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Founding Member of Moshes Law, P.C.
During his years of practice, Yuriy has concentrated in litigation and real estate transactions as his areas of expertise.

What If the Insurance Company Refuses to Settle Your Personal Injury Claim

You file the claim. You send the records. You wait. And then- nothing happens. No real offer, no honest back-and-forth — just delays, vague denials, or an adjuster who stopped returning your calls weeks ago.

If this sounds familiar, you’re not imagining things, and you’re not alone. A lot of injury victims hit this wall at some point, and it’s one of the more frustrating stages of a claim because it doesn’t feel like progress in any direction. Below, we’ll walk through why this happens, what New York law actually requires of insurers, and what you can do when an insurer simply won’t engage.

What If the Insurance Company Refuses to Settle Your Personal Injury Claim
Yuriy Moshes

AUTHOR YURIY MOSHES, ESQ

Founding Member of Moshes Law, P.C.

During his years of practice, Yuriy has concentrated in litigation
and real estate transactions as his areas of expertise

Don't Let the Insurance Company Decide What Your Claim Is Worth

Don’t settle for less than you deserve. Let an experienced New York personal injury attorney review your claim and explain your options. Contact us today for a free consultation.

What "Refusing to Settle" Actually Looks Like

It rarely shows up as a flat-out “no.” More often it’s something quieter — and more frustrating to deal with.

Sometimes this is a calculated negotiating tactic. Other times, it reflects a genuine dispute about fault or the extent of your injuries. Figuring out which one you’re dealing with matters, because it changes how you should respond.

Why Insurers Do This

Insurance companies are, at the end of the day, in the business of managing payouts. A few things tend to drive a refusal to negotiate seriously.

Disputed liability. If the insurer thinks its policyholder wasn’t at fault — or that you bear a meaningful share of the blame — it may hold off on any real offer until that question gets resolved.

Doubts about how serious the injury actually is. Adjusters sometimes argue an injury was exaggerated, existed before the accident, or isn’t connected to it at all. This overlaps quite a bit with the warning signs covered in  signs the insurance company is offering less than your injury claim is worth — undervaluing and refusing to engage often go hand in hand.

Big claims draw more scrutiny. The larger the potential payout, the more cautious — and sometimes the slower — an insurer tends to be.

Plain old delay as strategy. Some adjusters simply slow things down, betting that financial pressure (or the ticking statute of limitations) will eventually push you toward a lower number just to get it over with.

Policy limits. If your damages might exceed what the policy actually covers, the insurer may dig in rather than risk exposing its policyholder to a bigger judgment later.

So Is Any of This Even Legal?

Insurers aren’t obligated to settle every claim that lands on their desk. They’re allowed to dispute fault, push back on damages, and negotiate hard — that’s just how the process works. But New York law does require them to handle claims in good faith, and that requirement isn’t just a formality.

In practice, that means an insurer generally can’t:

Cross those lines, and the conduct can shift from “tough negotiator” into bad faith claims handling — which is its own legal problem, separate from the underlying injury claim.

Tough Negotiation vs. Bad Faith

Behavior Tough but Legal Likely Bad Faith
Disputing liability Yes, with reasons given Disputed with no real investigation
Low opening offer Pretty standard Won't move even as new evidence comes in
Document requests Reasonable, asked once Same documents requested repeatedly, no explanation
Response times Some lag during review Months of silence, no follow-through
Communication One adjuster, consistent answers Different adjusters, contradicting each other

One of the clearest signals I look for is consistency,” says Attorney Yuriy Moshes. “When an adjuster keeps changing the reason for the delay, or three different people give you three different answers, that’s rarely an accident. That’s usually when a claim needs to be escalated.”

What to Actually Do When the Insurer Won't Budge

1. Tighten Up Your Documentation First

Before you escalate anything, make sure your file is genuinely complete — medical records, current treatment notes, wage loss documentation, expert evaluations if you have them. A claim that’s airtight on paper is a lot harder for an adjuster to keep stalling on.

2. Send a Real Demand Letter

A well-built demand letter — one that lays out liability, damages, and the evidence behind both — can sometimes be enough to get a stalled claim moving again. At the very least, it puts your position on the record and signals that you’re not going to let this sit indefinitely.

