Facing a rejection on your trauma insurance claim can be stressful and overwhelming. Many people are surprised when their claim is refused, but understanding the common reasons for rejection, and how to address them, can improve your chances of a successful outcome. If you or a family member have had a claim rejected, or if your claim has been flagged for refusal — it is critical to act quickly. A claim may be flagged for refusal through a preliminary view, procedural fairness letter, or a show cause notice. This is a warning that the insurer is proposing to decline your claim unless you take further steps with additional information. It is important that you take urgent steps to protect your position before any final decision is made. Our experience is that refusals often occur in the following circumstances.
