Which Insurance Companies Deny the Most Claims? (2024)

Which Insurance Companies Deny the Most Claims? (1)

Insurance – life, auto, homeowner and business – provide peace of mind and support in your worst moments. But what happens when your life insurance claim is denied? What do you do if your business has a fire and your insurance claim is denied? That is your livelihood at stake. Saxton Law Firm specializes in denied life insurance claims, denied homeowners’ insurance claims and business insurance losses and we are here to help. We have an interest in our clients and their insurance and we wanted to know – which insurance companies deny the most claims – and here is what we discovered.

Top 8 Worst Insurance Companies

Which Insurance Companies Deny the Most Claims? (2)

Did you know that American insurance companies generate more than $1 Trillion each year just with premiums? They do not make that money by paying out claims – and many have a reputation for denying claims to their policyholders. And while these insurance providers have a reputation for denied insurance claims, a competent insurance attorney like Saxton Law Firm, can help tip the scales in your favor when you have a denied claim.

We are not saying that you should not have insurance. Insurance is important to protect you, your family and your property. We just want you to be selective when you choose your insurance policy and provider. Understand that not all policies and not all providers are the same. Here is a look at the top eight worst insurance companies in the United States.

1. Allstate

We know you have seen the ads. You’re in good hands with Allstate. What you may not know is that Allstate CEO Thomas Wilson has admitted that his priority is to make money for shareholders – not you the policyholder. Add increased rates and denied claims to the equation and Allstate is at the top of this list.

2. Unum

Unum is a leading disability insurance provider in the United States has a reputation for denied and delayed insurance claims – even when claims include their own employees. The insurance provider has been the subject of investigation in California for its claim denials and denied benefits to a man, forcing him to keep working, despite his doctor’s orders.

3. State Farm

Like a good neighbor, State Farm is there. Maybe not so much. State Farm is the highest-earning provider in the United States and yet has fallen short in its obligations to policyholders. The company was held accountable for fraud by victims of Hurricane Katrina who were denied claims where insurance agents intentionally mis-classified wind damage as flood damage.

4. AIG

Did you know AIG is the largest insurance company in the world and its CEO Brian Duperreault made more than $19 million in 2019? The provider has a reputation for paying as few claims as possible and is under investigation for multiple charges of corporate fraud. The company will create obstacles with the purpose of denying claims and Saxton Law Firm can help you navigate those obstacles.

5. Anthem

Have you heard of Blue Cross-Blue Shield insurance plans? Anthem Insurance has incurred fines from the government for its policies and has created a reputation for canceling insurance policies for policyholders with chronic illness and pregnant policyholders. A recent allegation by MaineHealth Network has claimed that Anthem has not paid more than $70 million in claims and has been cut as an in-network provider.

6. Farmers Insurance Group

When you choose an insurance provider, it is important to check the reviews. Farmers Insurance Group has low customer satisfaction ratings despite millions of dollars in profits and both Consumer Reports and J.D. Power have rated the company as one of the worst home and auto insurance providers. The company has also been found guilty of unlawful termination of an executive who planned to testify that the company paid its female staff members less than men

7. UnitedHealth

Health insurance is about more than just money – it is about patient health. UnitedHealth has been cited for its low reimbursem*nt rates on claims and delayed payments that doctors have claimed can put policyholders and patients at risk. The provider continues to make millions with its partnership with AARP and charges its older policyholders higher premiums.

8. USAA

Ads for United Services Automobile Association (USAA) claim to prioritize service members and their families – but the actual data behind the insurance provider paints a different picture. USAA Insurance has a reputation for delaying claims, which means that policyholders may feel financial pressure and will settle for a lower claim amount when their claim is approved. This is despite record profits in recent years.

READ MORE: Why Do Home, Auto and Health Insurance Claims Get Denied?

Are you looking for a new insurance provider? It is important that you do your due diligence when searching for a new insurance policy and asking questions like – which insurance companies deny the most claims – are relevant. If you have questions about your insurance policy or you have a denied claim, Saxton Law Firm is here to help answer your questions and support your appeal.

Contact Saxton Law Firm today for a FREE case review!

Which Insurance Companies Deny the Most Claims? (2024)

FAQs

Who denies the most claims? ›

While claim denial rates can vary among health insurance companies, certain providers have garnered attention for their higher-than-average denial rates. UnitedHealthcare, Anthem Blue Cross Blue Shield, and Aetna are among the companies that have faced scrutiny in this regard.

