Causes of Insurance Disputes

Advise & Consult, Inc. | November 9, 2015

The details and specifications of insurance disputes can be never ending, with a number of permutations and specifications possible for each insurance dispute. Yet when you look down to the core of the issue, the primary causes for the insurance disputes boil down to a few similar ones.

Some of the most common causes of insurance disputes are highlighted below.

Exclusions and Limits of Coverage

When you draw up a contract of insurance with the insurance company, most people may read it before they accept it but they are never quite ready to talk about the wordings of the contract with the insurance agency. That is where the first cause of disputes lies. Both the insurance company and the part insured take different interpretations of the wordings of the contract and will more often than not be expecting something the other party never intended to abide by in the first place.

Lack of Communication

Another cause at the core of insurance disputes is lack of effective and timely communication between the two parties. The insurance company and the person insured need to stay in continued communication to make sure the insurance holder is made aware of the policy’s risk profile and whether any claim adjustment needs a renewal. Unless these issues are sorted out via effective communication, there is always the threat of an insurance dispute looming large.

The Duty to be Defended in Court

The insurer’s lack of legal defense for the insurance holder is one reason that can lead to a number of insurance disputes. These issues will typically arise when there is a claim against the policy holder that includes damages that are covered and uncovered, the insurance company will be reluctant to defend the client and the client will expect them to defend him/her.

These are some of the common reason for insurance disputes that can be handled well and avoided altogether.

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