What questions do insurance investigators ask?

Asked by: King Jerde  |  Last update: March 10, 2023
Score: 5/5 (56 votes)

Questions Insurance Adjusters Commonly Ask in Recorded Statements
  • What is your full name?
  • Are you aware that this interview is being recorded?
  • Do I have your permission to record your statement?
  • Can I share the information we discuss with another adjuster?
  • What is your address, telephone number, and date of birth?

Why is an insurance investigator calling me?

Even if you tell them you need to talk to a lawyer or are still in treatment, they may continue to call you. In most cases, they will want you to make a recorded statement. They may claim they need to confirm the details of your accident, but their actual goal is to get you on tape making a conflicting statement.

What questions will the insurance company ask?

11 questions insurance companies ask and why
  • First up: Your driver's license. ...
  • Your ZIP code matters more than you think. ...
  • Are you a happy homeowner? ...
  • How long have you been driving? ...
  • Your education and occupation could give you a discount. ...
  • Maintaining insurance is key.

What does it mean when your insurance claim is under investigation?

When an insurance company says “investigation” and you may be thinking it's an investigation to process the claim, it's really a tactic by insurance companies to evaluate you and decide how they are going to handle the claim, and how much they feel they can get away with not paying on the claim.

How does an insurance investigation work?

Insurance claims investigations rely on evidence, interviews and records to conclude whether a claim is legitimate or illegitimate. There are several types of insurance investigations depending on the claim being made.

Top 5 Questions to Ask Insurance Agents Before Purchase a Policy

28 related questions found

Can insurance investigators tap your phone?

No, an insurance investigator cannot tap your phone – ever.

Tapping a phone involves using electronic equipment to secretly listen to someone's phone conversations, and it is illegal. However, tapping a phone should not be confused with taking a recorded statement, which many insurance companies do on a routine basis.

What does an insurance assessor look for?

Insurance assessor starts with evaluating the property and checks it for the damage done to it. For example, if a house caught fire and had been damaged, the insurance assessor would go and evaluate the house, check its monetary value, evaluate the damages done, and decide if they are claimable.

What happens if you lie to an insurance company?

At best, you will have to remember your lie the entire time you are dealing with your insurer. They will most likely record calls and other interactions with you to uncover any discrepancies in your claim. At worst, you could face criminal penalties leading to fines and even jail time.

Can insurance companies read your text messages?

If there is evidence that you were talking on the phone, sending text messages, or otherwise distracted, your insurance company may seek to confirm those facts in order to deny your claim. They may also request records if they suspect you're involved in any form of insurance fraud.

How long does an insurance company have to investigate a claim?

Generally, the insurance company has about 30 days to investigate your auto insurance claim, though the number of days vary by state.

What questions do adjusters ask?

Questions Insurance Adjusters Commonly Ask in Recorded Statements
  • What is your full name?
  • Are you aware that this interview is being recorded?
  • Do I have your permission to record your statement?
  • Can I share the information we discuss with another adjuster?
  • What is your address, telephone number, and date of birth?

How do you answer insurance questions?

Here are some guidelines to follow when answering questions from the insurance company to help protect the value of your claim:
  1. Do not comment on your injuries. ...
  2. Only answer the questions asked. ...
  3. Do not agree to have your statement recorded.
  4. Stick to the facts. ...
  5. Write down the adjuster's name and information.

Why do insurance companies ask so many questions?

They help you address most of you application details and even access publicly available records or relevant consumer reports and can answer most questions on your behalf, again changing the expectation level that a particular insurer is asking “less questions”.

Do insurance companies talk to each other?

Answer provided by

While car insurance companies don't talk directly to each other, they do share information. All car insurance companies can access your claims history through a database called the Comprehensive Loss Underwriting Exchange (CLUE).

How do you scare insurance adjusters?

The single most effective way to scare an insurance adjuster is to hire an experienced personal injury lawyer. With an accomplished lawyer fighting for your rights, you can focus on returning to your routine while a skilled legal professional handles all communications with the insurance adjuster.

Why is my home insurance claim being investigated?

Investigating an insurance claim

Once liability has been accepted by the insurer, they will begin investigating the claim more thoroughly. They will be looking for evidence of the damage and the cost of repairs to determine the amount of compensation awarded to the property owner.

Do insurance companies record every call?

Many insurance companies record customer calls for a number of reasons – regulatory, legal, training or quality control. So, when customers share their personal information over the phone when making a payment, checking on a claim or enrolling in a new plan, that sensitive information is often recorded as well.

Do insurance companies check social media?

The answer is yes—insurance companies are legally allowed to look at your social media when investigating a claim. When you sign up for a social media account, you agree to the websites' terms & conditions — if material is publicly posted online — especially incriminating information.

Can insurance companies track your car?

How do insurance trackers work? Insurance trackers plug into your car using a port typically found below your steering wheel. This is the same connection that a mechanic uses to read your car's computer data and discover any problems with your vehicle. The insurance company's device also reads your computer's data.

How do insurance companies know pre existing conditions?

Medical Check-up:

In case you have a pre-existing disease, the insurance company might ask you to go for a medical check-up. The insurance premium will be based on the test results.

Can I lie and say I don't have insurance?

Lying to your insurance company can get you into big trouble. Even if the lie seems small, it's insurance fraud. You are knowingly deceiving your insurance company to benefit, which can result in jail time, fines, and license suspension.

What if I lie about smoking for life insurance?

You could be denied a life insurance policy if you lie on the application about your smoking habits. Many insurers require a life insurance medical exam that includes blood samples and urine tests that screen for nicotine use. You could also be denied if you have medical conditions in addition to smoking.

What do loss adjusters look for?

Typically, a loss adjuster will be sent to investigate substantial insurance claims, such as those resulting from a major incident like a fire or flood. It's their job to evaluate whether your policy provides cover for the damage or loss you've claimed for and if it does, the level of pay-out you should receive.

Can insurance ask for my bank statement?

Your medical and banking records are confidential and may be accessed only with your consent, Philippides says. The terms and conditions of your policy may include a clause stating that the insurer has the right to ask you for access to these records.

Can insurers check accident history?

Most car, home and travel-insurance providers submit information to CUE, which typically stores details of insurance claims for six years. Insurance providers use CUE to calculate the cost of your premium, based on your claims history, so always be accurate and honest about any past claims when you buy car insurance.