Q: Why would an insurance company offer to "resolve" the claim with payment after the claim was denied?
I am the third party in a product liability insurance claim. My claim was denied and I appealed the decision and it was denied again but have continued contact with the claims adjuster. Yesterday, the adjuster called me wanting to "resolve" the claim by offering payment for "pain" of the injury.
Before the insured sent the complaint over to her insurance company and before any investigation the Insured stated in her first reply to me that she was getting with her supplier to see if they can fix the problem. For about a month now I have been asking the claims adjuster to reach out to the insured to find out if this has happened and never getting an answer from the Insured or the Claims Adjuster. Then yesterday I get a call from the Claims Adjuster after having spoke with the Insured and all of a sudden they want "resolve" the claim. Do you think the Insured or Insurance Company is worried about that first communication I had with the Insured?
A:
An Indiana attorney could advise best, but your question remains open for a week. It's really anyone's guess why they want to resolve the claim all of a sudden. One possibility is that the claims adjuster needed additional information to evaluate the claim. And speaking with their insured could have provided that. That's one guess. Either way, it sounds like a good development. Good luck
Tim Akpinar
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