You received notice that your insurance company has denied your claim. You spoke with a representative and are unsatisfied with the result. Now what?

What You Need to Know About Requesting an Internal Review for Your Insurance Claim Denial


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10/6/2014
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Whether you were involved in a motor vehicle accident driving on I-5, hit by a passing car while riding your bike in West Seattle, or were struck while attempting to cross a street in Fremont, you’re likely going to need some medical attention. And if you’re like most victims of accidents, you’ll expect your insurance company to pay for your medical bills.

Unfortunately, this isn’t always the case. All too often, accident victims find their mailboxes stuffed with insurance denial forms and rejected claims. When this happens, accident victims must follow certain procedures in order to appeal the decisions and find out why they were denied.

Requesting an Internal Review

If you’ve already spoken to a customer service representative and were unsatisfied with the results, the next step is to request an internal review. Here, we discuss the specifics of this action.

  • What an internal review means. An internal review, or appeal, is when a person formally requests that the insurance company changes its decision to deny the claim. Consult your Evidence of Coverage to learn how to initiate the internal review process and the time frame for doing so.
  • Arbitration. Your insurance company may request that a neutral third party take a look at each side’s position, then make a decision regarding the claim. If the insurance company demands you go through arbitration, the results may not be binding. If you voluntarily commit to arbitration, the results could be binding, meaning the arbitrator’s decision is final.

How We Can Help

The Andrew Kim Law Firm can help you decide if an internal review and arbitration are ideal for your situation. We can also help you defend yourself and prove your case in both.

Contact us today by filling out an online form or by using our website chat feature and speak with an attorney about your case. Don’t fight the insurance company alone; get the help you need to seek the justice you are entitled to!



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Bellevue, WA 98005
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Bellevue Office
11900 NE 1st Street
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Bellevue, WA 98005
Phone: (425) 289-1990
Fax: (425) 289-1991

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