What to Do When an Insurance Company Says Their Offer Is Final — Kentucky | Kentucky Estate Planning | FastCounsel
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What to Do When an Insurance Company Says Their Offer Is Final — Kentucky

What to do when an insurance company says their offer is final — Kentucky guide

Quick answer: Do not accept the word “final” at face value. Verify the basis for the offer, preserve evidence, check your policy for procedures (appraisal/arbitration/deadlines), get a written explanation, and consider negotiation or filing a complaint with the Kentucky Department of Insurance or contacting an attorney.

Detailed answer

This section explains practical steps to take when an insurer tells you its settlement offer is “final,” under Kentucky law and standard insurance practice. This is educational information only and not legal advice.

1. Understand what “final” usually means

Insurers will sometimes call an amount “final” to pressure claimants into accepting quickly. “Final” may mean the insurer believes it has paid everything it owes under the policy and does not intend to make a larger offer. But “final” from an adjuster is not a legal verdict. Your remedies depend on the policy language, the facts of your claim, and Kentucky law and regulation.

2. Ask for a written, itemized explanation right away

Request a written statement showing how the insurer calculated the offer. Ask for copies of any reports, estimates, photographs, medical records used to justify the amount, and references to the specific policy provisions the company relied on. A written explanation creates a record and may reveal calculation errors or omitted items.

3. Review your insurance policy and claim file

Find and read the parts of your policy about limits, covered losses, depreciation, deductibles, appraisal or arbitration clauses, and notice or proof-of-loss requirements. Some policies contain an appraisal clause (for property claims) or require binding arbitration for disputes. Compliance with policy procedures is often required before you can sue or move to arbitration.

4. Preserve evidence and document communication

Keep photos, repair estimates, bills, receipts, medical records, and all written communications. Take notes of phone calls (date, time, person spoken to, summary). Evidence and a clear communication record strengthen a challenge to a low “final” offer.

5. Consider independent evaluations

For property damage, get at least one written repair estimate or an independent contractor’s assessment. For injury claims, follow-up with your treating provider for a full medical report and, if needed, an independent medical exam. Independent documentation can identify items the insurer undervalued or missed.

6. Use policy dispute procedures before suing

If your policy contains appraisal or arbitration procedures, follow them. Appraisal can resolve disputes about the amount of loss for property claims. Arbitration clauses may require non-judicial resolution first. Missing these steps can hurt your legal options later.

7. File a complaint with the Kentucky Department of Insurance (DOI)

If the insurer refuses to explain the offer or you suspect unfair practices, you can file a complaint with the Kentucky Department of Insurance. The DOI can investigate bad-faith or unfair claim handling and mediate certain disputes. Kentucky DOI: https://insurance.ky.gov/. For state statutes and general insurance law resources, see the Kentucky Revised Statutes: https://apps.legislature.ky.gov/statutes/.

8. Know when to hire an attorney

Consider hiring a lawyer when:

  • The insurer misrepresents coverage or refuses to pay covered losses;
  • A large sum is at stake (repair costs, medical expenses, lost wages, long-term disability);
  • There are complex liability questions or serious injuries;
  • The insurer invokes a “final” offer but will not provide supporting documents or pay undisputed items;
  • Appraisal/arbitration is required and you want counsel to represent you in that process.

An attorney can evaluate the offer, demand a higher settlement, start appraisal/arbitration, or file a lawsuit if needed. In many Kentucky insurance cases, attorneys work on contingency (they get paid only if you recover), but always confirm fee terms in writing.

9. Watch deadlines and statute of limitations

Do not let delay prejudice your rights. Follow policy notice and proof-of-loss deadlines. Also be aware of Kentucky’s time limits to file a lawsuit — if you wait too long you may lose the right to sue. Check your policy and consult the Kentucky statutes or an attorney to identify any relevant deadlines.

10. Negotiation tactics you can use

  • Respond in writing, disputing specific line items and submitting your evidence.
  • Ask for a reconsideration based on new documentation (repair estimates, medical records).
  • Request a supplemental payment if additional covered loss appears later.
  • Propose mediation if both sides want a quicker, less formal resolution than court or arbitration.

Example (hypothetical)

Imagine your car is totaled. The insurer offers $7,000 and says “this is our final offer.” You obtain a private appraisal showing fair market value of $9,000 and send it with receipts for recent repairs that increase value. You also ask the carrier for the valuation worksheet and comparable vehicles used. If the carrier refuses to reconsider and your policy allows appraisal, you may demand appraisal. If appraisal is unavailable or ineffective and the carrier fails to correct an undervaluation, you can file a complaint with the Kentucky Department of Insurance or retain an attorney to evaluate suing for the difference.

Helpful hints

  • Get the insurer’s “final” offer in writing and ask for the file and valuation method.
  • Do not sign a general release or accept payment until you are sure the offer covers all losses and fees.
  • Compare multiple independent estimates for repair or replacement value.
  • Follow policy procedures exactly (notice, proof of loss, appraisal clauses) to preserve rights.
  • File a complaint with Kentucky DOI if the insurer ignores your documented disputes: https://insurance.ky.gov/.
  • Keep careful records of expenses, lost income, and medical treatment to support future demands.
  • Ask whether the insurer will advance undisputed funds while disputes remain over other items.
  • Remember: a statement that an offer is “final” is often a negotiation tactic, not a conclusive legal determination.

Disclaimer: This article is educational only and is not legal advice. It does not create an attorney-client relationship. Laws and regulations change. For advice tailored to your situation, consult a licensed Kentucky attorney or contact the Kentucky Department of Insurance at the website above.

The information on this site is for general informational purposes only, may be outdated, and is not legal advice; do not rely on it without consulting your own attorney.