Announcement: Firm Operations Continue Uninterrupted During the Coronavirus. Click here for more information

Insurance Company Negotiation Playbook

Insurance Company Negotiation Playbook

Knowing your opponent’s playbook means you know what to prepare your team for. The insurance industry has a few techniques that should be known when preparing for negotiations:

1. The Extremely Low Offer Technique

Let’s say you estimated your case to be worth between $20,000 and $25,000, the lowest you would take is $17,000, but of course, your goal is $20,000. The first demand letter you send requests for $35,000. Shortly after, you receive a call from the insurance adjuster making a counteroffer of $5,000. Slap in the face, right?

There are a few reasons why you received such a low offer, and there are a few ways to handle them:

  • The amount you demanded was so unrealistic that the adjuster countered with an unrealistic offer. In situations such as this one, it is necessary to go back and review your demand. At this point, if the demand was too high, admit your faults and reduce it to a more realistic amount.
  • The company prefers to litigate than to settle. In the instance you are up against one of these companies, prepare yourself for litigation.
  • The adjuster is trying to shock you into reducing. This is mostly just a scare tactic to see if you will counter with an offer significantly lower than your first one. Don’t fall for it.
  • The adjuster is attempting to make you lower your standards. Here, you could ask questions about their offer is so low, such as “why don’t you believe this case is worth this much?”
  • The adjustor is new or has little authority. In this case, your first thought should be to ask the adjuster if they have room to move. If yes, lower your next offer to mid-range. If they fail to give you a decent response, then ask about speaking to a supervisor.


2. “I need to get some authority first” Technique

Most supervisory adjusters and claim managers have a sense of what your claim is worth before you send the demand letter. So, in the instance where they keep responding with “I need to get some authority,” they are probably just trying to delay. To make a point, consider either filing suit or giving the adjustor the same excuses they’ve been giving you.


3. Refusing to Respond Technique

After you’ve sent demand and not received an answer by an allotted period of time, your next step should be to send a follow-up letter politely reminding the insurance company that you sent a letter and are awaiting a response. If you still receive no response, it could be because of a few reasons:

  • The adjuster hasn’t had time to respond because they have a heavy caseload.
  • The demand letter you sent has been misplaced.
  • The adjustor is stalling on purpose.
  • The adjuster believes your demand was unrealistic and is failing to reply to prove just that.
  • The insurance company is one that never settles.

In any of these instances, you can either follow up with another polite letter, make an appointment to see the adjuster in person, or file suit and send a copy to the adjuster and wait for a response.


4. “What’ll you take?” Technique

This technique is one of the more common ones. The adjuster or defense attorney will call and ask what it would take for you to settle the claim. The main goal of the adjuster is to have you lower the demanded amount significantly. In a situation such as this one, you should respond by telling them you will take what you demanded for, or more if they are offering it; other than that, you have to get confirmation from your client before negotiating another value.


5. The Local/National Technique

A lot of insurance carriers use either local or national adjustment companies to handle their claims. It’s rare for these independent companies to have full authority to settle, making them especially conservative with settling.


6. Take-It-Or-Leave-It Technique

Another technique of some adjusters is to call and give you their “best and only offer.” In this instance, you can make a pre-move or a post-move. Before you send the offer you can state that if the offer is going to be around or equal to the demand amount, then the prompt settlement of that case is appreciated. Otherwise, you can remind the adjuster that negotiation is a give and take process, and a “best and only offer” is not negotiating in good faith.


7. Bounce Back Lowball Technique

This technique is essentially when the insurance company takes its original low counteroffer and adjusts it by adding an “increase”. For example, they counter $3000 when you originally asked for $22,000. The adjuster then “increases” by changing their offer to $3,500. The only reasonable way to handle a situation such as this is by filing a suit.


8. Request for More Documentation Technique

One strategy of insurance companies is to request more documentation or past medical records. Typically, in this situation, the adjuster never offers a responding offer, they just request more documents. If you find that you have already sent appropriate documentation, then prior to sending additional documents, request that an offer be given. If the adjuster refuses, the additional documents can be requested during the discovery process of litigation.


9. Withdraw or Reduce the Offer Technique

The last two techniques commonly seen is either a complete offer withdrawal or reduction in the original offer. This is usually used as a scare tactic to get the plaintiff to beg for the original offer, implying that the plaintiff is willing to settle for less because they want to maximize their profit. An example of this would be sending out a demand for $20,000, being countered with $4,000, then that counter offer either being revoked or lowered to $3,000.

This particular technique is frustrating. Filing suit in this instance is usually unavoidable, and it may even provoke you to request to speak to a supervisor or claims manager.


By |2020-06-01T09:19:49+00:00May 11th, 2020|Blog|
Call Now ButtonCall Now