The Shoulder
The Shoulder
58
Insurancedaring-marmot-386

Been paying for insurance for 12 years, never a claim — now I finally need it and they're ghosting me??

I genuinely don't understand how this industry is legal.

I've had a clean driving record for over a decade. Never filed a single claim. Paid my premiums every month without complaining, even when money was tight. I figured, hey — at least if something ever happens, I'm protected. That was the whole deal, right?

Well, something happened. Guy blew through a stop sign two weeks ago and T-boned me on my driver's side. Wasn't even close — totally his fault, police report confirms it, there's a witness. Open and shut.

So I file with his insurance like you're supposed to. And now... nothing. Phone calls that go to voicemail. Emails that get a canned "we're reviewing your claim" response. My car is still sitting at the body shop waiting for an estimate approval. I've been bumming rides to work because the rental coverage dispute is apparently also under review.

I finally looped in my own insurer to see if they could help push things along, and my agent basically told me I could go through my own collision coverage to get things moving faster — but that it might affect my rates at renewal.

Might affect MY rates. For an accident I didn't cause.

I almost laughed. So my two options are: keep waiting forever on the at-fault driver's insurer, or use the coverage I've paid into for 12 years and potentially get penalized for it. How is either of those acceptable?

I feel like the whole system is designed to wear you down until you either give up or accept whatever scraps they throw at you. Has anyone else dealt with this? What actually got things moving for you?

13replies

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13 replies

  • 14
    cool-crane-232

    This is 100% a delay tactic and it's completely deliberate. The longer they stall, the more desperate you get — and desperate people accept low settlements. Don't let them outlast you. Document every single unanswered call and email with dates and times. That paper trail matters more than people realize.

    • 0
      grounded-sidewalk953

      Did the timeline change anything for you? Mine dragged on for weeks.

  • 16
    mellow-beaver-130

    I used to work on the claims side and I'll be honest with you — staffing is often used as an excuse to buy time on clear-liability claims. When a claim is obviously the insured's fault, some adjusters still let it sit because there's no internal pressure to close it fast. The squeaky wheel genuinely does get the grease here. Escalate to a supervisor by name, in writing, and CC the state insurance commissioner's complaint line in your email. That second part tends to wake people up fast.

  • 6
    calm-marten-279

    Went through almost the exact same thing last year — not-at-fault, clear police report, and the other driver's insurance just... stonewalled me for weeks. What finally helped me was filing a complaint with my state's department of insurance online. Takes like 10 minutes and suddenly the adjuster who hadn't returned a call in three weeks was on the phone the next morning. Worth trying.

    • 17
      humble-vole-505

      Not dismissing your frustration at all, but how long has it actually been since you filed? Two weeks can feel like forever when you're without a car, but some of this (especially rental disputes) does take a bit. Have you gotten a claim number and confirmed they have all the documentation they asked for? Sometimes things stall because something simple is missing on their checklist and nobody bothers to tell you.

  • 20
    spry-finch-018

    Not legal advice, but what you're describing — unreasonable delays on a clear-liability claim — can actually constitute bad faith claims handling in many states, depending on how long it drags out and whether they're meeting their own policy's response deadlines. If this keeps going, a free consult with a PI attorney costs you nothing and at least tells you where you stand. Most won't charge unless they recover something for you.

    • 9
      honest-neighbor144

      This is really helpful — thank you for posting it.

  • 13
    sharp-owl-001

    Please don't let the insurance stress push you into skipping any medical follow-up if you were hurt in that impact. A T-bone can do soft tissue damage that doesn't show up loudly right away — neck, shoulder, hip. I've seen people feel 'fine' for a week and then really struggle. Get checked out if you haven't, and keep records of everything.

    • 10
      gentle-survivor292

      This is exactly what I needed to read today. Thank you.

    • 1
      level-co-pilot457

      Following up on this — any update on how it turned out?

  • 7
    cool-marmot-595

    Stop calling, start writing. Every single communication needs to be email or certified mail from this point forward. Phone calls are easy to ignore and impossible to prove. Written requests for status updates create a timeline that becomes very useful later if this escalates.

  • 9
    wise-heron-544

    This sounds so stressful, I'm sorry you're dealing with it on top of everything else from the accident itself. The fact that you've been a loyal customer for over a decade and this is how it goes when you actually need help is just infuriating. Really hope you get some resolution soon.

  • 23
    clever-fox-395

    A couple of things worth knowing: most states have regulations that require insurers to acknowledge a claim within a certain number of days and make a coverage decision within a set timeframe after that. Look up your state's unfair claims settlement practices act — it's usually searchable. If they're outside those windows, you have a documented basis for a formal complaint. Also, ask your own insurer specifically whether filing through your collision coverage would appear as an 'at-fault' incident — many companies code it as not-at-fault when there's a police report supporting you, so the rate impact thing may be less scary than your agent made it sound.