What happens if I don't respond to insurance claim?

Asked by: Merl Carroll  |  Last update: December 8, 2025
Score: 4.5/5 (41 votes)

When a claim is left unaddressed, it may lead to the insurance company assuming that you're at fault. This could result in you paying higher amounts than if you had addressed the claim promptly. Not responding to a claim can be seen as a breach of your insurance contract. This can lead to legal actions against you.

What happens if you don't reply to an insurance claim?

Every modern auto liability insurance policy has a “duty to cooperate” clause, in which the insured driver has explicitly agreed to cooperate with their insurer's investigation and defense of a claim. Failure to cooperate may result in an insurance company deciding to deny coverage.

What happens if I ignore an insurance claim against me?

under California law the insurance company would be entitled to suspend your license so long as they obtain a judgment against you. There is no minimum damage threshold in California that would prevent the insurance company/judgment holder from suspending your license. This of course would be really bad for you.

Can you sue an insurance company for not responding?

Seeking Legal Advice

A lawyer specializing in insurance law can guide you through your options and help you decide on your next steps. Yes, it is possible to sue an insurance company if they are taking too long to settle a claim, as this could be considered bad faith.

What happens if you don't accept an insurance settlement?

However, refusing a settlement offer does extend the life of your claim and delays when you receive compensation. If you have pressing medical bills or other expenses, this is a factor to consider. You'll also need to invest more time and energy into your case, including providing more documentation of your damages.

Insurance Claim Denied, Delayed, or Reduced? Attorney Explains What to Do About Insurance Bad Faith

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What happens if you ignore a settlement offer?

Extended Claims Process: Declining an offer can lengthen the resolution process, which may be challenging if immediate financial needs are pressing. Possible Legal Action: If negotiations don't yield a satisfactory offer, a lawsuit may become necessary, requiring additional time and resources.

Can you decline an insurance claim?

You can reject an insurance settlement offer if you believe it is inadequate to cover your losses. When you decline an offer from an insurance company, it is an opportunity to commence settlement negotiations.

What to do when insurance won't answer?

Contact Your Insurance Representative's Supervisor

If you have been relegated to calling your insurance company's 800 number and leaving message after message for your point of contact, only to never hear back, try someone else. Contacting a supervisor may move your claim forward quicker and without too much trouble.

How likely is an insurance company to sue you?

While subrogation allows insurance providers to pursue third parties, an insurer usually cannot sue their policyholders. However, there are certain situations where an insurer may take legal action against its policyholder.

What if neither party admits fault?

If neither party admits fault in causing the accident, insurance adjusters from all parties involved in the crash will usually determine fault. They may hire experts to examine who caused the accident.

How long do I have to respond to an insurance claim?

Typically, insurance companies have 15 days to acknowledge receipt of the claim you submit. That does not mean they have to decide within that time frame. They then have 15 days to investigate the claim. They have 40 days to settle the claim from start to finish.

What happens if someone sues you for more than your insurance covers?

You may face a lawsuit for the uncovered amount when damages exceed your policy limits. The injured party could attempt to seize your personal assets, which may include: Savings accounts. Wages (via wage garnishment)

What happens if insurance doesn't respond in 30 days?

Insurers Do Not Need to Respond to Demand Letters

However, your attorney will be ready to take action against the company if they refuse to give your claim the attention it deserves. This might be by filing a civil lawsuit against the company if they continue to handle your claim in bad faith.

Do I call the other person's insurance if they hit me?

Even in at-fault states, where the other driver's insurer pays, there are several reasons why you should always call your own auto insurance company first, including: Some insurers will help you negotiate a settlement with the other driver's insurance company.

When you don't agree with an insurance claim?

File a Complaint: If necessary, file a complaint with the insurance company or regulatory authorities. Don't Settle for Less: Refrain from accepting a low settlement offer without proper evaluation. Be Prepared for Legal Action: If negotiations fail, be ready to file a lawsuit to protect your interests.

What happens if someone sues you and you have no money?

The plaintiff might attempt wage garnishment or bank account levies. Some defendants might be considered “judgment proof” if they have no assets. Possible Outcomes and Future Collection: Judgments remain active for several years and could be renewed.

Can I threaten my insurance company?

However, you should never threaten to harm an insurance adjuster or any employee of an insurance company.

What happens if an insurance company sues you?

If your insurance company initiates a legal action against you seeking declaratory relief, you need to seek advice and representation from an experienced insurance claims lawyer without delay as the insurer will ask the judge to determine that your claim is not covered.

What happens if someone doesn't respond to insurance?

Insurance policies also have a “duty to cooperate” or “non-cooperation” clause. This clause basically states that the insured party is obligated to cooperate with the adjuster's investigation of the claim. If the insured person refuses or fails to cooperate, the company can then deny coverage.

What to do if an insurance company ignores you?

5 Steps to Take When an Insurance Company Ignores You
  1. Make a Follow-Up Call. ...
  2. Document & Keep Everything. ...
  3. Stay Calm If or When You Do Make Contact with an Adjuster. ...
  4. Do NOT Feel Pressured to Accept a Settlement. ...
  5. Request All Follow-Up Contact to Be in Writing. ...
  6. Talk to a Lawyer.

How do I argue against an insurance claim?

There are 2 ways to appeal a health plan decision:
  1. Internal appeal: If your claim is denied or your health insurance coverage canceled, you have the right to an internal appeal. ...
  2. External review: You have the right to take your appeal to an independent third party for review.

What happens if you don't accept a settlement?

Rejecting a low settlement typically sparks deeper negotiations, often requiring more evidence or expert opinions to strengthen your case. If the insurer still refuses a fair agreement, you may file a lawsuit. While litigation can prolong the process and increase expenses, it can also result in a higher payout.

How do you fight insurance claims denial?

If an insurance company denies a request or claim for medical treatment, insureds have the right to appeal to the company and also to then ask the Department of Insurance to review the denial. These actions often succeed in obtaining needed medical treatment, so a denial by an insurer is not the final word.

Can an insurance company force you to settle?

If an insurance company offers to settle your accident or injury claim, you have the option to refuse. While insurance companies and adjusters may try to make it seem like an offer is the best and only one you'll get, that's rarely true.