3. Ask, in Writing, Why It's Taking So Long

Insurers are generally expected to give reasons for denying or undervaluing a claim. Getting that in writing tends to clarify pretty quickly whether you’re dealing with a genuine dispute or just stalling.

4. File a Complaint With the NY Department of Financial Services

If the conduct looks like bad faith — not just hard bargaining — a complaint with the state regulator can trigger scrutiny of the insurer’s claims-handling practices. This runs on a separate track from your actual injury claim.

5. Think Seriously About Litigation

When negotiations are genuinely going nowhere, filing a lawsuit is often what actually moves things. It’s not just symbolic — litigation brings discovery, depositions, and rising costs for the insurer, all of which change the math on their end. A surprising number of claims that were stuck pre-litigation start moving again the moment a suit is filed. That dynamic is covered in more depth in  settlement vs. trial in New York personal injury cases, including how litigation pressure tends to shift settlement offers well before a case ever gets near a jury.

What Actually Happens Once You File a Lawsuit

Filing doesn’t mean negotiations are over — far from it. A lot of claims that stalled out before litigation end up settling during the litigation process itself, often once discovery and depositions make clear just how strong (or weak) each side’s evidence really is. It’s also worth understanding separately what happens if you reject a personal injury settlement offer in New York — rejecting a bad offer is frequently the first move that eventually leads somewhere better, whether that’s a renewed negotiation or trial itself.

Once litigation is underway, insurers are staring down rising costs and real uncertainty about how a jury might see the case. That pressure alone often produces a more serious offer than anything they were willing to put forward beforehand.

Should You Just Take a Low Offer to End the Standoff?

It’s tempting, honestly. Financial pressure is real, and a drawn-out fight with an insurer is exhausting in a way that’s hard to explain unless you’ve lived it. But taking an inadequate offer just to make the conflict stop can backfire badly down the road, especially if you end up needing more medical treatment than expected. Before agreeing to anything under pressure, it’s worth revisiting whether you should accept the first settlement offer after an accident in New York — the logic holds just as much for an offer that finally arrives after months of stalling as it does for one offered on day one.

It’s also worth double-checking that the offer wasn’t quietly lowered or pulled somewhere along the way. Insurers do have some legal room to revise offers before you’ve formally accepted — that’s explained in can insurance companies withdraw a settlement offer in New York.

Where an Attorney Actually Helps Here

When a claim is genuinely stuck, an attorney brings a few things to the table that are hard to replicate on your own:

Moshes Law handles personal injury cases on a contingency basis, so there’s no upfront cost to getting someone actively pushing a stalled claim forward.

Conclusion

An insurer refusing to settle doesn’t mean your claim is weak, or that the case is somehow over. More often, it just means the next move needs to be sharper — better documentation, formal escalation, or a real willingness to file suit if negotiations genuinely aren’t going anywhere. Knowing what New York’s good faith requirements actually demand, and recognizing when it’s time to escalate, is usually the difference between staying stuck indefinitely and getting the claim moving again.

Moshes law group photo

Frequently Asked Questions

What can I do if an insurance company refuses to settle my claim?

Strengthen your documentation, send a formal demand letter, ask in writing why the claim is delayed or denied, file a complaint with state regulators if the conduct looks improper, or move toward litigation if negotiations stay stalled.

Is it illegal for an insurer to refuse to settle a claim?

Not on its own. Insurers can dispute liability or damages — that's normal. But New York requires good faith claims handling, and things like unreasonable delays, misstatements, or denials without any real investigation can cross into bad faith.

How long can an insurance company delay a settlement?

There's no hard cap on negotiations themselves, but New York's statute of limitations for personal injury claims keeps running regardless, so it has to be tracked separately from however long talks drag on.

Can filing a lawsuit force an insurance company to negotiate?

Often, yes. Litigation raises costs and uncertainty for the insurer, which tends to produce more serious offers — sometimes well before the case ever sees a courtroom.

Should I accept a low offer if the insurer has been refusing to settle for months?

Not without thinking it through carefully. An inadequate offer can leave you covering future medical costs or lost income out of pocket, no matter how long the standoff dragged on before it finally arrived.

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