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Who actually gets paid when a policyholder makes a claim?


Car insurance

If you have ever read your policy, then you know that auto insurance can be very complicated, especially when making claims. Still, there is no way around it. That is complicated. Who gets paid when a policyholder makes a claim?

Who is claiming?

Insured
There are several primary factors involved in determining who gets the money. First, what to do with the person who pays for the loss. It almost always depends on who has caused the accident. If the insured (that's you) is at fault, the repair bill will be paid by your insurance company.

Other drivers
If it is the fault of the other driver, the other driver's insurer is on the hook for the expenses. That is known as a "third-party" claim. That is, you, the damaged party, are accidentally seeking payment from the driver and his or her insurance company- two parties with whom you have no contractual agreement, hence the term "third-party."

Since there is no contractual agreement, the at-fault driver's insurance company is under no obligation to pay anyone other than you, so the settlement check must be made in your name. That is typically the case even if there's a lien on your car.

When you have a loan on your car 

If you have a loan on your car, things can get a bit complicated. Your insurer knows that you have a mortgage in your vehicle and keeps track of that loan. Therefore, when a policyholder claims damages, the insurance company should generally provide both the insured and the lienholder with the claim. Since the lienholder is still interested in the insured car, it wants to make sure that the claim payment is used only for repairs, not your personal use.

Therefore, when the insured receives a claim check from the insurance company, they will require getting the lienholder to sign the check and cash it and pay the repair shop. If your vehicle is at a total loss, the insurance company will write the check for the vehicle's actual cash value (ACV) minus your deductible, and send it to you. You will then sign the check and send it to the lender to repay the loan. 

When no loan on your own car

The insurance company will have to write the check directly to you if you own the vehicle directly and there is no mortgage involved. But there is one thing that is very important to remember. When you plan not to use the money from your settlement fee to repair your car, if you get caught in another accident, you may run into some trouble with your insurance company.

That is because they will not pay you for any pre-existing damages. In other words, the insurer will decide whether a recent accident has damaged your car. And you can trust that if there is any uncertainty, they will attribute the damage to the prior accident and refuse to pay. Who can blame them for this? They have already paid for them once. Therefore, if you feel that you will not fix your car when you get your claim check, you may want to think again.

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