Legal Insights for New Jersey Beneficiaries: Overcoming Life Insurance Claim Denials

When a loved one passes away, the emotional toll can be overwhelming. In these difficult times, the last thing you want to deal with is a denied life insurance claim. Unfortunately, it happens more often than most people realize. If you’re facing this situation, you may feel confused and uncertain about what to do next. At our firm, we understand the frustration and concern that comes with such an event. We are here to guide you through this challenging process and help you get the compensation you deserve.

What Causes a Life Insurance Claim Denial?

Life insurance is supposed to provide financial support to your family after the loss of a loved one. However, claims can be denied for a variety of reasons. Some denials occur because of misunderstandings in policy details, while others may result from intentional issues raised by the insurance company. It’s important to understand why your claim might have been denied to determine your next steps.

One of the most common reasons for a denial is an error in the paperwork. Insurance companies may deny claims if they believe the application was incomplete or there were discrepancies in the information provided. Another possible reason is failure to meet the policy’s requirements. For example, if premiums weren’t paid on time or if the beneficiary is not properly listed, the claim might be denied.

Additionally, insurers sometimes cite reasons like pre-existing health conditions or allegations of fraud. These reasons can make the situation even more complicated for grieving family members. In these cases, it’s critical to understand the specifics of the policy and how to respond.

Understanding Your Rights as a Beneficiary

If you find yourself in a situation where your life insurance claim has been denied, it is important to know your rights as a beneficiary. You have the right to challenge the denial and demand a fair review of your claim. Insurance companies are required by law to provide you with a clear explanation of why they denied the claim. In many cases, this explanation may seem confusing or insufficient, which is why it’s helpful to have a lawyer who can interpret the details for you.

You also have the right to appeal a denial. Life insurance policies often have an appeal process that allows you to present additional evidence or clarify misunderstandings. While this process can seem overwhelming, understanding your options is key to making sure you don’t miss out on the benefits your loved one intended for you.

Ted Treif (Partner)

Life insurance attorney since 1976

Barbara Olk (Retired)

Life insurance attorney since 1976

Eyal Dror (Associate)

Life Insurance Attorney since 2007

The Appeals Process

When your life insurance claim is denied, you generally have the option to appeal the decision. The appeal process can be complex, requiring you to submit additional documents, medical records, or other evidence that may support your claim. While many beneficiaries feel they should simply accept the denial, this is rarely the best course of action. An appeal is your opportunity to show the insurance company that their decision was wrong and to make your case for why you should receive the benefits.

In order to successfully appeal a denial, you’ll need to be organized and prepared. It’s important to gather all necessary documentation, such as medical records, proof of premium payments, and a detailed account of the situation leading up to the claim. Working with a lawyer who understands the intricacies of life insurance claims can make a big difference in the outcome.

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We contacted Trief & Olk to help us with a life insurance issue and Shelly Friedland was the attorney assigned to our case. Before Shelly took our case she explained to us that the likelihood of our success without going to court was possible but not likely. Unfortunately we did not get the outcome we had hoped for but it was our decision to not move forward and have our case litigated. Shelly is very knowledgeable and was very straight-forward in her assessment of our case as we moved forward. She was very patient and thorough in answering our questions. She always responded in a timely manner and listened to our concerns. We would certainly recommend Shelly and would use her firm again in the future.”

- John Ramig

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If there is any possibility of winning your life insurance case – this is the place to do it for you. They are efficient, honest and will achieve the best possible outcome.

Shelly Friedland worked on my case where a life insurance policy had lapsed and was even a few days beyond the grace period. Farmers had rejected my claim twice and was unwilling to take a second look. Shelly was able to get them to pay the entire claim without going to court, and the full amount was deposited in my account within a couple months. Highest recommendation.”

- Kathleen Brown

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Trief & Olk is a superior law firm. Their attorneys and other legal professionals have a brilliant understanding of the law and the litigation process. They diligently perform their work in an efficient, strategic and cost-effective manner to ensure the best possible outcomes for their clients.

- Christopher Hughes

Dealing With Unfair Denials

Insurance companies are not always fair in their decision-making. In some cases, they may use technicalities or loopholes to deny a claim even though the beneficiary is entitled to the payout. Insurance companies may also attempt to deny a claim based on unfounded allegations of fraud or misrepresentation. It’s important to remember that just because your claim is denied doesn’t mean it’s the final word. There are legal avenues you can take to challenge the decision and potentially recover the benefits you are entitled to.

If you feel the denial was made in bad faith or that the insurance company is intentionally delaying your claim, you may have additional legal options. In some instances, it may be possible to pursue a lawsuit for bad faith claims handling. These lawsuits hold insurance companies accountable for unfair practices, such as denying legitimate claims or failing to provide proper justification for their decisions. A lawyer can help you determine if your case warrants this kind of legal action.

How Our Firm Can Help You

At our firm, we have years of experience helping individuals who are dealing with denied life insurance claims. We understand that this is a sensitive time, and we approach each case with empathy and dedication. We work closely with our clients to understand the specifics of their claim and the reasons behind the denial. With this information, we can build a strong case and take the necessary steps to challenge the denial.

We will guide you through every stage of the process, from reviewing your policy to helping you gather evidence for your appeal. Our goal is to make sure you have the best chance of a successful outcome, whether through an appeal or litigation. We take pride in offering compassionate support during this difficult time and fighting to ensure that your rights as a beneficiary are protected.

Settlements & Verdicts

$3 Million Policy

William Penn Life Insurance

$1.2 Million Policy

Primerica

$1.5 Million Policy

Metropolitan Life Insurance Company

$1 Million Policy

Protective Life Insurance

$675,000 Settlement

Confidential Settlement

$4.3 Million Policy

State Farm, Primerica, Farmers, BrightHouse

Why Choose Our Firm

When dealing with a denied life insurance claim, it’s crucial to have experienced legal representation on your side. Life insurance claims are often more complex than they appear, and having a lawyer who knows the ins and outs of insurance law can make a significant difference. Our firm has a long track record of success in helping clients with life insurance claim denials. We are dedicated to working tirelessly on behalf of those who need it most.

We believe that every beneficiary deserves to receive the benefits they are entitled to, and we are committed to holding insurance companies accountable. Whether you are dealing with a technicality, an unfair denial, or the complexities of appealing a decision, we are here to help you navigate the process and get the results you deserve.

If you are facing a denied life insurance claim in New Jersey, don’t wait to take action. You have legal rights, and we are here to help you exercise them. Contact our firm today to schedule a consultation. Let us help you navigate this challenging time and fight for the life insurance benefits your loved one intended for you.

At Trief & Olk, we are committed to providing compassionate, dedicated legal services for beneficiaries dealing with life insurance claim denials. We will work closely with you to ensure that you receive the compensation you deserve. Reach out today to begin the process of reclaiming your benefits.

To learn more about this subject click here: Steps New Jersey Beneficiaries Should Take After a Life Insurance Denial