Insurance Coverage Analysis

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Frequently Asked Questions About Insurance Coverage Analysis

Insurance coverage analysis is the process of reviewing an insurance policy, the facts of a claim, and the insurer’s position to determine what benefits, protections, or legal arguments may be available to the policyholder.

A policyholder should consider a coverage analysis when a claim has been denied, delayed, underpaid, limited by exclusions, or when the insurer has issued a reservation of rights. It can also be helpful before litigation, appraisal, arbitration, mediation, or settlement discussions.

Yes, insurers may rely on exclusions or limitations in the policy to deny or restrict coverage. However, those exclusions must be evaluated carefully because policy language, endorsements, claim facts, and applicable law can affect whether the insurer’s position is valid.

Yes. Coverage analysis can apply to commercial property claims, residential property claims, construction-related claims, liability claims, excess insurance issues, and other policyholder disputes involving insurance benefits or defense obligations.

A reservation of rights letter is a notice from the insurer stating that it may provide a defense or continue investigating the claim while reserving the right to deny coverage later. These letters should be reviewed carefully because they can affect the policyholder’s rights and litigation strategy.

Clausen Choquette PLLC handles insurance matters involving commercial, residential, construction, liability, excess lines, bad-faith claims handling, appraisal, arbitration, mediation, litigation, and trial strategy.

Clausen Choquette PLLC handles insurance matters involving commercial, residential, construction, liability, excess lines, bad-faith claims handling, appraisal, arbitration, mediation, litigation, and trial strategy.

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