Insurance Coverage: The Protection of Policyholder Rights During Disputes With Insurers | Vagans Legal
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Insurance Coverage: The Protection of Policyholder Rights During Disputes With Insurers


Question: What should you do if your insurance claim is wrongfully denied?

Answer: If your insurance claim is wrongfully denied, it may be time to seek professional legal advice to balance the scales against the insurer's vast resources. Proper legal representation can help you re-evaluate the denial, ensure compliance with the principle of indemnity, and potentially negotiate a fair outcome. For those in Ontario dealing with such scenarios, Vagans Legal offers a free half-hour consultation to discuss your options and rights.


Troubled Insurance Relations

A legal fight against an insurance company requires special knowledge to help balance the playing field whereas an insurance company will have a large complement of personnel with understanding of the insurance guidelines, laws, regulations, and rules, in addition to the legal process and almost endlessly deep pockets.  These strengths create a David v. Goliath type situation just when the insured person needs help the most; and accordingly, the assistance of professional legal representation helps to ensure that the little guy, being the insured, gets a fair fight against the insurer within the insurance claim process.

Insurance Coverage: The Protection of Policyholder Rights During Disputes With InsurersProfessional Assistance For Your Situation May Be Needed If:

  • Your insurance company wrongfully denied a claim;
  • Your insurance company undervalued your claim;
  • Your insurer is delaying payment of your claim;
  • Your agent or broker failed to adequately explain the coverage exclusions;
  • Your agent failed to arrange adequate coverage resulting in an underinsured loss; or
  • Your coverage terms such as premiums or deductibles unjustly changed.

Common Issues Include:
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Even in situations where all is being well looked after by insurance coverage, assistance in reviewing the final settlement release documents may be available before signing-off of further claim rights.

Assistance may also be available in providing Commissioner of Oaths services to commission sworn declarations including the Proof of Loss documents that finalize the claims process.

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