A Florida appellate court recently issued an opinion in a lawsuit stemming from an insurance dispute between a Florida policyholder and her car insurance provider. For several years, the plaintiff exercised with the assistance of a personal trainer out of a mobile gym. The gym used the woman’s electricity to power various equipment and machinery. On one occasion, the woman suffered injuries during her workout. She filed a negligence lawsuit against the trainer and the mobile gym’s owner, ultimately settling the claim.
That settlement did not fully compensate the plaintiff for her injuries, however. Thus, to cover her remaining damages, she filed a claim with her insurance company under her uninsured/underinsured motorist (UIM) policy. The insurance company refused to pay the costs, claiming that the policy did not extend to the circumstances surrounding her injuries. She filed a claim against the Florida car insurance company. Although these facts are admittedly unusual, the case presents a common issue that arises when a policyholder attempts to collect compensation from an insurance company.
Florida insurance companies often take on an adversarial role, even with their own policyholders. Claims adjusters often receive training to negotiate settlements and deny claims in the insurance company’s favor. Several issues commonly arise when a policyholder tries to collect from an insurance company. First, there may be issues surrounding causation. Insurance companies often require motorists to provide evidence of what caused the accident. After establishing causation, they will usually need the party to prove fault. Adjusters will often deny claims based on who they find to be at fault for the accident. If a policyholder overcomes the initial hurdles, they will then need to claim their damages. Insurance companies may try and limit payouts by contending that the policyholder’s injuries were not as severe as they suggest.