Being in the insurance industry for an extensive period of time has given us an acute understanding of the procedure that all companies use when assessing claims. Whilst the criteria for claims assessment is the same, each claim is unique as each claim will bring up different parts of insurance regulation and government legislation. This is how lawyers and legal firms can charge astronomical amounts for pursuing claims for their clients; because insurance companies can make claims extremely complicated. For example, Insurance companies design claim packs to require the client to pursue different parties to fill out different sections of the pack. This can lead to an extreme variety of complications, as each party have unique requirements that claimants cannot expect to fulfill.
This is why many claimants employ the services of a third party, usually a lawyer's office or paralegal. In fact, contingent-cost agreements, also known as "No win-no fee" agreements, specifically target those who have little knowledge of the claims process. However, even though these agreements may seem attractive, there are many hidden drawbacks that can catch claimants by surprise, and the legal fees that may be charged upon a successful claim are often much more then what claimants expect. Such agreements are only effective as law firms understand that those who do not employ their services have a much higher change of failing the insurers claim assessments.
Those who do have access to the knowledge required to see a claim until completion may find themselves in a situation where they are not able to access the resources or connections required to complete the requests from the insurance assessors. The claimant then sees their claim rejected, with little knowledge as to the reason for rejection, and left with no means to overturn decisions or to resubmit documentation.
