What happens if a claim is taking too long?

Asked by: Katelynn Orn  |  Last update: August 3, 2026
Score: 4.7/5 (49 votes)

If an insurance claim takes too long, it can lead to delayed payouts, diminished evidence, and, in severe cases, a "bad faith" claim against the insurer. The process is often delayed by complex investigations, high caseloads, or missing documentation, which can be managed by asking for a written explanation, escalating to a manager, or filing a complaint with the state's Department of Insurance.

What to do if an insurance claim is taking too long?

If your insurance claim is taking too long, you should first document everything, then formally follow up with your adjuster, escalate to a supervisor, and if issues persist, file a formal complaint with your state's Department of Insurance, or consult an attorney for potential bad faith action. Keep detailed records of all communications and request written explanations for delays to build your case.

What to do if your claim is taking too long?

Send a Formal Written Inquiry: A polite yet firm email or certified letter to the adjuster. In it, you should summarize the status of your claim, list the information you have provided, and request a specific update along with a timeline for the next steps.

How long can an insurance company delay a claim?

However, this is the most variable timeline. California, for instance, gives insurers 40 days to accept or deny a claim after receiving proof of loss. If they need more time, they must send you a letter every 30 days explaining the delay. Policyholder's Role: Your cooperation is essential during this stage.

How long should a claim take to settle?

The length of time it will take for your claim to settle depends on the individual circumstances of each case. Straightforward cases may be settled within a few months, however the following issues will make a case a little longer: The type of injury or illness.

What can I do if my existing claim is taking too long? | Carbone Lawyers

26 related questions found

What is the longest a settlement can take?

A settlement can take anywhere from a few weeks to over five years to close. Straightforward personal injury cases, like a car accident lawsuit from a rear-end collision, are more likely to resolve quickly. A medical malpractice case is more likely to take several years.

How do I speed up a claim process?

Document Everything—Immediately

Document the damage as soon as possible—ideally the same day. Take as many pictures as you can. “You can't take too many pictures,” as we like to say. The more evidence you provide, the harder it is for the insurance company to delay the claim.

Can I sue insurance for taking too long?

Under California Insurance Code Section 790.03, when insurers fail to act “reasonably promptly” in response to member communications regarding processing or settling claims, they could be guilty of bad faith. Having a highly skilled bad faith lawyer by your side can make a huge difference.

How can I speed up my insurance claim?

How to Speed Up Your Auto Accident Claim

  1. Submit Complete Documentation Quickly. Be proactive about gathering and submitting: ...
  2. Let Your Attorney Handle the Insurance Company. ...
  3. Stick to Your Medical Treatment Plan. ...
  4. Don't Provide a Recorded Statement Without Legal Advice. ...
  5. Get a Fair Repair Estimate. ...
  6. Take Action If Delays Continue.

What insurance adjusters won't tell you?

What they won't tell you is that their primary job is to save their company money—often at your expense. Insurance adjusters are not your advocates. They're trained professionals whose performance is measured by how much they save their company. Every dollar you don't receive is a dollar their employer keeps.

What can I do if my claim is taking too long?

Missing documents are one of the biggest causes of delays in the claims process. Here's what you can do to help your claim move quickly and smoothly. Gather all required supporting documents, such as ID, proof of ownership, invoices, accident reports and police case numbers (if applicable).

What not to say to the insurance adjuster?

When talking to an insurance adjuster, avoid admitting fault, speculating on the cause or extent of injuries/damages, giving recorded statements without legal advice, and volunteering extra information like past injuries or unrelated details, as anything said can be used to minimize your claim; instead, stick to basic facts, remain polite but brief, and consider getting legal counsel. Don't sign anything without review, and avoid saying you're "fine" or "okay" immediately after an incident.

What are the three things that make a strong claim?

To be strong and effective, a claim should be debatable, focused, and specific. In other words, it ought to be something that can be argued with reasons and evidence, and it ought to be narrow enough to properly support or prove in the space and format available.

How to hurry up an insurance claim?

Speed up your insurance claim with these 10 tips

  1. Make sure your insurance policies are accurate.
  2. Notify your provider as soon as possible.
  3. Gather the correct information and reports relating to your claim.
  4. Utilise technology to process your claim.
  5. Have your documentation in order.
  6. Communicate with your insurance provider.

What does it mean if the coverage limits are $250000 / $500,000?

Coverage limits of $250,000 / $500,000 (often written as 250/500) mean your auto liability insurance pays up to $250,000 for bodily injury to one person and up to $500,000 total for all people injured in a single accident, with a third number (e.g., $100,000) usually covering property damage (e.g., 250/500/100). This is a "split limit" policy, defining maximum payouts for specific injury/damage categories, leaving you personally liable for costs exceeding these amounts.
 

Do insurance companies have to pay out 80%?

In fact, these are a requirement in California. Once you have your total replacement cost, you multiply this value by 0.8 to find out what 80% of the replacement cost is.

What to do if my insurance claim is taking too long?

If your insurance claim is taking too long, you should first document everything, then formally follow up with your adjuster, escalate to a supervisor, and if issues persist, file a formal complaint with your state's Department of Insurance, or consult an attorney for potential bad faith action. Keep detailed records of all communications and request written explanations for delays to build your case.

What are the four stages of insurance claims?

The four main stages in the life cycle of an insurance claim are Submission, Processing, Adjudication, and Payment/Denial, a sequence where the claim is filed, verified, evaluated against benefits, and then paid or refused, often leading to an appeal if denied.
 

What is a reasonable settlement offer?

A reasonable settlement offer is one that fully covers all your economic losses (medical bills, lost wages, future costs) and provides fair compensation for non-economic damages (pain, suffering, emotional distress) related to the incident, reflecting the case's unique severity and strength. It's a comprehensive calculation of past, present, and potential future impacts, often requiring legal guidance for accuracy, especially with complex injuries or long-term effects.