Insurance Claims in Maine

What Are Insurance Claims?

Filing an insurance claim in Maine can be a stressful process. Every policy is different, and insurance companies may not pay you what you deserve. In many cases, hiring an insurance claim lawyer is necessary. This page breaks down the nuances of different types of insurance claims.

What Is a Property Insurance Claim?

A homeowner’s insurance policy is an agreement to protect the home from damage under specific occurrences. When you as a policyholder suffer a loss, you should find a dedicated Maine property insurance lawyer. Your legal advocate works on your claim to ensure that you receive the benefits necessary to repair or rebuild your Maine property.

If the insurer denies coverage or delays, policyholders should consult a property insurance attorney about a bad faith claim. If your claim goes to court and you win, you can often recover your court costs, attorney fees, and coverage benefits. There is also the possibility of recovering more money depending on the state laws under which you file your claim.

What Types Of Damage Claims Apply to Property Insurance?

Specific geographic regions impact the design of insurance policies. For example, Florida property insurance policies have more provisions for hurricanes versus earthquakes. 

The Office of the State Controller in Maine provides a brief overview of the types of claims filed. Common property claims filed include auto claims from accidents, and general claims under Main Tort Laws. In addition, both privately owned property and state owned property have filed insurance claims when dealing with building or infrastructure damage. However, WGME 13 also states that there are millions of dollars worth of unclaimed property and benefits that Maine residents could gain access to. These include assets such as uncashed checks, or health benefits that have not been claimed or received.

How to File a Property Insurance Claim in Maine

After you suffer a loss, you must contact your insurer as soon as possible. Taking this step begins the insurance claim process and gets things moving along. You need to notify your insurance company in writing or over the phone. From there, your insurer appoints a claim representative.

What to Expect Afterwards

While the Maine Legislature gives insurance companies 30 days to pay a claim once it has been approved, this is not always the case. WalletHub confirms that companies act in “bad faith” when they attempt to delay, disregard, or drag out the process of paying a legitimate claim. Still, it is important to remember that certain factors can affect a payment schedule. For example, when a claim for an accident involves multiple people with multiple injuries, this can cause a provider to take more time in paying the claim.

If you feel you are the recipient of an insurance company operating in bad faith, you should consult an experienced attorney in Maine. Please remember to save any correspondence between you and your insurance carrier.

What Is an Auto Insurance Claim?

Auto insurance claims involve requesting compensation from an auto insurer after an accident. Car accidents are incredibly stressful, especially if there are uncooperative responsible parties. However, your insurer’s job is to work on your behalf to secure compensation for repairs, injuries and other expenses.

What Do You Do After a Car Accident?

There are few experiences more stressful than a car accident. Beyond that, there are times when you may be involved in what’s known as a “hit and run”, and the offending car speeds away after hitting you. Bankrate suggests that if you’re involved in a hit and run, you should first evaluate if you or any bystanders have been injured. You should then get all the information you can, and contact the authorities. Once you’ve given your statement to local law enforcement, you should then contact your insurance provider.

The Maine News Center is reporting that police are searching for a driver that was involved in a hit and run recently. In Portland, Maine the driver of a tractor-trailer crashed into multiple cars, as well as the Health and Human Services Building. He also crashed into an unmarked Maine Police Cruiser.

Auto Claims Adjuster

Your auto insurance company will assign a claims adjuster to your claim report. Your adjuster acts as your representation in any mediation between you and all other involved parties. This insurance representative bears responsibility for investigating the claim and seeing that you receive compensation for any repairs or injuries.

Whether there are repair claims, personal injury claims, or you are dealing with someone who does not have insurance, your auto insurance adjuster should see you through the process. Your claims adjuster may recommend a garage to handle your vehicle repairs. They may also make arrangements for a rental vehicle if required. The most important thing to note is that your auto claim adjuster is your primary point of contact regarding the status of your claim in Maine.

Health Insurance Claims

Maine policyholders file health insurance claims when they seek reimbursement for medical services or treatments. When you obtain a medical service from a provider, your health insurance carrier should be notified directly. If there are any discrepancies in your claim, consider hiring a health insurance claim specialist attorney.

How Do You File a Health Claim in Maine?

There are two ways to file a health insurance claim on your behalf. The first is the medical facility notifies your insurer for you. You may be able to walk out of the facility without spending anything, but that depends on your policy. The other way is to file a health insurance claim yourself. Taking this route can occur when a health provider you use is not in your provider network. The facility may still file the claim on your behalf, but you may need to file it yourself.

The Main Department of Health and Human Services provides several tips when you file a health insurance claim. One of these tips is to always keep a copy of your forms and filings for your own personal records. But the important thing to remember is that it can be a process to resolve. But you should not let that deter you. Once you file a claim you may receive an itemized list detailing the services rendered, and any further payment you may owe. However, it should be noted that according to WMTW, several healthcare providers are having trouble with the Anthem Health Insurance Network. Many providers are giving serious consideration to opting out of their network, which could cause turmoil for many Maine residents.

Work with an Experienced Local Insurance Lawyer in Maine

If your health insurance provider refuses to honor a claim, seek out a qualified Maine insurance claim attorney’s help. An insurance claim attorney can help if you have been improperly denied coverage or sent a bill for a service you never received. We can even help you connect with an attorney across Maine state lines.

Submit a request online or call us today at (866) 345-6784 to get in touch with an experienced lawyer in your area!

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