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	<title>Carscountdown &#187; Insurance Claim</title>
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		<title>Insurance Claim Tips</title>
		<link>http://www.carscountdown.com/2009/11/insurance-claim-tips.html</link>
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		<pubDate>Thu, 05 Nov 2009 02:53:22 +0000</pubDate>
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				<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Insurance Claim]]></category>
		<category><![CDATA[Insurance Claim Tips]]></category>

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		<description><![CDATA[Some words are red flags to insurers and using them could mean that your claim might be delayed or even denied.]]></description>
			<content:encoded><![CDATA[<p>Some words are red flags to insurers and using them could mean that your claim might be delayed or even denied.</p>
<p><strong>1. &#8220;I Think &#8230;&#8221;</strong></p>
<p>Never begin a statement regarding a claim with these words. If you aren&#8217;t sure, don&#8217;t guess. What you say could cause your claim to be delayed or denied, says attorney Vedica Puri. And if you&#8217;re wrong &#8212; say, you report driving at 30 miles per hour before an accident but police later prove you were going 50 &#8212; it could hurt your credibility.</p>
<p>Particularly beware of speculating on blame or causation. For example, if you suggest that a water leak is due to a construction defect, you could give the insurer an out if that&#8217;s a policy exclusion.</p>
<p>Stick to the facts. Should the insurance rep ask you a question you can&#8217;t answer, simply say, &#8220;I don&#8217;t know.&#8221; If the person is taking a written or recorded statement, ask for a transcript to review for misstatements.</p>
<p><strong>2. &#8220;I Got Whiplash&#8221;</strong></p>
<p>Fraud costs auto insurers up to $6.8 billion a year, reports the Insurance Research Council. And suing for damages caused by whiplash is a fraudster favorite (&#8220;Oh, my neck!&#8221;). Merely mentioning the term is likely to get your claim flagged for further investigation, says Amy Danise of Insure.com.</p>
<p>Whiplash is a specific diagnosis. If a doctor says that you have it, then you should report it as such. Other wise, if you feel neck pain, just refer to it that way.</p>
<p><strong>3. &#8220;It&#8217;s an Experimental Treatment&#8221;</strong></p>
<p>Truly experimental or investigational medical procedures are typically not eligible for health insurance coverage. So if a doctor tells you he wants to experiment with a treatment, don&#8217;t represent it using those words. &#8220;In medical terms it may not actually be experimental or investigational,&#8221; explains Danise. &#8220;If it&#8217;s proven effective, your doctor deems it medically necessary, and it&#8217;s not an exclusion, it should be covered.&#8221; Verify with your doctor that it meets the above litmus tests before going to the insurer.</p>
<p><strong>4. &#8220;My Basement Flooded&#8221;</strong></p>
<p>With homeowners insurance, &#8220;flood&#8221; is a red flag. &#8220;The word refers to an act of weather or an overflow from a nearby body of water,&#8221; says Danise. &#8220;And a standard homeowners policy doesn&#8217;t cover it. You&#8217;d need flood insurance.&#8221;</p>
<p>So don&#8217;t use the f-word if your basement is knee-deep in water because of a burst pipe. Damages from such an incident should be covered by a homeowners policy. But calling it a &#8220;flood&#8221; could muddy the waters, so to speak.</p>
<p><strong>5. &#8220;Just Send Me a Check&#8221;</strong></p>
<p>When filing a home or auto claim, don&#8217;t emphasize that you&#8217;re just looking for the cash.</p>
<p>&#8220;If you were to say, &#8216;I don&#8217;t care about the roof leak, I just need the money,&#8217; that admission could slow things to a halt,&#8221; says Puri. Technically, you&#8217;re supposed to use the payout to make the repair for which you filed. While it&#8217;s true that most insurance companies aren&#8217;t going to check up on you, you&#8217;ll certainly raise the fraud unit&#8217;s suspicions if you imply that you won&#8217;t. And then you might lose out on the money altogether.</p>
<p>Copyrighted, CNNMoney</p>
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