How to Respond When an Insurer Stops Communicating or Threatens to Close Your Claim
Quick summary: If your insurer stops updating you or threatens to close your claim, act promptly: document everything, demand written explanations, escalate inside the company, and if necessary file a complaint with the Utah Insurance Department or consult an attorney. This article explains practical next steps under Utah insurance law and where to get help.
Detailed answer — your step-by-step plan
1. Understand the insurer’s basic legal duties
Utah law governs how insurers handle claims through the Utah Insurance Code (Title 31A) and related regulations. Insurers generally must investigate claims reasonably and communicate with claimants in a timely manner. If an insurer refuses to investigate, fails to respond, or threatens to close a claim without justification, those practices may violate the insurer’s obligations and could form the basis for administrative complaints or further legal action. See Utah Insurance Code, Title 31A: https://le.utah.gov/xcode/Title31A/31A.html and the Utah Insurance Department for consumer information: https://insurance.utah.gov/.
2. Do the immediate, document-first tasks
- Keep a written file. Save claim numbers, all emails, letters, photos, text messages, and voicemail records. Note dates, names, titles, and the substance of every call.
- Send a formal written request for status. Use certified mail (or other trackable method) so you have proof it was received. Ask for a written explanation of the claim status, what additional information (if any) they need, and the specific reason they might close the claim.
- Preserve evidence of your loss. Keep repair estimates, receipts, medical records (if applicable), and any proof of continuing damage or loss.
3. Escalate within the insurance company
If your regular claims adjuster is unresponsive or threatening to close the claim, ask to speak with the adjuster’s supervisor or the claims manager. Be calm but firm. Request a clear timeline for investigation and a written confirmation of any commitments made during the call.
4. Use formal communications strategically
- Write a short demand letter. Outline the facts, reference your policy and claim number, list the documents you already provided, and request an update within a specific number of days (commonly 10–14 days).
- Reference company internal procedures. If you were given specific deadlines or promises, reference those in writing and ask for their confirmation.
- Tell them you will file a complaint with the Utah Insurance Department if the claim is closed without adequate explanation. Often this prompts internal review.
5. File a complaint with the Utah Insurance Department
If internal escalation does not produce a prompt, reasonable response, file a consumer complaint with the Utah Insurance Department. The Department accepts complaints about insurer delays, poor communication, and possible unfair claim practices. The Department can investigate and may require the insurer to respond. Utah Insurance Department: https://insurance.utah.gov/. For code and regulatory background see Utah Insurance Code, Title 31A: https://le.utah.gov/xcode/Title31A/31A.html.
6. Consider alternative dispute resolution in your policy
Check your policy for arbitration, appraisal, or mediation clauses. Some policies require appraisal for property-value disputes or arbitration for certain coverage disputes. These processes can be faster and less expensive than litigation, but they also have rules and deadlines you must follow.
7. Know when to get an attorney
Consult an attorney if the insurer: (a) denies coverage without a reasonable explanation; (b) closes your claim improperly; (c) ignores clear evidence of loss; or (d) engages in seemingly bad-faith conduct like misrepresenting the policy or threatening to close without investigating. An attorney can advise on potential bad-faith claims, preserve rights, and, if needed, file suit before applicable deadlines run.
8. Watch deadlines and preserve your legal rights
Statutes of limitation and contractual deadlines can bar claims if you delay. Preserve all evidence and consult an attorney promptly to avoid inadvertently losing rights to damages. For statutory background on insurance regulation in Utah, see Title 31A: https://le.utah.gov/xcode/Title31A/31A.html.
Helpful Hints
- Always get important communications in writing. Verbal promises are hard to enforce without written backup.
- Time-stamp everything. Note the date and time of calls and when you mailed documents.
- Ask for the claim file or a copy of the notes. In many cases the insurer will provide a summary of key communications and decisions if requested.
- Use plain, factual language. Avoid emotional or accusatory statements in early communications; stick to dates, facts, and documents.
- Get independent estimates or inspections if the insurer’s stance seems unreasonable. A third-party report can be persuasive.
- If you’re dealing with a bodily injury claim, track medical appointments and keep a clear chronology of treatment and expenses.
- Filing a complaint with the Utah Insurance Department is free and often speeds resolution. Visit the Department’s website for complaint filing instructions: https://insurance.utah.gov/.
Final note / disclaimer: This article provides general information about handling claim communication problems under Utah law. It is not legal advice and does not create an attorney-client relationship. For advice specific to your situation, consult a licensed Utah attorney or contact the Utah Insurance Department.