Some business and residential property owners in Puerto Rico have seen their claims unfairly denied, unnecessarily delayed, and significantly underpaid by the insurance providers as some insurance agencies look for ways to minimize payments or get out of paying them altogether.
When you submit a claim, it could be denied by your insurance provider because of insufficient evidence or errors in the documentation you’ve provided. Alternatively, the insurance provider may claim that it doesn’t provide compensation for the specific type of business damage sustained, or that you’re entitled to a much smaller compensation than what you anticipated.
It’s important to know that any policyholder who believes the insurer’s decision is unfair, has a right to dispute. When you do this, you are basically requesting a damage review and recalculation of the compensation amount.
Your insurance policy should detail the type of dispute resolution to which you are required to submit. Be aware that most forms are dispute resolution are binding on both parties, and if you are dissatisfied with the results, your only option may be to file a lawsuit.
Access to Non-Disputed Funds
A business can have multiple claims with an insurance provider, especially after natural disasters like hurricanes Irma and Maria. Some of your damage claims may be paid immediately, while others are delayed by the dispute resolution process.
As a business owner, you have to understand one very important thing – the agency can’t postpone a payment to pressure you into a settlement on a disputed claim. You are entitled to immediate access to any funds for claims that are not in dispute. The money for disputed claims will be disbursed after resolution. An insurance provider Thus, you’re entitled to the portion of the funds that’s not in dispute. The rest of the money will be provided to you after the completion of the resolution process.
Hiring an Attorney to Dispute Your Claim
Before making any decision about dispute resolution, we urge you to take advantage of a free consultation with our Puerto Rico business insurance claims attorneys. Our lawyers will analyze your insurance policies, determine the scope of your damage, maximize the best use of your policies, negotiate a fair settlement, and when necessary, file a lawsuit and have a court of law decide how much compensation you are owed.
Contact our office to speak with an attorney to learn about all options for fighting an insurance company that is acting unreasonably, including the pros and cons of each option. Whether non-disputed claim processing is taking too long or you’re receiving a smaller amount than expected, you’re entitled to contest the decision. Having an attorney to assist you through the process can be important, especially if you’re not aware of your rights as a policyholder.