Home Insurance Claims Pros & Cons | Matic (2024)

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Home Insurance Claims Pros & Cons | Matic (1)By Matic

Home Insurance Claims Pros & Cons | Matic (2)

If something goes wrong with your home, you may be quick to file a homeowners insurance claim. That’s what it’s there for, right? According to the Insurance Information Institute, 6% of insured homes had a claim in 2020. Be that as it may, it doesn’t always make sense to file a claim if doing so could result in higher premiums down the line.

Whether or not you should file a claim can depend on your unique situation, your deductible, and other important factors. That’s why we wanted to highlight a few things that may be helpful for you to consider if you’re faced with that decision.

How does homeowners insurance work?

Let’s first back up and review how homeowners insurance works. You usually pay a premium to keep your policy active. Every policy and insurer are different, but a standard policy typically provides some level of:

  • Structural coverage: Covers you if your home is damaged or destroyed by a covered event.
  • Personal property coverage: Covers you if your personal property is damaged or destroyed during a covered event, which often includes theft. Covered items generally include things like furniture, clothing, and electronics.
  • Liability coverage: Covers you if there’s an accident on your property. It can go toward medical and/or legal fees if someone is injured.
  • Additional living expenses: If a covered event causes damage that leaves you unable to live in your home, your policy will likely cover living expenses like hotel bills and meals.

Mortgage lenders often require homeowners insurance. If you decide to file a claim, you’ll likely have to meet your deductible before your insurer pays their share. This is usually separate from your regular premiums and may be a flat dollar amount for some covered events. For others, such as hurricanes, your deductible might be calculated as a percentage of your total coverage. A lower deductible typically translates to a higher premium and vice versa. Your deductible might reset annually or on a per-event basis.

Pros of filing a homeowners insurance claim

If you experience a covered event that damages your home or personal property (or leaves someone injured), you can file a homeowners insurance claim. After you meet your deductible, your insurer will kick in their portion. Filing a claim often makes sense when you’re up against significant expenses.

For example, let’s say you added a rider to your policy that includes hurricane coverage. If a hurricane seriously damages your home, the cost to repair or rebuild could be astronomical. Paying your deductible and letting your insurance company foot the bill for everything else could be a smart financial move.

Cons of filing a homeowners insurance claim

It could increase your premiums

When determining your premiums, insurance companies consider your likelihood of filing a future claim — which could cost them money. The higher your perceived risk, the more likely you are to pay more in premiums. Your claims history tends to play a direct role. If you’ve filed homeowners insurance claims in the past, your insurer may see it as a red flag that you’ll continue to do so in the future.

It could negatively affect your insurance score

One Matic survey found that 45% of respondents didn’t know that their credit impacts their insurance rates (and their ability to get coverage). In many states, your credit-based insurance score is one factor that can affect your premiums. It’s used as a way to predict whether or not you’ll file future claims. Research suggests that folks with a lower credit score may be more likely to file claims when compared to those with a higher score.

Your credit-based insurance score is based on your credit score and claims history. Even if you file a claim that results in no insurance payout, it can still negatively affect your insurance score. If that score drops, you’ll probably pay higher premiums in the future. Depending on your situation, it could even make it harder to qualify for coverage.

Should I file a homeowners insurance claim?

It really depends on your deductible and your expected financial responsibility. There’s no right or wrong answer, but this checklist can get you asking the right questions:

  1. Was the damage caused by a covered event? Check your policy to be sure.
  2. If so, what is the estimated cost to remedy the situation? You can consult the appropriate experts to give you an estimate.
  3. How do these costs compare to your deductible? If it’s less than your deductible, you might be better off paying out of pocket and leaving your insurance company out of it. If not, filing a claim could provide financial relief.

Every insurance carrier is different. That’s why it’s so important to do your research. Comparing insurers is a simple way to make sure you’re getting the right policy for your needs. Matic is here to answer your questions and provide a personalized quote from our vast network of A-rated insurance carriers.

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Home Insurance Claims Pros & Cons | Matic (2024)

FAQs

What are the negatives of making a house insurance claim? ›

Cons of Filing a Homeowners Insurance Claim
  • Deductibles Apply: When filing a claim, you'll have to pay a deductible amount out of pocket before your insurance kicks in. ...
  • Potential Premium Increases: Filing frequent claims or claims for significant amounts can lead to increased insurance premiums over time.
Aug 28, 2023

What not to say to a home insurance adjuster? ›

Admitting Fault, Even Partial Fault.

Avoid any language that could be construed as apologetic or blameful. Admitting any level of fault can eliminate or reduce the compensation that may be available.