What insurance company has the most complaints? ›

Popular Insurance Companies with the Most Complaints
  • AAA (15.46)
  • Allstate (2.70)
  • USAA (2.27)
  • Liberty Mutual (2.66)
  • Farmers (0.73)
Feb 8, 2023

What's the worst medical insurance company? ›

Worst insurance companies for paying claims

UnitedHealthcare is the worst insurance company for paying claims with about one-third of claims denied. Kaiser Permanente is the best large health insurance company for paying claims, denying only 7% of medical bills.

What is the most common source of insurance denials? ›

Process Errors
  • The claim has missing or incorrect information. Whether by accident or intentionally, medical billing and coding errors are common reasons that claims are rejected or denied. ...
  • The claim was not filed in a timely manner. ...
  • Failure to respond to communication. ...
  • Policy cancelled for lack of premium payment.

What are the 3 most common mistakes on a claim that will cause denials? ›

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:
  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

Which insurance company has the highest customer satisfaction? ›

Read on to learn how the top insurance companies ranked and what affected claims satisfaction in 2024.
  • Amica, AIG, and Erie Insurance top the list for consumer satisfaction with property claims, according to a 2024 study by J.D. Power.
  • Travelers and Homesite are rated at the bottom for customer service during claims.
May 9, 2024

Who is the most trusted insurance company? ›

Best Car Insurance Companies of May 2024
Best car insurance categoryCompany winner
Best insurance company overallTravelers
Best insurance company for affordabilityNJM
Best insurance company for accident forgivenessGeico
Best insurance company for having few customer complaintsAmerican Family
4 more rows
4 days ago

What insurance is most overlooked? ›

The most frequently overlooked umbrella liability coverage is personal injury liability.

What is the #1 auto insurance in the US? ›

State Farm is the biggest auto insurance company in the country by market share, while Progressive, Geico and Allstate are the next three.

Who is the number 1 health insurance in the US? ›

1. UnitedHealth Group. UnitedHealthcare, part of UnitedHealth Group, is the largest health insurance company based on revenue. UnitedHealthcare offers a variety of products from individual health insurance to employer plans for some of the biggest corporations.

Which company gives best medical insurance? ›

Best Health Insurance Companies in India 2024
S.NoCompany NameIncurred Claim Ratio (2022-23)
1.Acko General Insurance Co. Ltd.83.88
2.Bajaj Allianz General Insurance Co. Ltd.74.27
3.Cholamandalam MS General Insurance Co. Ltd.67.88
4.Future Generali India Insurance Co. Ltd.79.18
24 more rows

Which health insurance has highest claim rate? ›

List of Top 10 Claim Settlement Ratio Health Insurance Companies in India
Name of the CompanyClaim Settlement Ratio (2022-23)
HDFC Ergo Health Insurance CSR98.59
Zuno Health Insurance CSR98.54
ICICI Lombard Health Insurance CSR98.53
Acko Health Insurance CSR97.68
6 more rows
May 20, 2024

What is a dirty claim? ›

Dirty Claim: The term dirty claim refers to the “claim submitted with errors or one that requires manual processing to resolve problems or is rejected for payment”.

What may cause an insurance company to deny a claim? ›

Claims are often denied due to technicalities. Failure to file a timely claim, failure to notify the appropriate parties (such as employers), or failure to follow other rules may lead to an unnecessary claim denial.

How often do insurance companies deny claims? ›

The limited government data available suggests that, overall, insurers deny between 10% and 20% of the claims they receive. Aggregate numbers, however, shed no light on how denial rates may vary from plan to plan or across types of medical services. Some advocates say insurers have a good reason to dodge transparency.

Who denies the claim? ›

Denial of claim is the refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for health care services obtained from a health care professional.

Who is the main driver for no-claims? ›

If you are a named driver of a car, not the main driver, you usually won't be able to build up a no-claims discount. However, if you then go on to take out your own policy with the same insurer, you may benefit from a discount.

What percentage of claims are denied? ›

Nearly 15 percent of medical claims submitted to private payers for reimbursem*nt are initially denied, according to a new national survey of hospitals, health systems and post-acute care providers conducted by Premier, Inc.

What would cause a claim to be denied? ›

Claims often get denied due to incomplete information. A missing document or an error in your submission can be the culprit. It's important to review your claim meticulously. Checking for any oversights can make a significant difference.

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