Just a rant from your friendly neighborhood pet insurance claim adjuster: Disclaimer: I am not speaking for the company I work for or the brand. Some of these things are not universal to all insurance companies, so you should read your policy documents and not take my word as gospel. I’m trying to help ALL of us have a better experience here. *bow* Welcome to my Ted talk. Sorry for any typos… I’m human.. contrary to popular belief. For starters….Please. For the love of god. Attach your invoices, and make sure they are itemized and paid in full. No- the credit card receipt doesn’t count. We need itemized invoices. No estimates don’t work either. PAID IN FULL, ITEMIZED INVOICES. Also- while we’re on the topic of invoices… be sure that invoice says the pet name, hospital/store/pharmacy name and is for the actual pet on your policy. If your pets name changed- for the love of god, notify us. My crystal ball quit working a longgg time ago. No a random CVS/walgreens/costco receipt doesn’t work. It needs to have the med name on it if it’s for a medication. Do you think your car insurance would just take some random Walmart invoice that said “ASJEUDH875” and trust your word that it’s for the car? boAbsolutely not. Do not expect me to accept it either. Stop asking if you should appeal a decision and just do it. You are within your legal right to appeal a claim decision if you do not agree with the outcome! This does NOT mean it will be automatically overturned in your favor. Claims adjusters are humans too and we can make mistakes or misunderstand or misinterpret something! A lot of us are previous vet techs, assistants, etc. but some of us are not and may not fully understand disease processes without the medical records being abundantly clear. Also- some of these vets medical records ABSOLUTELY SUCK and we are rarely (emphasis on RARELY) able to get in touch with drs to get clarification. and when we do?! They are rude as hell and want nothing to do with us. You know how it’s nearly impossible for you to speak with your own vet and you pay them? ….yeah they absolutely won’t talk to us. Also- be nice in your appeal letters. I don’t need to have you threaten sicking your lawyer on me. And honestly- we make fun of you behind the scenes when you act like an animal and try to use big words that you don’t understand. Again- we are human. Give us the opportunity to either make it right or to explain to you why we made the decision that we did. Let’s allllll act like rational, civilized adults here. And guess what?!! If you still think we’re wrong- there’s second level appeals and sometimes even third level. Most companies also offer an independent review after so many appeals! So just chill the hell out and let’s work through it together. Don’t get me started on the old school vets who still have handwritten records and invoices…. Speaking As a former vet tech, it should be illegal. If you have a vet who still hand writes their records and invoices… it’s time to find a vet that lives in this century. You really think your pet is getting the latest and greatest care when their DOCTOR can’t (or can’t be bothered to) figure out a computer? Let that sink in… Do not make us ask for records when you file your first claim. Just send in the required amount per your policy (typically 12-24 months of previous records. Read your policy). It slows the entire process down, we get frustrated, it wastes our time (and your time) and everyone involved is sad that the claim can’t be closed. Then you- the insured- throws a massive fit. Just do what’s required of you in the first place. Let me be so crystal clear on this. I WANT TO CLOSE YOUR CLAIM. I want so badly for your claim to be closed quickly and quietly. My production at work is measured in the number of claims I CLOSE. I do not get credit for the ones that get sent for records. I do not get credit for the ones I have to wait for payment information. I do not get credit for the ones that are not workable yet. Also- in that same vein. I WANT TO COVER YOUR CLAIMS. I want to pay you out money. In fact- we are trained to look for ways to pay you. It’s more work for me to deny your claim than it is to cover your claim. There is paperwork and explanations and it’s a whole process to deny something. I am lazy AF. I don’t want to do all of that if I don’t have to. However- when an insured doesn’t understand how their policy works and then opens a policy for their dog that’s had raging allergies its entire life and then files a claim for the same allergy medication the pets been on forever… come on people… HELP US HELP YOU. Edit: One more thing to add! If you have the ability to put what the claim is for when you file it (ex: ear infection, vomiting, ate a sock, hit by a car) it’s so much easier and quicker for us! I am usually able to process claims by the description as long as the invoice seems to match up with the claim description. If all you put is “see invoice” or “illness” then I have to request records to confirm the condition and that takes up so much time. Give us the information up front! Again- help me help you! ❤️ I’m sure there is more that I could go on and on about. But honestly this is long enough at this point. Who knows… maybe I’ll add more at some point. What do I want you to take away from this? Help us help you. We want to help you. We wouldn’t ask for something if it wasn’t important. And we are human beings too. Please be kind. Small favor: please keep attaching pictures of your pets when you submit claims!!! We share them amongst ourselves and it really reminds us why we do what we do! It’s nice to put a furry face to the names we are helping! And… who doesn’t love staring at cute ass animals all day…. Feel free to ask questions! I’ll try to answer. Don’t get nasty- I won’t entertain you if you act like an ass.

