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Civil Litigation

Bad Faith Insurance Claim

The adjuster stopped returning calls, the requests for documents keep repeating, and the denial letter cites a policy term that does not seem to fit. Frustration with an insurer is common; showing bad faith takes a particular kind of record.

Reviewed

01 GUIDE

Bad Faith Insurance Claim: what usually happens

When unfair handling crosses a line

Insurers are allowed to investigate, question a loss, and deny claims they believe are not covered. A bad faith problem arises when the handling itself is unreasonable, for example a denial issued without a genuine investigation, or delay after delay with no stated reason. New York approaches this more narrowly than many states. Disputes by policyholders over their own coverage are usually framed first as a breach of the insurance contract, and the circumstances in which damages beyond the policy benefits can be recovered are limited. Unfair handling still matters, because it often shapes the strategy, the interest of regulators, and the tone of settlement discussions.

Building a claim file of your own

Keep the full policy, including the declarations page and any endorsements, and every letter and email from the insurer. A simple log of call dates and the names of the people you spoke with, shared with your lawyer, helps reconstruct the timeline. Save copies of everything you submitted along with proof of when it was sent, because disputes often turn on whether the insurer actually received a document. Ask the insurer in writing to identify the specific policy language it relies on for any denial. Keep meeting the deadlines in the policy, such as a sworn proof of loss when one is requested, even while you disagree with the insurer's position.

Choosing the route forward

Several routes can run at once or one after another. A complaint to the New York Department of Financial Services can prompt a response from the insurer, though the agency does not decide what your claim is worth. Some property policies include an appraisal process for disagreements over the amount of a loss, which is different from a dispute about whether the loss is covered at all. A lawsuit is another route, and many policies set their own deadline to sue that is shorter than people assume. Bring the policy and the insurer's letters to our first conversation; from the denial or delay and the timeline, we can talk through which path fits the amount at stake and what you need from the insurer.

02 ATTORNEYS

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Attorney Advertising. This page is general information about bad faith insurance claim and is not legal advice. Reading it does not create an attorney-client relationship. Outcomes depend on the facts of each matter, and prior results do not guarantee a similar outcome. Laws differ by state and change over time.