You are here:

Auto Insurance Claims/how do i answer this insurance company question

Advertisement


Question
What should my mum reply to The following question the insurance company has sent her following a claim she's making :-
The information recorded by Zurich on the claims and underwriting exchange database is a claim for R Jones (your spouse) and has not been recorded against your name. When the policy was incepted you would have been asked a series of questions regarding the driving history for all drivers on the policy. You would have been asked if any of the drivers had ben involved in any claims, thefts, accidents or losses irrespective of blame or wether a claim occurred. The claim on 06/06/03 does not appear to have been disclosed to ourselves.

The policy was taken out in her name with her 7yrs no claims. My father (R Jones) is on the policy and she didn't tell them there was a minor claim on my fathers insurance was on the date they mentioned as she forgot. does this mean there not going to pay out? She's worried sick about this and how to reply. What should she do?

Many thanks for your help with this matter!

Answer
The insurance company's decision to insure someone and if so, what premium to charge is based on all of the drivers' claim history.  
If an omitted claim is later found, it is the insurer's option to either cancel the policy and refund all premiums paid back to the policy inception date or bill the policy holder for any additional premiums that may be due or take no action.
As they obviously already have the prior claim information, it will do no good for her to deny the prior claim.  As a current claim is being processes, she must answer the question or risk having the current claim denied for failure to cooperate.

I would be surprised to see anything other than a rate adjustment on something like this unless the current claim is huge, involving injury, death, DUI, etc.  

As this is so policy, state and company specific, you might want to check with an attorney though.

Auto Insurance Claims

All Answers


Answers by Expert:


Ask Experts

Volunteer


webfoot

Expertise

Auto damage, liability, insurance fraud. I am a full time auto insurance adjuster with experience in collision, theft, liability and fraud investigation. I am also an ASE Master Auto Tech and I-Car Collision Platinum certified. My experience includes 15 years in the auto repair industry, a B.S. in Criminal Justice, Law enforcement and auto insurance. ****** NO "PRIVATE" QUESTIONS WILL BE ANSWERED. I HAVE FOUND THAT NEARLY ALL PRIVATE QUESTIONS COME FROM PEOPLE WHO ARE CONSIDERING OR ATTEMPTING TO COMMIT FELONY INSURANCE FRAUD AND I'M NOT HERE TO HELP YOU! ****** I AM HERE TO ANSWER AUTOMOTIVE REPAIR, CLAIMS PROCESS AND SOME SIMPLE LIABILITY QUESTIONS. I CANNOT ADDRESS COMPLEX LIABILITY SCENARIOS WITHOUT HAVING ALL OF THE INFO FROM BOTH SIDES IN FRONT OF ME. QUESTIONS ABOUT PREMIUMS OR HOW INSURANCE IS RATED SHOULD BE ADDRESSED TO YOUR PERSONAL INSURANCE AGENT WHO KNOWS A WHOLE LOT MORE ABOUT YOUR HISTORY THAN I DO. I'VE NEVER SOLD INSURANCE AND DO NOT KNOW IF YOUR INDIVIDUAL INSURANCE RATES WILL GO UP IF YOU MAKE A CLAIM. THOUGH I'VE HANDLED SOME VERY MINOR SOFT TISSUE INJURY SETTLEMENTS, I PREFER NOT TO ANSWER INJURY RELATED QUESTIONS. I'M NO INJURY EXPERT AND I'LL LIKELY SAY SOMETHING TO HURT SOMEONE'S FEELINGS AS I BELIEVE THAT MANY SOFT TISSUE PAIN AND SUFFERING CLAIMS ARE OVER DRAMATIZED. UNLIKE MANY OTHERS, I AM ON THIS FORUM AS A VOLUNTEER WITH NO PRODUCTS OR SERVICES TO SELL AND PROMISE AN UPFRONT ANSWER BASED ON MY EXPERIENCE IN BOTH SIDES OF THE INDUSTRY. IF YOU PROVIDE ME WITH A HONEST VERSION OF EVENTS, I PROMISE A CANDID AND HONEST ANSWER IN RETURN. I CANNOT ADDRESS ALL CLAIM SCENERIOS DUE TO DIFFERING STATE LAWS AND REGULATIONS, BUT WILL DO MY BEST. PLEASE REMEMBER THAT AN HONEST ANSWER MAY BE ONE THAT YOU DON'T LIKE SO IF THAT IS GOING TO BE A PROBLEM, PLEASE DON'T ASK THE QUESTION. LASTLY, I DO NOT ACCEPT RATINGS AS I DON'T DO THIS FOR RATINGS AND WISH TO SPEAK FREELY.

Experience

20 years in automotive industry, Currently in insurance claims, worked actively as technician and shop owner until about 10 years ago. Current ASE Master Auto Tech and I-Car Platinum Collision Certifications, B.S. Criminal Justice and 10 year auto insurance/extended warranty background

©2012 About.com, a part of The New York Times Company. All rights reserved.