Insurance Claim Delay

Learn why claims get delayed, what your rights are, and how to accelerate the claims process.

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Common Causes of Claim Delays

Insurance claims often take longer than necessary. Understanding why delays happen helps you identify whether your claim is experiencing normal processing time or deliberate stalling.

Adjuster Workload

After major weather events, adjusters handle dozens or hundreds of claims simultaneously. Your claim may be delayed simply because the adjuster hasn't gotten to it yet. This is a legitimate delay, but it doesn't mean you can't take steps to move your claim forward.

Documentation Requests

The most common delay tactic is requesting additional documentation. Each request adds days or weeks to the process. Sometimes these requests are legitimate, but often they're used to slow down claims.

Internal Review Processes

Large claims often require multiple levels of approval within the insurance company. Each approval step adds time. You have limited ability to accelerate internal processes, but you can ensure you're not creating delays by submitting incomplete information.

Investigation

Insurance companies may delay claims while investigating causation, pre-existing damage, or policy coverage questions. Investigations can be legitimate, but they're also used as delay tactics.

Your Rights Regarding Claim Delays

Prompt Payment Laws

Most states require insurers to acknowledge claims within 15 days and make payment decisions within 30-45 days

Communication Requirements

Insurers must respond to your communications within reasonable timeframes

Interest on Delayed Payments

Many states require insurers to pay interest on claims that exceed statutory timeframes

Bad Faith Claims

Unreasonable delays may constitute bad faith, giving you grounds for additional legal action

How to Accelerate a Delayed Claim

Take these steps to move your claim forward and hold the insurance company accountable.

Stop Claim Delays

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Frequently Asked Questions

How long should an insurance claim take?

Simple claims should be resolved within 30-45 days. Complex claims may take 60-90 days. Anything beyond 90 days is likely experiencing unnecessary delays.

What's the difference between legitimate delays and stalling?

Legitimate delays involve specific, reasonable requests for information. Stalling involves vague requests, repeated requests for the same information, or unexplained silence.

Can I sue my insurance company for delays?

Yes, if delays are unreasonable and constitute bad faith. However, litigation should be a last resort after exhausting other options.

Will complaining about delays hurt my claim?

No. Professional, documented complaints about unreasonable delays are appropriate and often effective.

What if I need repairs urgently but my claim is delayed?

Document the urgency in writing. If delays are causing additional damage or safety issues, this strengthens your case and may accelerate processing.