6 Reasons Insurance Companies Will Investigate Your Claim

Insurance employee typing on a laptop.

6 Reasons Insurance Companies Will Investigate Your Claim

If you have been injured due to someone else's negligence, you may be thinking about seeking compensation from the responsible party's insurance company. The amount of compensation you may receive can vary greatly, ranging from minimal coverage for minor injuries, such as stitches, to substantial compensation for major injuries, like multiple fractures.

Regardless, however you go about making a claim, one thing you should realize is that the at-fault party's insurance company will investigate the injury claim. Why? Here's why:

1. They Want To Know More About You

These days, the Internet is a treasure trove of private information, much of which can be used by an insurance company to get to know you better. If you have made any posts on social media sites such as Facebook, Twitter, or LinkedIn, or have left any reviews on Yelp, then your claim will be investigated. Any posts that make you look bad, such as those containing foul language, will be viewed with a significant degree of scrutiny by the insurance company.

One of the only times that looking bad online will work in your favor is if the posts were about the at-fault party. For example, if your post was about how you were injured by a car that was too large for the parking lot it was in, the insurance company may be more receptive to your claim. The reason for this is simple–you were not submitting a claim for money; you were simply complaining about the at-fault party.

2. They Want To Know How the Accident Happened

An insurance company can gain valuable insights into how an accident occurred by conducting covert investigations and scouring public records, including social media. If the at-fault party was driving recklessly, this information can be used to support your claim for a higher settlement. However, it is important to keep in mind that the insurance company may also use the investigation to uncover any information that you may be trying to hide. For instance, if it is found that you were at fault for the accident, your claim may be rejected. Insurance companies operate in a complex and dynamic environment and will do everything they can to uncover the truth about an accident.

In summary, insurance companies have a variety of tools at their disposal to investigate an accident and determine fault. They may use social media, public records, and other sources of information to gather evidence. While this can be beneficial in supporting your claim, it is also essential to be truthful and upfront about the circumstances of the accident. By working with an experienced attorney and being honest about the details of the accident, you can help ensure that your claim is resolved quickly and fairly.

3. They Want To Gauge the Amount of Damage

To determine the appropriate compensation for a claim, one of the first things an insurance company typically does is assess the extent of the damage. For instance, if you are claiming a shoulder injury, the insurer will want to know the total medical costs. Similarly, if your claim involves a car accident, the insurance company will seek to determine the cost of a new car. In short, insurance companies aim to avoid overpaying and seek to provide you with an accurate settlement. By conducting thorough investigations, they can quickly arrive at a fair and appropriate compensation amount.

4. Family, Friends, and Coworkers May Be Investigated, Too

Insurance companies don't solely concentrate on you; they also consider your family and friends. This is because the primary objective of insurance companies is to determine the amount of money the responsible party can pay as compensation. To ensure that you receive adequate financial support to cover your losses and enable you to move forward, insurance companies gather information about you, your relatives, and your associates.

But of course, they will also investigate those people simply because they know about you. From there, they can learn many things, such as whether or not you've been complying with doctor's orders and the like.

5. They Want to Know If You're Telling the Truth

Yes, insurance companies will want to know if you are telling the truth about your injuries. The reason for this is that if you are lying, you can be charged with fraud. Insurance fraud is a serious crime.

So, how do you actually lie during a claim? Well, there are a couple of ways you can do it. For example, you may have manufactured an injury or made it sound more serious than it seems. Regardless, if your injuries do not line up with the accident that occurred, then that's a cause for concern for the insurance companies.

6. They Will Want to Know How Long It Will Take for You to Recover

Another thing that the insurance company will want to know is how long the injury will last. If you make a claim for a sprained ankle, for instance, and then try to file a claim for a knee sprain a year later, the insurance company will be suspicious.

Another reason they want to know how long it will take for you to heal is to know whether or not you inflicted the injury to yourself. For example, if that knee sprain of yours seems to take months longer than what was expected, then the insurance company may be suspicious. They'll check if you've been following your doctor's instructions or if you've been doing things to purposefully stay injured. This way, they know whether or not your claim is legitimate.


The above are just some of the things that an insurance company will do to investigate an injury. However, there are many other things that they will do as well. For example, insurance companies will try and find out why the accident happened to begin with. If there is any suspicion that the at-fault party was driving under the influence, then they will investigate all of this.

Being honest about the accident is crucial to establishing that you were not at fault. Therefore, it is important to maintain the truthfulness of your statements throughout the claims process. Failing to do so may jeopardize your chances of receiving the appropriate compensation. To improve the likelihood of success in your claim, it is strongly advised to seek the assistance of skilled attorneys. They can guide you through the claim process, ensuring that you provide all necessary information and receive the compensation you are entitled to. With their help, you can get back to your worry-free life as soon as possible.

Mendez & Sanchez Law offers professional attorneys that can help individuals properly navigate the complex landscape of law. If you are looking for an accident lawyer in CA, get in touch with us today!

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