.

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

After the insurance company receives your completed proof of claim forms and all the required supporting documents, it must decide on your claim within 40 days. After settling your claim, the insurance company must make a final payment within 30 days if it approves your claim.

How long does it take to receive claim money? ›

After your claim has settled you should receive your compensation between 14 – 21 days. This depends on if your claim was settled in or out of court.

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 get to make an insurance claim? ›

When it comes to the actual window for making a claim, it varies. Different insurers will have different timeframes. However, a good rule of thumb is two weeks after the accident. This is because as time goes on, it becomes more and more difficult to gather the relevant information that might be pertinent to the case.

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.

What happens if a claim is taking too long? ›

The law requires insurance companies to acknowledge receipt of a claim within 15 days after they receive it. They must communicate their decision on the claim within 15 business days after receiving all necessary information related to the claim. If they fail to do so, policyholders have the right to sue for delay.

How long do most car accident settlements take? ›

While many car accident claims can be settled in just six to eight weeks, others can take several years to resolve.

Does claim processed mean paid? ›

The Paid status indicates that this claim has been processed and a payment has been received.

What does it mean when a claim status is paid? ›

PAID: The claim has been finalized and submitted for payment. Checks have been printed and the payment process is complete. REVERSED: The claim has been finalized.

How can I speed up my insurance process? ›

When a settlement hits a roadblock, use these tactics to expedite the process.
  1. Know About Your Policy. ...
  2. Learn About Your Legal Rights. ...
  3. Document Everything. ...
  4. Submit Proof of Your Losses. ...
  5. Get the Right Kind of Help.

Why are most insurance claims denied? ›

Insurance claims are often denied if there is a dispute as to fault or liability. Companies will only agree to pay you if there's clear evidence to show that their policyholder is to blame for your injuries. If there is any indication that their policyholder isn't responsible the insurer will deny your claim.

Why do some insurance claims take so long? ›

That being said, there are a handful of reasons why some claims take longer than others: The type of personal injury accident. If the victim required extensive medical care and treatment (this could lead to larger settlement) How well the defendant is cooperating.

How long is too long to wait for an insurance claim? ›

As long as you make your claim within two years, you should be owed a timely and efficient decision on your claim — if not, you may be able to file a bad faith lawsuit against the insurance company for the original settlement amount plus any applicable penalties.

Do insurance companies have a time limit? ›

Once they decide to cover a claim, they need to do so within a reasonable timeframe. In most cases a reasonable timeframe would be 30 days. Some states have statutes that outline how long insurance companies have to complete each step of this process, while others leave the amount of time more ambiguous.

Will my insurance increase after a claim? ›

Will my car insurance go up after an accident? Unfortunately, the simple answer to this is yes. Whether the accident was your fault or not, making a claim will usually lead to an increase in your car insurance premium the next year and you could see an increase even if you don't make a claim.

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

Hire an Insurance Dispute Lawyer

If an insurance company is ignoring you, you have options. For example, you may be able to seek benefits from your insurance carrier instead. Claim subrogation could yield faster results. Then, your insurer can take up a claim with the other carrier for reimbursem*nt.

How long does an insurance company have to accept or deny a claim in CA? ›

40 Calendar Days – An insurer must accept or deny your claim within 40 calendar days of receiving proof of claim.

How long does Progressive insurance take to settle a claim? ›

We resolve many property damage claims within 7 to 14 days, but repair times can vary greatly based on your vehicle, the damage, etc. No matter what, we'll work quickly and efficiently so you can get back to your normal routine.

What does it mean when an insurance company accepts a claim? ›

If they accept the claim, they will provide you with a check based on the type of insurance you have and the value of the damages. If they deny the claim, it means they will not pay anything. You do have the right to ask them why they denied your claim.

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