Sound Legal Counsel
And Strategic Representation

What sets insurance bad faith from negligence?

Insurance is more than just a safety net. It promises peace of mind amidst the unpredictable twists and turns of life. That is why experiencing difficulties with your insurance policy may be incredibly frustrating. Two common issues that policyholders encounter are insurance bad faith and negligence. Whether it’s delayed payments or reduced claims, these nuances can significantly affect your quality of life.

Determining insurance bad faith

An insurance company engages in bad faith when it intentionally avoids fulfilling its contractual duties to its policyholders. This can manifest in various ways, such as:

  • Unreasonably denying a valid claim
  • Delaying payment without proper justification
  • Failing to investigate a claim thoroughly
  • Misrepresenting policy terms or coverage

For instance, if your home suffers damage from a storm and your insurer denies your claim without a valid reason, this could be considered bad faith. The insurer has a duty to act in good faith and deal fairly with you.

Recognizing negligence

Negligence, on the other hand, refers to unintentional mistakes or oversights by the insurance company. These can include:

  • Miscalculating claim amounts
  • Misplacing important documents
  • Failing to communicate effectively with policyholders
  • Making errors in policy interpretation

For example, an insurance agent in Las Vegas mistakenly inputs incorrect information into your policy. It may result in a denial of a legitimate claim and this could be considered negligence. While negligence can still result in harm to the policyholder, it lacks the intentional element present in bad faith cases.

Key differences

The primary difference between bad faith and negligence lies in intent. Bad faith involves intentional or reckless disregard for the policyholder’s rights. On the other hand, negligence is generally accidental or due to a lack of attention to detail. Both can lead to significant financial and emotional stress, but proving bad faith typically requires demonstrating that the insurer acted with malicious intent.

Moving forward with guidance

Insurance disputes can be complex and frustrating. Being aware of the kinds of nuances you may encounter can push you to advocate for your rights as a policyholder better. If you’re facing challenges, including insurance bad faith, consider consulting with a legal professional. They may help protect your interests. Additionally, professional guidance may make a significant difference in achieving a fair claim and resolution.

 

Archives