How do I handle a claim if the at-fault driver's insurance company is unresponsive or delaying my claim in California?
If the at-fault driver's insurance company is unresponsive, you must create a strong paper trail and escalate your claim through formal channels. Here are the steps to take to compel a response and resolve your claim.
Step 1: Document All Communication
Keep a detailed log of every attempt to contact the insurance adjuster. Write down the date, time, who you spoke with (if anyone), and what was discussed. Save copies of all emails and letters you send. This log is critical evidence that you have been diligent and the company has been delaying.
Step 2: Send a Formal Demand Letter
Draft a professional letter that outlines the facts of the accident, the damages to your vehicle, any injuries you sustained, and the total amount you are claiming. Attach copies of supporting documents like the police report, repair estimates, and medical bills. Send this letter via Certified Mail with Return Receipt Requested. This creates legal proof that the company received your formal demand.
Step 3: File a Complaint with the California Department of Insurance (CDI)
If the insurer remains unresponsive after receiving your demand letter, file a "Request for Assistance" with the CDI online at insurance.ca.gov. The CDI regulates insurance companies and will investigate your complaint. This official inquiry often forces the insurer to assign a new adjuster or take your claim seriously to avoid regulatory penalties.
Step 4: Use Your Own Insurance Coverage
If you have collision coverage, file the claim with your own insurance company. You will have to pay your deductible upfront, but your insurer will pay for your repairs promptly. Your insurance company will then pursue the at-fault driver's insurer for reimbursement, including your deductible, through a process called subrogation.
Step 5: File a Lawsuit in Small Claims Court
For claims under $12,500, you can sue the at-fault driver directly in small claims court. This is a relatively fast and inexpensive process. Filing a lawsuit almost always gets the insurance company’s immediate attention, as they have a legal duty to defend their policyholder.
Important Details and Nuances
In California, you have two years from the date of the accident to file a lawsuit for personal injury and property damage. Do not let the insurance company's delays cause you to miss this critical deadline. An insurer's unreasonable delay can be considered "bad faith," which may entitle you to additional damages.
Warnings and Limitations
Avoid giving a recorded statement to the at-fault driver's insurer without first consulting an attorney. Their questions are designed to minimize their liability. Small claims court is an effective tool but is limited to monetary damages below the legal limit.
This is general information and does not constitute legal advice. For complex situations, especially those involving significant injuries, consult with a qualified California attorney.
Disclaimer:
This information is for general guidance only and should not be considered as legal advice. Please consult with a qualified attorney for specific legal matters.
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Updated: August 13, 2025
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