Delay & Denial Tactics
"Still under review." "We need more documentation." "Your adjuster is no longer with the company." Any one of those statements may have a legitimate explanation. A repeated, unexplained pattern can justify a closer look at the policy, investigation, communications, and claim timeline.
Key Takeaways
- Duration alone is not enough: Compare the delay with the work performed and explanations given
- Document the complete timeline: Records help show what each side knew and did
- Investigation must fit the claim: An inadequate review may support liability but does not decide every element
- Remedies require causation and proof: Not every loss during a delay is legally recoverable
Recognizing Delay Tactics
These patterns can help identify what to document. Their significance depends on the claim's complexity, the information available, and the insurer's explanation:
The Endless Review
Weeks turn to months. Every call yields 'still under review.' No one can explain what's being reviewed or when it will end.
Paper to Death
Constant requests for documentation. Each submission triggers new requests. Forms get 'lost.' They ask for the same things repeatedly.
Communication Blackouts
Adjusters don't return calls. Emails go unanswered for weeks. You're left in the dark about your own claim.
Adjuster Rotation
New adjusters assigned periodically. Each one 'needs to get up to speed.' Progress resets to zero every time.
Recognizing Bad Faith Denials
A denial isn't automatically bad faith—but these patterns raise red flags:
Rubber Stamp Denial
Immediate denial without reviewing documentation, speaking to witnesses, or conducting any investigation.
Policy Misrepresentation
Citing exclusions that don't apply to your facts, or creatively interpreting clear coverage language to avoid payment.
Ignoring Evidence
Denying despite clear documentation supporting your claim—photos, expert opinions, receipts, medical records.
Pre-Existing Condition Excuse
Blaming all damage on prior conditions without acknowledging that the covered event aggravated or caused new damage.
Vague Denial Letters
Denials that don't cite specific policy provisions or explain exactly why coverage doesn't apply.
Bias Toward Denial
Internal claims manuals or training that emphasize finding reasons to deny rather than fairly evaluating claims.
How to Fight Delay & Denial
Building a bad faith case requires documenting the pattern of unreasonable conduct:
Keep a Detailed Log
Record every interaction: date, time, who you spoke with, what was said, and what (if anything) was resolved. Screenshot emails and save voicemails.
Follow Up in Writing
After phone calls, send a confirming email: 'Per our conversation today, you stated...' This creates a paper trail the insurer can't later deny.
Submit Everything Certified Mail
For important documents, use certified mail with return receipt. This proves delivery so they can't claim documents were 'never received.'
Document Your Damages
Track additional expenses, property deterioration, medical consequences, and lost work. Recoverability depends on the governing claim, causation, foreseeability, and proof.
Consult an Attorney
A lawyer can review the policy and deadlines, identify missing evidence, communicate the disputed issues, and, if litigation is warranted, seek relevant materials through the available discovery process.
Frequently Asked Questions
Stop Waiting. Start Fighting.
If your insurance company is stalling, stonewalling, or denying your valid claim, you don't have to take it. We hold insurers accountable for delay and denial tactics.
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