Licensed Public Adjusters · Serving GA, TN, SC & NCclaims@plpas.com · Fast Response, 7 Days a Week

Denied Claims

A denial is not always the final word. We read the letter and your policy to see whether the reasons hold up.

Adjuster and homeowner reviewing a denial letter
Full-Loss Review

What We Look For

Most denials rest on a few reasons. We check each one.

  • Denial reason

    The reason stated in the letter and the policy language it cites.

  • Exclusions

    Exclusions that may not apply to your loss.

  • Deadlines and notices

    Missed deadlines, notices, or missing documents.

  • Missed damage

    Damage the insurer inspection did not find.

  • Cause of loss

    Whether the cause of the damage was correctly identified.

  • Claim file

    The adjuster notes and the insurer reports.

  • Communications

    Calls, emails, and letters with the insurer.

  • Next steps

    Reconsideration, appraisal, or whether to involve an attorney, depending on your policy.

First Steps

What To Do Right Now

You are dealing with a lot. These steps protect your safety and your claim.

  1. Read the denial letter. Note the reasons given and the policy language it cites.

  2. Request your policy and claim file. You are entitled to see what the decision was based on.

  3. Note the deadline. Letters often state a deadline to respond or appeal.

  4. Gather your documents. Collect photos, estimates, receipts, and correspondence.

  5. Respond in writing. Keep a record of everything you send and receive.

  6. Call us before you accept an offer. A free claim review takes about two minutes to start, and there is no cost to review your claim.

Our Approach

How We Review It

Policy Review

We compare the denial to your coverage, exclusions, and conditions.

Estimate Review

We re-measure and re-price items that were missed or undervalued.

Insurer Communication

We handle the back-and-forth and push for a fair resolution.

Good To Know

Denied Claim Questions

Can I Dispute A Denial?

Yes. You can ask the insurer to reconsider and submit supporting documents. Your policy sets the process.

Why Do Claims Get Denied?

Common reasons include exclusions, late notice, or a dispute over the cause of loss. We review the reasons stated in your letter.

Do I Need A Lawyer?

Not always. If your claim needs legal action, we will tell you. We are not attorneys and do not give legal advice.

Can I Hire You If My Claim Is Already Open?

Often, yes. Bring your policy, your claim file, and any carrier letters, and we will review where things stand.

How Long Does A Denied Claim Take?

It depends on the size of the loss and how the insurer responds. We explain the likely timeline in your free claim review.

Free, No-Obligation

Don't Settle For Less

Get a clear read on your policy and your claim before you accept any offer.

Talk to a licensed adjuster, not a call center.