Signs an Insurance Company Is Acting in Bad Faith

What Every Florida Property Insurance Policyholder Should Know

Insurance companies are supposed to provide financial protection and peace of mind by honoring their policy commitments. However, when insurers fail to act in good faith, policyholders may face undue stress and economic hardship. Understanding the signs of bad faith insurance practices can help you identify when an insurer is acting improperly and take appropriate action. This blog explores common indicators of bad-faith behavior by insurance companies and how policyholders can address these issues.

What Is Insurance Bad Faith?

Before diving into the warning signs, it’s important to understand what constitutes bad faith. Simply put, bad faith occurs when an insurance company violates its duty to handle a policyholder’s claim respectfully. Insurance companies have a legal obligation to investigate and resolve claims promptly and in good faith, meaning they must:

  • Treat policyholders fairly and honestly
  • Conduct thorough investigations
  • Communicate clearly and transparently
  • Pay valid claims without unnecessary delays

When an insurance company fails to meet these obligations, it may act in bad faith, leading to significant financial and emotional strain for policyholders.

Signs That Your Insurance Company May Be Acting in Bad Faith

1. Unreasonably Delayed Claim Processing

Insurance companies must investigate and process claims within a reasonable time frame. If your claim is dragging on for months without a valid reason, this may be a sign of bad faith. Common delay tactics include:

  • Asking for excessive or unnecessary documentation
  • Repeatedly requesting the same information
  • Taking too long to respond to your inquiries

While some delays are understandable, especially in complex cases, prolonged delays without justification are often a red flag.

2. Lowball Settlement Offers

One of the most common tactics insurance companies use in bad faith claims is offering a settlement far below what your claim is worth. Insurers may assume that policyholders often deal with stress and financial pressures after an accident or disaster and will accept these lowball offers just to avoid the hassle of negotiating or going to court.

If your settlement offer doesn’t seem to cover the full extent of your losses or expenses, it’s crucial to consult with an experienced attorney before accepting any payment.

3. Denial of a Valid Claim Without a Clear Explanation

The company may act in bad faith if your insurance claim is denied without a valid reason or explanation. Insurance companies are required to provide clear and specific reasons for claim denials. Vague statements like “not covered under the policy” without further elaboration are insufficient and may indicate that the insurer is not acting in good faith.

Always ask for a detailed explanation and review the denial with a legal professional to determine whether the denial was justified.

4. Failure to Properly Investigate the Claim

Insurance companies must conduct a full and fair investigation of your claim. This includes gathering evidence, interviewing witnesses, and reviewing all relevant documentation. If the insurance company seems to rush through the investigation or ignores critical evidence supporting your claim, they may act in bad faith.

For example, if an adjuster does a quick or superficial inspection of property damage without considering all the facts, the insurer may use this incomplete investigation to justify a claim denial or underpayment.

5. Misrepresentation of Policy Language

Sometimes, insurance companies will misinterpret or deliberately misrepresent the terms of your policy to deny or underpay your claim. This could involve misreading exclusions, misapplying deductibles, or claiming that certain damages aren’t covered when they are.

If you feel that the insurance company is twisting the terms of your policy to avoid paying your claim, it’s important to have a lawyer review your policy and hold the insurer accountable.

6. Refusing to Communicate or Provide Updates

Clear communication is key when processing an insurance claim. If your insurer refuses to return your calls, fails to provide status updates, or avoids answering your questions, they may be stalling or trying to frustrate you into abandoning your claim. A lack of transparency is a common sign of bad faith and could indicate that the company is trying to avoid paying what they owe.

7. Demanding Unreasonable Documentation

Insurance companies will often require documentation to support a claim, but sometimes, they demand an unreasonable amount of paperwork as a stall tactic.

For example, if your insurance company asks for excessive proof of loss, medical records, or multiple estimates, they may be trying to overwhelm you in hopes you’ll give up on the claim. While providing the required documents is essential, unreasonable demands can be challenged with the help of an attorney.

Legal Protections for Florida Policyholders

Florida law provides several protections for policyholders dealing with bad-faith insurance practices:

Florida’s Bad Faith Law

Under Florida law, insurers have a duty to act in good faith when handling claims. The key statutes and legal principles include:

  • Statutory Framework: Florida Statutes §624.155 and §626.9541 outline the requirements for insurers to act in good faith and provide remedies for bad faith practices.
  • Civil Remedies: Policyholders can seek damages for bad faith, including compensatory damages, punitive damages, and reimbursement for legal fees.

What to Do If Your Insurance Company Is Acting in Bad Faith

If you suspect that your insurance company is acting in bad faith, there are several steps you can take to protect yourself and your claim:

1. Document Everything

Keep a detailed record of every interaction with your insurance company, including phone calls, emails, letters, and any documents you send or receive. Document the dates and times of conversations, who you spoke with, and what was discussed. This documentation can be crucial if you challenge a denial or take legal action.

2. Request Written Explanations

If your claim is delayed, denied, or underpaid, request a written explanation from the insurance company outlining the specific reasons for their decision. A clear explanation will help you understand whether their decision was justified or if they were acting in bad faith.

3. Consult with an Insurance Claim Lawyer

Bad faith insurance claims can be complex, and it’s often difficult for policyholders to fight against large insurance companies independently. Our experienced insurance claim lawyers can review your case, determine whether the insurer is acting in bad faith, and help you pursue legal action if necessary.

Why Hiring a Florida Insurance Lawyer is Important

Our experienced Florida insurance claim lawyers can provide significant advantages when dealing with bad-faith insurance:

  • Expert Evaluation: We can assess whether the insurer’s actions constitute bad faith and advise on the best action.
  • Effective Negotiation: Our job is to negotiate with insurers and advocate for a fair settlement on your behalf.
  • Legal Representation: If necessary, we can represent you in court or legal proceedings, pursuing remedies for bad faith and protecting your rights.
  • Guidance on Procedures: An attorney can guide you through the legal process, including filing a Civil Remedy Notice and understanding Florida’s insurance laws.

Conclusion: Hold Your Insurance Company Accountable

Insurance companies are making a profit, which sometimes means they don’t act in the best interests of their policyholders. Recognizing the signs of bad faith can empower you to take action, whether challenging a denial, negotiating a better settlement, or filing a lawsuit.

If you believe your insurance company is acting in bad faith, don’t hesitate to contact an experienced attorney. At Williams Law, P.A., we specialize in holding insurance companies accountable for their obligations and fighting for the compensation you deserve. Call us at 1-800-451-6786 or fill out our online contact form.