Dear Friends,
I will not be able to continue the story on “The Witches Influence” this week because the Editor-in-Chief demanded my response to series of questions relating to my discussion on the Auto Third party Liability. I have replied directly to those I received before 3pm on Friday. For limitation of space, I have combined the questions into two (2) categories, what to do in case of accident and why claim may be denied.
Question 1. What do I do in case of an Accident?
In the event of an accident, it is natural to feel anxious and upset but knowing what to do can help you. Try to stay calm, it will make it a lot easier to deal with the situation and your insurance company afterwards.
Emotions will be running high, but try to keep your cool. It is not up to you and the other party to figure out who is to blame. Just exchange all the necessary information and allow the insurance companies and their attorneys to sort out the rest. Your responsibility is to calm the situation regardless who is at fault.
Firstly, turn off your car, turn on your hazard lights. Immediately asses your surroundings. Are you or anyone hurt? Do you smell any offensive odor like smoke or gasoline? Are you in dangerous location or heavy traffic?” Remember Minimization of loss is important in all insurance claims. If no one is injured, move out of possible harm’s way. If anyone is injured, call for emergency services to come and help. Call for police or any law enforcement even if the crash is minor and nobody is hurt. If it is not a lone accident, insist the law enforcement officer should get both the third party and your license, vehicle description and registration, insurance and other necessary information. Also, request the responding officer’s name, badge number and contact information. Ask the officer how soon you can get the final copy of the police accident. Remember this is Nigeria, anything can happen.
Secondly, try to exchange information from the other parties involved in the crash. That includes each driver’s full name, home address, email address, phone number, driver’s license information, insurance company and policy number, and license plate numbers. If you have a smart phone, take pictures as much as you can or record if necessary. Remember the story may change if not close tight.
Thirdly, take pictures of all the vehicles involved in the crash from every angle, showing any damage, as well as where the accident occurred and other relevant evidence at the scene of the accident. It is also helpful to take photos of the other vehicle’s license plate and the driver’s license, registration and insurance documents in case you misplace your notes or jotted down something incorrectly. Remember loss adjusters are still comingto assess the damage. Write down everything you remember about the accident, including time of day, weather, road conditions, location, what the other cars were doing and any other pertinent details. If you don’t have a pen and paper, dictate it into your phone using notes to yourself or WhatsApp it to a friend or relatives. That way you will be sure to have every detail you might need later for insurance purposes. You should not try to offer or make any friendly or out-of-court settlement or promise payment to any party without the consent of your insurance company. The insurance company has a right to refuse liabilities arising out of such promises.
Finally, try to contact your insurance company as soon as possible, even from the accident scene, to get the claims process underway. Insurance companies enjoy being part of the claim from onset rather than get caught in messy arrangement. The insurance company will issue a claim form that has to be filled and submitted along with a copy of your certificate of insurance.After verification, the insurance company will appoint a loss adjuster to verify and recommend payments. If the situation degenerate to litigation, it is the responsibility of the insurance company to appoint a lawyer in the defense of you and your insurance company. It is to your advantage to cooperate with your insurance company, providing evidence during court proceedings. If the court orders compensation, the insurance company will then do it directly.
What to do if Insurance Company denies your claim?
Sometimes, insurance company may refuse to pay your claim because of several reasons. This is not common in a third party claims. They include but not limited to (i) the policy was either not in force when what you’re claiming for happened or the policy is invalid because you didn’t tell the truth when you applied for insurance, (ii) the item is not covered by your policy, there is an exclusion clause in the policy which means that you can’t claim for what’s happened, (iii) you missed payment of your premium, you haven’t followed the claims process correctly or you have exaggerated the claim and are trying to claim for more than you should. If you don’t fall into any of this categories and you think your insurer is being unreasonable in refusing your claim, you can try to talk to them, you can make a complaint using their complaints process. If after all these, you are still not satisfied with the way your claim has been dealt with, get a professional consultant to give you independent opinion. A broker is usually your best option. A broker knows the best way to deal with insurance company including reporting to their regulatory authority, NAICOM. No company enjoys regulator in its business. Usually your best option in good insurance experience is at the point of purchase. I always advise people to go through an intermediary when buying insurance and it will be the agent/broker headache at the point of claim to assist you instead of wasting your busy schedule dealing with your claim.
In my future writing I will discuss about how to go about filling claims and also those insurance companies that you should stay away from and signs of distress insurer.
