10. How to File and Settle a Claim

How  to  File  and  Settle  a  Claim 

If you are involved in an accident:

• Write down the names of any other drivers involved, their insurance companies, policy numbers, and the license plate numbers.
• Write down the name, address, and phone number of any independent witness to the accident. This is very important.
• Call your agent or the claims processing number listed in your policy.
• Call the other driver’s insurance agent or company if you want to file a claim against the other driver’s policy.

Obtaining repair estimates

Your insurance company cannot require you to have your vehicle repaired at a specific repair shop. You may choose your own repair shop; however, the insurance company may require you to have one or more estimates, and if your shop is not the low bidder, you may be responsible for paying the difference. If your insurance company requires more than two estimates, it must pay for the additional estimates.

The insurance company has a right to inspect your vehicle, although it is not required to do so. The company cannot require an inspection at a claims center solely under its control, but it can require you to drive to one of the company’s “preferred” repair shops so long as it is within a reasonable distance.

The quality of the repair

Your company must restore your vehicle to the condition it was in before it was damaged. Any parts replaced on your damaged vehicle must be original equipment (OEM) parts, unless you agree to “after market parts” (those parts not made by your vehicle’s manufacturer). The OEM parts do not have to be new, however, if your vehicle was not new at the time it was damaged.

Two terms used in association with vehicle repair can affect the settlement of your claim: “betterment” and “depreciation.”

Betterment means that your vehicle is better than it was before it was damaged; the insurance company can reduce your settlement only if your vehicle’s resale value has increased over what it was before the accident. Generally, the company will deduct the difference between the cost of a used part (appropriate for the age and condition of the vehicle) and the cost of the new part. Betterment is considered only for major parts such as transmissions, engine blocks, etc. Items such as fenders and tires do not generally increase the overall resale value enough to merit a betterment reduction.

Depreciation refers to a reduction in your settlement based on the age or use of a part being replaced. Certain parts on your vehicle have a “life expectancy” and an insurance company may take this into consideration. For example, if a tire on your car is expected to last 60,000 miles, and it had 30,000 miles on it at the time of the accident, the insurance company may pay only 50 percent of the cost for a new tire.

Disagreements over claims

The insurance company has two options for meeting its requirement to return your vehicle to its pre-accident condition. The company may assume all costs to repair your vehicle satisfactorily, or it may offer a cash settlement to pay for satisfactory repair.

In both cases, satisfactory repair includes repair of all obvious and hidden damage caused by the incident. If you disagree with the insurance company about whether it has met its requirements under the law, you should first speak with the adjuster assigned to your claim or his or her supervisor. If you are unable to resolve the issue, you may contact the Department of Commerce Consumer Response Team at 651-296-2488 or toll free 800-657-3602. The CRT will attempt to resolve the matter informally. If it cannot be resolved in this way, you may be asked to send a letter to the Department to begin a formal investigation, or the CRT may inform you of your right to pursue action in small claims court or arbitration as outlined in your policy.