Navigating the aftermath of a car accident in Massachusetts can be a challenging and often confusing time, especially when it comes to filing an insurance claim. Understanding the common reasons for claim denial is crucial for Massachusetts residents to ensure they receive the compensation they deserve. This article aims to provide information on how to handle such situations and clarify the reasons for claim denials.

Inadequate Insurance Coverage

In Massachusetts, inadequate insurance coverage is one of the leading causes of the denial of car accident claims. The state mandates that all drivers have a minimum level of insurance, which includes personal injury protection (PIP), coverage for bodily injury to others, and property damage. If your insurance policy falls short of these required minimums or the expenses incurred from the accident surpass the limits of your policy, there's an increased likelihood that your claim will be rejected.

The PIP coverage in Massachusetts is capped at $8,000, representing the maximum amount your insurer will pay for various expenses such as lost wages, medical bills, and replacement services following an accident. The state sets this specific limit to ensure coverage for minor injuries while simultaneously aiming to minimize the chances of legal disputes. This cap underscores the importance of understanding and complying with the state's insurance requirements to avoid claim denials.

Delayed Filing of the Claim

In Massachusetts, the law sets a specific timeframe for filing a claim after a car accident. Adhering to this deadline is crucial, as you must do so to avoid the denial of your claim. It is imperative to act quickly and effectively after an accident, ensuring that all the required information is gathered and the claim is submitted immediately.

The legal timeframe allocated for filing a lawsuit in Massachusetts is three years from the date of the accident. This period allows individuals to seek compensation for various damages such as injuries, medical expenses, property damage, and other related losses. It is important to point out the significance of this three-year restriction; you may not be able to get compensation for your losses if you miss this deadline.

Discrepancies in the Accident Report

Your claim could be denied if there are inconsistencies or inaccuracies in your accident report or the information provided to your insurer. It is essential to provide a detailed and accurate account of the accident backed by evidence such as witness statements, photos, and police reports.

Disputed Liability

In Massachusetts, car accident claims are handled by a modified comparative fault system. This system dictates that if an individual is found to be more than 50% responsible for an accident, they are not eligible to recover any damages. Insurance companies typically conduct thorough investigations into the circumstances of the accident to ascertain fault. In cases where there's a disagreement regarding who is liable, it can often result in the denial of a claim.

The modified comparative fault system is based on the idea that damages should be assigned based on the degree of fault exhibited by each party. However, it also stipulates a threshold: if the plaintiff's level of negligence surpasses a specific percentage (in this case, 50%), they lose the right to compensation. This approach aims to ensure a fair distribution of liability and damages based on the involvement of each party in the accident.

Exclusions in Your Insurance Policy

Every insurance policy has exclusions. Common exclusions in Massachusetts include intentional damage, using the vehicle for commercial purposes without proper coverage, or damages from natural disasters. It's vital to understand the specifics of your policy to know what is covered and what is not.

Unreported Pre-Existing Conditions

If you have a pre-existing medical condition that is similar to the injuries claimed in the accident, the insurance company might argue that the accident did not cause your injuries. Full disclosure of any pre-existing conditions is crucial to avoid complications in your claim process.

Failure to Seek Timely Medical Attention

Not seeking immediate medical attention can be detrimental to your claim. Insurance companies may argue that the lack of immediate medical care indicates that the injuries were not serious or unrelated to the accident. It's important to seek medical evaluation right after an accident, even if you feel fine.

Policy Lapses or Non-payment of Premiums

If your insurance policy lapsed due to non-payment of premiums or for any other reason at the time of the accident, your claim is likely to be denied. Maintaining continuous coverage is crucial to ensure protection in the event of an accident.

Conclusion

Understanding these common reasons for claim denials can help you navigate Massachusetts's complex landscape of car accident claims. If your claim is denied, it's not the end of the road. Consulting with a skilled attorney who specializes in Massachusetts car accident claims can provide you with the necessary guidance and representation to fight the denial and seek fair compensation.

Injured? The Office of Brandon J. Broderick, Car Accident Lawyers, Can Help

If the unfortunate happens and you’ve been injured in an accident, don’t go at it alone. An experienced lawyer can advocate for your best interest and pursue fair compensation for your damages. At Brandon J. Broderick, Attorney at Law, you can count on us to work tirelessly for your quality of life. Our long track record of success has helped people like you move forward after sustaining an injury caused by another’s negligence. 

Contact us now for a free legal review.