What is the downside of filing an insurance claim? ›

It could increase your premiums

When determining your premiums, insurance companies consider your likelihood of filing a future claim — which could cost them money. The higher your perceived risk, the more likely you are to pay more in premiums. Your claims history tends to play a direct role.

How to negotiate a homeowners insurance settlement? ›

Tips for Negotiating With an Insurance Claims Adjuster
  1. Come well-prepared with supporting evidence. Records and documentation are critical components of the process. ...
  2. Calculate a full settlement amount. ...
  3. Know your bottom line. ...
  4. Beware of the first offer. ...
  5. Get the settlement offer in writing. ...
  6. Read the fine print.
Feb 17, 2023

Is it worth claiming on home insurance? ›

To claim or not to claim? Before filing a claim, consider the cost of the excess and the potential for premium increases against the cost of the damage. In cases of minor damage, it might be more economical to handle the repairs yourself to prevent future hikes in insurance rates.

How many house insurance claims are too many? ›

How many homeowners claims is too many? Generally, if you haven't filed more than one non-catastrophic loss claim in three years, and have no liability losses in three years, you may still be eligible for coverage. Two claims in five years may drive up the cost of your coverage.

What happens if you disagree with insurance adjuster? ›

Dispute the Decision and File a Complaint

Many policies allow you to request arbitration through the insurance company. You'll present evidence to an independent adjuster, who then makes a binding settlement determination. You can also file a complaint with your state department of insurance.

What not to say to an insurance investigator? ›

It's All My Fault”

Never admit any level of fault to an insurance adjuster and don't apologize for what happened. Admitting fault can harm your case by either preventing you from winning your claim entirely or lowering the total value of your accident claim.

What does R&R mean on a home insurance claim? ›

R&R = Remove & replace. This Xactimate entry is used when an item is being entirely demolished & replaced with a new similar item of similar grade & composition. O&P = Overhead & profit.

When should you not make a claim? ›

If the repair cost is lower than your insurance policy's deductible, it's probably not worth filing a claim. For instance, if your deductible is $1,000 and there is no property damage, or the damage is less than the deductible, your rates will go up and stay high for at least three years.

Should I get a quote before filing an insurance claim? ›

Almost every major car insurance company advises potential claimants to file a claim first, and then get a repair estimate. While you can almost always choose where to get your vehicle repaired, the insurance company is usually going to want to be involved in the vehicle inspection/damage estimate process.

What is one of the most common reasons for a claim being rejected by an insurance company? ›

Process Errors
  • The claim has missing or incorrect information. Whether by accident or intentionally, medical billing and coding errors are common reasons that claims are rejected or denied. ...
  • The claim was not filed in a timely manner. ...
  • Failure to respond to communication. ...
  • Policy cancelled for lack of premium payment.

What not to say when filing a homeowners insurance claim? ›

What Not to Say to An Insurance Adjuster
  1. Don't Admit Fault. What should you not say in a claim? ...
  2. Don't Downplay Damages. Victims who downplay their damages give insurance adjusters a chance to downplay the settlement offers they make. ...
  3. Don't Give a Recorded Statement. ...
  4. Don't Accept the Initial Settlement Offer.
Mar 22, 2023

How do you respond to a low settlement offer? ›

Always respond to a low settlement offer in writing rather than over the phone or in person. Submitting a counteroffer in writing gives you a chance to provide more evidence to support your claim. If you haven't already hired a lawyer, do so before you respond to the low offer you received.

How to get more money out of an insurance claim? ›

Maximize Your Insurance Claim Payout: 10 Tips for Understanding and Negotiating the Estimate
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
Jun 6, 2023

How does making a claim affect my home insurance? ›

You can expect to see a rate increase of 9% to 20% per claim, though this number varies by the type of claim and the number of claims you've filed previously. This is because insurance providers use your claims history to determine how likely you are to file more down the line.

Can homeowners insurance drop you because of a claim? ›

Your home insurance policy can be non-renewed after filing too many insurance claims. Living in a high-risk area. An insurer may also elect not to insure any properties in an area prone to natural disasters.

Can an insurance claim be negative? ›

The most common reasons an insurance company might give for a negative liability determination include: The accident was not caused by their insured. This is probably the most common reason insurance companies give for a negative liability determination.

Should I get an estimate before filing a claim? ›

Getting a repair estimate is the key first step toward resolving your vehicle damage claim after an accident. When you're making an insurance claim after any kind of traffic accident, getting a trustworthy repair estimate (or two) is a necessary first step toward getting your vehicle fixed and back on the road.

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