Understanding Insurance Claims Disputes and Resolutions
- Why Claims Are Denied: Common reasons for claims denial, such as policy exclusions, lapses in coverage, misrepresentation, or failure to meet the terms of the policy.
- Dispute Resolution Process:
- Negotiation: Often the first step in resolving a claims dispute.
- Mediation and Arbitration: Alternatives to litigation where a third-party helps resolve disputes.
- Litigation: When disputes go to court for resolution.
- The Role of Legal Counsel: In complex disputes, the involvement of a lawyer may be necessary to handle claims negotiations or litigation.
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