insurance coverage disputes

Insurance coverage disputes occur when an insurance company and a policyholder disagree over whether a claim is eligible for payment. These disagreements can arise from differences in interpreting policy language, exclusions, or the scope of coverage. Typically, the insurer may deny a claim, asserting it falls outside the policy’s terms, leading the policyholder to challenge the decision. Resolving such disputes often involves review, negotiation, or legal action to determine if the claim should be covered under the terms agreed upon in the policy.