Hi all, (Reposting because I didn't know how to format) TL;DR: Insurance denying approximately 40K worth of costs (approved line items, just more expensive in the region than their estimate), went to appraisal with adjusters, umpire selected, month later learn that insurance company is now represented by lawyers. We experienced a water damage claim impacting a 3-story townhouse, all continuous wood flooring, walls, and kitchen cabinets, counter, backsplash, with Traveler's in Dec 2023. We are located in King County, Washington; the house is built into a slope not directly accessible to the street and is stand-alone (no shared walls) on a plot with 3 other homes. My initial quotes from contractors up to 100K. I went with a contractor who quoted around 80K, good guy. Escalated through several Traveler's adjusters in Winter 2024 until an adjuster came in person in late Winter and agreed with our contractor and the work moved forward. The insurance company adjuster recognized that the costs were going to be pretty high and was working well with our contractor, it seemed. I handled cabinets, backsplash, and counters directly with a subcontractor and my contractor handled drywall, paint, flooring, pack-out and move in, and more. I got approval from insurance adjuster along the way and ended up getting approval for all of the kitchen work, fully covered, around 33K. Due to delays from Travelers and subcontractors, with materials being hard to come by, our kitchen floor was unfinished with nails sticking out until May 2024. We wanted to keep things moving and settled on cheaper flooring than an exact match that was available sooner than the Fall, so we moved out in May (I had gotten approval for housing costs in early May from insurance for several weeks). Then, for whatever reason, their adjuster stopped responding to my contractor for a few weeks in, approximately, late-May and June. The flooring and painting work was finally done and the cabinetry, counters, etc. mostly got done in mid-late July. The work was mostly completed by August except for a few small things. The final costs of the new installation of cabinets, counters, backsplash in the kitchen, which I had handled and which had been covered, was approximately 33K which has all been paid out and completed. Mitigation was done for 6.6K with a separate company. The remainder of the tear down, pack out, dry wall, painting, flooring, cleaning, plumbing, electrical, etc., onwards from my contractor ended up being 105K. With the previous adjuster, the claim was sitting around 70k estimate from the insurance side with an expectation that it would go up conveyed verbally with their adjuster several times. In this period, since the insurance adjuster had stopped responding, my contractor had reached out directly to Traveler's. At some point a new adjuster was assigned and then, in June/July, the case was passed through, I believe, 3 more adjusters. The final adjuster basically went through and wrapped up the claim, including recoverable depreciation, but didn't really acknowledge the actual costs of the materials, labor, compared to their estimate and essentially closed the claim at approximately 95K total, which included mitigation, kitchen, and the contractor's work. That left a gap of approximately 40K still due to my contractor. After a month or so of back and forth, we agreed with the final insurance adjuster, to go to appraisal in November. We selected an adjuster. It seems that nothing was happening for several weeks and then eventually Travelers selected their adjuster and he actually came to inspect the house in December. Then per our adjuster, unable to be reached/unresponsive for several weeks. Once they did get into contact and went back and forth in late February, they finally agreed on an umpire. Then, out of nowhere, in mid-March, the third party adjuster representing Travelers informed our adjuster that Traveler's had assigned or hired lawyers to handle this claim and they were no longer continuing the appraisal as previously agreed upon. Here is the policy language regarding appraisal: ...7. Appraisal. If you and we fail to agree on the amount of loss, either party may demand an appraisal of the loss. In this event, each party will choose a competent and impartial appraiser within 20 days after receiving a written request from the other. The two appraisers will choose an umpire. If they cannot agree upon an umpire within 15 days, you or we may request that the choice be made by a judge of a court of record in the state where the “residence premises” is located. The appraisers will separately set the amount of loss. If the appraisers submit a report of an agreement to us, the amount agreed upon will be the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will set the amount of loss. Each party will: a. Pay its own appraiser; and b. Bear the other expenses of the appraisal and umpire equally. My question is - why did Travelers go with attorneys after there was an umpire selected? - Could it be something as simple as the timeline being so protracted? We have emails showing the umpire was agreed upon a month ago. - I am concerned that, as I see in this community, our adjuster was filling the costs to try to get a better negotiating position... Not sure if that would play into this...? - The work was expensive and challenging to complete but there are no line items that were not previously approved - they just cost more than what the insurance company estimated. I have not heard anything directly from Travelers. My contractor has been wrecked in this process, it's been tough for me as well. The idea that we need to face an attorney is rough. Appreciate anyone's insights or guidance! TL;DR: Insurance denying approximately 40K worth of costs (approved line items, just more expensive in the region than their estimate), went to appraisal with adjusters, umpire selected, month later learn that insurance company is now represented by lawyers.

Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same? #healthypawspetinsurance

Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same? #healthypawspetinsurance

Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same? #healthypawspetinsurance

Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same? #healthypawspetinsurance

Was hoping to get some insight before I call my agent. My $1 Million umbrella policy with State Farm has really gone up this past few years from $300 to over $1500 per year. So I started looking at it and saw the following: Automobile Liability: $500,000 Recreational Motor Vehicle Liability: $500,000 Personal Residential Liablility: $100,000 Watercraft Liability: $100,000 I don't know what a Recreational Motor Vehicle is. I have 2 cars used for commuting around town. I don't have an RV or Jeep for off-roading. So what good is that doing me? I don't have a watercraft. I consider watercraft to be a money pit and I'll never own one. I'm in Florida near the water, so maybe it's assumed I have a watercraft? I don't know. I feel like I'm paying for a bunch of insurance I don't need. Any advice would be appreciated.

I’m 23, no accident or tickets at all currently driving a 2021 Mazda3 hatchback, no loan on the car. Currently paying 362 a month for full coverage with USAA and live in Florida. Should I look elsewhere for insurance? I’ve been with USAA 5 years now and I’m starting to think I’m over paying.

So my mom (74) went to the dentist for a root canal today and was told the procedure was covered by her insurance. She has Humana and a root canal on her plan should be $0 out of pocket, however, she ended up paying $1800 because she felt stuck. We found her dentist through the Humana provider site and called the dentist to make sure they took her insurance. My understanding is that once you pay, it’s a done deal but does she have any legal recourse to recoup that money? Thank you in advance

Is it even legal for Healthy Paws pet insurance to increase premiums at almost 200% in CA? This is outrageously high!! Anyone experiencing the same? #healthypawspetinsurance