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{"id":26618,"date":"2020-05-12T06:00:08","date_gmt":"2020-05-12T10:00:08","guid":{"rendered":"https:\/\/www.propertyinsurancecoveragelaw.com\/?p=26618"},"modified":"2023-11-15T19:40:29","modified_gmt":"2023-11-16T00:40:29","slug":"arizona-claims-handling-guidelines-at-a-glance","status":"publish","type":"post","link":"https:\/\/www.propertyinsurancecoveragelaw.com\/blog\/arizona-claims-handling-guidelines-at-a-glance\/","title":{"rendered":"Arizona Claims Handling Guidelines at a Glance"},"content":{"rendered":"
Similar to other states, Arizona has adopted unfair claims settlement practices statutes and regulations. While one cannot a bring a private cause of action under the Unfair Claim Settlement Practices Act1<\/sup> and its companion regulations, they lay out specific standards for insurers to promptly investigate and process claims.<\/p>\n
Under the Act, insurance carriers are expected implement reasonable standards for the prompt investigation of all claims brought under a policy.2<\/sup> This includes acting reasonably and promptly upon communications relating to insurance claims.3<\/sup><\/p>\n
An insurer may not refuse to pay claims without conducting a reasonable investigation, and must affirm or deny coverage within a reasonable time following submission of the proof of loss.4<\/sup> Insurer\u2019s may not misrepresent facts or insurance policy provisions and must attempt in good faith to effectuate prompt and fair settlements of claims once liability becomes reasonably clear.5<\/sup><\/p>\n
Property insurers may not restrict the assignment of a loss or claim after the loss has occurred.6<\/sup><\/p>\n
The investigation or payment of claims may not be delayed for the purpose of requesting preliminary claim reports followed by subsequent formal proofs of loss.7<\/sup> Insurers may not force their insureds to initiate litigation to recover amounts owed under the policy by offering substantially less.8<\/sup><\/p>\n
Once liability has become reasonably clear, an insurer must promptly settle claims under that section of the insurance policy.9<\/sup><\/p>\n
When paying claims, the payment must be accompanied by a statement describing the coverage under which the payment is being made.10<\/sup> If an insurer is denying a claim or offering a compromise settlement, they must promptly provide a reasonable explanation of the basis relative to the facts or applicable law.11<\/p>\n