The Insurance Industry is Complex The insurance industry is very complex and not very straightforward. There are many inconsistencies between various products, services and the honoring of policyholders' claims. Policies are written in confusing and incomprehensible language.
Misrepresentations concerning coverage are common and claims handling practices vary widely.
Often, the consumer's own knowledge of his or her rights and responsibilities will determine whether or not a claim is ultimately paid. This is why it is extremely important for the insured to meticulously organize all insurance documents and to carefully read each one for adequate familiarity of the entire policy coverage and all stipulations. Special attention should be devoted to any policy exclusions, limits, amendments or other exclusionary conditions. It would be prudent not to speak to a claims representative or other insurance company agents until you have read and understood all the applicable policy provisions relating to your particular claim. Maintain detailed notes of all conversations with insurance representatives, regardless of their assumed importance or perceived relevance to your claim.