Rejection of benefits by insurers – enforcing claims under insurance law
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Legal assessment of benefit denials
A claim rejection by the insurer is a significant burden for many policyholders – especially when it concerns essential coverage such as... Disability insurance, the health insurance or the Accident insurance This often concerns situations in which insured persons urgently need benefits, for example after a serious illness, an accident or a prolonged incapacity for work.
However, not every rejection is legally permissible. In insurance law, the specific contractual provisions and their legal interpretation are crucial. Insurers often base their rejections on general justifications, such as allegedly missing prerequisites for coverage, exclusion clauses, or doubts about the medical assessment.
Our law firm reviews claims for policyholders to determine whether their insurance company's rejection is based on sound legal grounds. An experienced lawyer analyzes the insurance contract, medical records, and the insurer's justification, assessing whether the claim was wrongly denied. In practice, it often turns out that... Medical reports interpreted unilaterally, Professional requirements were incorrectly assessed or Contract clauses overstretched to the detriment of the insured become.
Enforce legal claims in just 3 steps
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Give us your mandate easily and conveniently via online form from home.
1lawsuit & trial
We will take care of all the remaining steps for you. Sit back and relax.
2Success
We will successfully enforce your claim and you can enjoy the success immediately.
3Disputes regarding the scope of insurance
Disputes often arise not about "whether" to have a dispute, but about the... Scope of insurance coverage. Insurers often cite exclusion clauses, allegedly unmet requirements, or a particularly narrow interpretation of the contract. For policyholders, this reasoning is often difficult to understand – for example, when benefits are only partially paid or individual claims are completely rejected.
Our insurance lawyers represent policyholders in disputes concerning the scope of their insurance coverage and consistently enforce legitimate claims against the insurance company. The goal is to achieve a legally sound resolution and compel the insurer to comply. full contractually owed performance to commit.
We will take care of your case – quickly & with commitment.
Rejection of benefits in case of occupational disability
Especially in cases of occupational disability, claims are regularly denied. Insurers scrutinize occupational disability insurance claims particularly closely to determine whether the health limitations actually lead to permanent occupational disability. Even minor discrepancies in the assessment – for example, regarding working hours, physical capacity, or alternative occupations – can result in the insurance company refusing to pay out.
A specialized lawyer will review whether the rejection is legally sound and whether the insurer has complied with the legal and contractual requirements for the claims assessment. Our firm represents policyholders in enforcing their claims under disability insurance policies, both out of court and in court.
If your insurance company is causing problems – talk to lawyer Dario Kovac
Is your insurance company refusing to pay or delaying the settlement? Lawyer Dario Kovac He has been assisting clients with disputes with insurance companies, particularly legal expenses insurers, since 2019. His previous work at ARAG He is familiar with typical rejection strategies from practice.
- Review of your benefit claim
- Consistent enforcement
- No communication with the insurance company
Have your case reviewed now and get in touch directly!
Enforcement of claims in cases of unjustified rejection
It is not uncommon for claims denials to prove unjustified in retrospect. Our law firm consistently enforces policyholders' claims against insurers – initially out of court, and if necessary, in court. Our lawyers handle all communication with the insurer and ensure legally sound arguments.
Our focus is always on enforcing specific benefit claims. Whether health insurance, disability insurance, or other types of insurance – we ensure that policyholders receive the benefits to which they are entitled under their insurance contract.
We will help you with benefit rejections.
Rejections of claims by insurers do not have to be accepted without question. Our law firm supports policyholders and insured parties in consistently asserting their rights against insurance companies. An experienced lawyer specializing in insurance law will review your situation individually and clearly explain your options., whether and how a claim can be enforced.
We accompany you from the initial legal assessment to the successful enforcement of your claims – objectively, with dedication and with the necessary determination to prevail against the insurer.
Professional advice & support
We offer you a professional and comprehensive initial consultation in the field of insurance law. Take advantage of this opportunity and avoid mistakes.
