Tips and recommendations 

What are the reasons for denied insurance claims?

Leia Doyle

What are the reasons for denied insurance claims?

Here are a few common reasons insurers reject claims:

  • The driver who caused the collision hasn’t paid their monthly premiums.
  • You don’t understand your policy.
  • You committed fraud or provided false information during the application process.
  • You didn’t report the incident on time.
  • You’re an excluded driver.

What would result in a claim being denied?

Incorrect or Missing Patient Information Manual errors and patient data oversights such as missing or incorrect patient subscriber number, missing date of birth and insurance ineligibility can cause a claim to be denied.

Here are some common reasons why insurance claims are denied:

  • You were partially or wholly at fault for the accident.
  • You didn’t receive a medical evaluation.
  • You don’t have a diagnosed injury.
  • The claim exceeds your maximum coverage.
  • There’s a liability dispute.
  • You didn’t notify your insurance company quickly enough.

    Why is my travel insurance not paying out?

    An insurer may refuse to pay out some or all of your claim because: you have an excess on your policy. The excess is the amount of the claim that the insurer won’t pay at all. It is typically between £50 and £100 you have an exclusion on your policy.

    What happens if you have a problem with an insurance claim?

    Insurance gives you extra protection if things go wrong. However if you need to make a claim, you may have a problem with making the insurance company pay you. For example, your insurer may refuse to pay you anything or may pay you less than you have claimed for. This page tells you what you can do if you have a problem with your claim.

    Where can I go to complain about travel insurance?

    You can go to the Financial Ombudsman if your complaint is about your insurance policy. If your complaint is about the way the way you were sold the policy, this may be against the law. You should get help from the Citizens Advice Consumer helpline. If you’re in Northern Ireland, contact Consumerline. Did this advice help?

    What to do if your travel insurance does not cover a pre-existing condition?

    you didn’t tell the insurers about a pre-existing medical condition when you bought the insurance. If you think that you’re covered and your insurer is simply acting unfairly, you can make a complaint. Put your complaint in writing and tell the insurer how you want it resolved.