What to do when an insurer closed your auto damage claim without notice — Texas
Disclaimer
This article explains general information about Texas law and common steps people take when an automobile damage claim is closed without notice. It is not legal advice, and it does not create an attorney-client relationship. For advice about a specific situation, consult a licensed Texas attorney.
Detailed Answer
If your insurer closed an auto damage claim without notifying you, act quickly and methodically. Texas law requires insurers to follow certain claims-handling standards and gives you consumer remedies through the Texas Department of Insurance (TDI) and the courts. Below is a clear, step-by-step process to try to get the claim reopened and protect your rights.
1. Confirm what happened
- Check any communications from the insurer (email, mail, voicemail, SMS). Sometimes an insurer issues a denial or closing letter and it gets missed.
- Locate your policy, declarations page, and any estimate, proof-of-loss, or previous correspondence tied to the claim.
- Note the claim number, adjuster name, and date the insurer says the claim closed (if indicated).
2. Request the claim file and written explanation
Ask the insurer, in writing, for a copy of the entire claim file and a written explanation of why the claim was closed. Keep your request brief and professional and send it by certified mail or email with delivery/read receipt.
3. Gather and document new or missing evidence
Claims are often closed when the insurer believes you submitted insufficient proof. To reopen, collect any material evidence you can: photos, repair estimates, receipts, bills, police reports, witness statements, and any new information (e.g., delayed damage discovery).
4. Ask the insurer to reopen in writing
Send a written demand that the insurer reopen the claim. Include:
- Your name, policy number, claim number, and contact information.
- A clear statement that the claim was closed without notice (or that you did not receive required notice).
- New or previously omitted evidence and a short explanation why reopening is appropriate.
- A deadline for response (reasonable, e.g., 14 days) and statement that you will file a complaint with TDI if it is not reopened or explained.
5. Use internal appeals and dispute resolution options
Many insurers maintain an internal appeal or dispute process. Ask for the name and contact of the person who handles appeals and follow the insurer’s appeal procedure. If your policy contains an appraisal clause (sometimes used for property damage disputes), review it and consider invoking appraisal.
6. File a complaint with the Texas Department of Insurance (TDI)
If the insurer won’t reopen the claim or you suspect mishandling, file a complaint with TDI. TDI can investigate claims-handling practices and sometimes get an insurer to take another look. File online or by phone; include copies of your documentation and your written requests to the insurer.
TDI consumer complaint information: https://www.tdi.texas.gov/consumer/complaints/index.html
7. Consider hiring an attorney
If you have significant damages, if the insurer violated Texas law, or if TDI does not resolve the issue, consult a Texas insurance attorney. An attorney can demand reopening formally, seek appraisal or mediation, or file suit if necessary. Note the civil statute of limitations that may apply to suit for breach of the insurance contract (see below).
8. Preserve deadlines and consider legal timelines
Do not wait indefinitely. For many insurance contract disputes in Texas, the statute of limitations for a written-contract claim is four years from the breach (see Texas Civil Practice & Remedies Code, Chapter 16). If you think a claim might lead to litigation, track important dates and preserve all evidence and communications.
Statute of limitations information: https://statutes.capitol.texas.gov/Docs/CP/htm/CP.16.htm
Relevant Texas law and resources
- Texas Insurance Code, Unfair or Deceptive Acts and Practices: https://statutes.capitol.texas.gov/Docs/IN/htm/IN.541.htm
- Texas Insurance Code, Prompt Payment and claims-handling provisions: https://statutes.capitol.texas.gov/Docs/IN/htm/IN.542.htm
- TDI guidance on auto claims and consumer rights: https://www.tdi.texas.gov/consumer/insurancebasics/auto/auto-claims.html
Helpful Hints
- Document everything: log calls (date, time, name), save emails and letters, and keep photos and receipts in one folder.
- Be concise and factual in written communications; include claim number and dates to avoid delays.
- Send time-sensitive requests by certified mail or an email method that shows delivery/read receipts.
- Ask for the claim file and the reason code or denial letter in writing — if the insurer failed to provide notice, that fact strengthens a complaint to TDI.
- If you need repairs quickly, consider getting a separate estimate and keep repair invoices; you can seek reimbursement if the claim reopens or through other remedies.
- Use TDI early if the insurer is unresponsive — TDI’s involvement often prompts insurers to re-evaluate a file.
- Keep an eye on deadlines: appeals, appraisal clauses, and statutes of limitation can affect your options.
- If the other driver was at fault, preserve evidence of their insurance and police report; you may have an independent claim against that carrier.