Skip to main content

Insurance Claim Lawyers

Eric J. Goldman, Esq.
Written by

Your roof caved in during Hurricane Ian. You filed a claim within three weeks. The adjuster spent 15 minutes on your property, took six photos, and offered you $8,000 for $40,000 worth of damage. When you pushed back, the insurance company went silent for 90 days. This is how most property insurance disputes start in Florida — and why the state’s insurance claim statutes are some of the most unforgiving in the country.

Florida law gives you exactly one year from the date of loss to file a property insurance claim. Miss that deadline by a day and your claim is dead. No exceptions. That’s a massive change from the two-year window that existed before 2022, and thousands of homeowners have already lost coverage because they didn’t realize the clock was ticking.

Need Legal Guidance? Talk to Eric Goldman Today.

Get answers to your real estate, landlord-tenant, or personal injury questions. Free consultations available for Florida residents.

What Insurance Claim Lawyers Actually Do

Insurance claim lawyers represent policyholders against their own insurance companies — not another driver’s insurer or a third party. These cases generally fall into a few categories:

  • Outright claim denials
  • Lowball settlement offers that don’t cover the damage
  • Bad-faith handling where the insurer drags out the process or makes unreasonable demands for documentation

Property claims dominate the South Florida market: hurricanes, wind damage, roof leaks, mold. Insurers routinely undervalue these claims or deny them outright based on policy exclusions that don’t actually apply. For example, an adjuster might blame wind damage on “wear and tear” or “pre-existing conditions” and deny the claim. An attorney forces a proper investigation and accurate valuation.

Auto PIP claims are another major area. Florida’s no-fault system requires every driver to carry Personal Injury Protection coverage, but insurers deny PIP benefits frequently based on the 14-day treatment rule. If you don’t seek medical care within 14 days of the accident, your PIP coverage vanishes — no grace period. Section 627.736(1)(a) is absolute on this point, and insurers use it to deny tens of thousands of claims every year.

Personal injury cases tied to insurance work differently. If you’re injured on someone else’s property and their liability insurer lowballs you, that’s a third-party claim with a two-year statute of limitations under the 2023 reforms. But if your own homeowner’s policy should cover the loss and refuses, that’s a breach of contract claim with a five-year window.

Florida’s Property Insurance Deadlines Will Destroy Your Claim

The 2022 legislative overhaul — Senate Bill 2-A — significantly shortened timelines for property insurance claims. Here’s what changed:

  • You now have one year from the date of loss to provide notice of your claim to the insurance company. This is notice, not the deadline to file a lawsuit. If a hurricane hits your Fort Lauderdale home on September 15, 2024, you have until September 15, 2025, to notify the insurer. On day 366, the insurer can legally refuse to even look at it.
  • Supplemental claims for additional damage have an 18-month deadline (previously three years). If you file a claim for roof damage, the insurer pays a portion, and six months later you discover interior water damage that wasn’t visible during the first inspection, you have 18 months from the original loss — not 18 months from discovering the new damage — to file a supplemental claim.
  • Once the insurer receives your proof of loss, they have 60 days to pay or deny the claim (down from 90 days pre-2022). If they don’t pay the undisputed portion within that window, interest starts accruing. However, many insurers dispute small line items to avoid triggering the interest penalty.

Breach of contract lawsuits still have a five-year statute of limitations under Section 95.11(2)(e), but that clock starts from the date of loss, not the date of denial. If the hurricane happened in 2020 and the insurer denied your claim in 2023, you’re already three years into your five-year window.

Flood claims under the National Flood Insurance Program follow different rules: you have 60 days to file the claim and one year to file a lawsuit. Those are federal deadlines.

Bad Faith Claims Require a Pre-Suit Notice and a Court Judgment

Bad faith occurs when an insurer doesn’t just deny a claim but handles it so unreasonably that it violates the duty to act in good faith: refusing to investigate, demanding documents that don’t exist, or offering $5,000 for a $50,000 loss with no explanation. Florida Statute 624.155 allows suits for bad faith, but the 2022 reforms added new requirements.

Key changes and requirements:

  1. You cannot file a bad-faith lawsuit until a court has determined the insurer breached the contract. Section 624.1551 (added in 2022) requires that the underlying breach of contract claim be resolved (by settlement or judgment) before a bad-faith claim can proceed. This flips litigation strategy from a single-step to a two-step process.
  2. You must file a Civil Remedy Notice (CRN) with the Florida Department of Financial Services before suing for bad faith. The insurer then has 60 days to cure the violation (usually by paying the claim). If you skip the CRN, the court will dismiss your case.

Bad-faith claims still allow recovery of attorney fees if you win. The 2022 reforms eliminated attorney fees for breach of contract in some property insurance claims under Section 627.428, but bad-faith claims under 624.155 still permit fee recovery, which is one reason insurers contest bad-faith allegations aggressively.

The statute of limitations for bad faith is five years, but it doesn’t start until after the breach determination. If you win the breach claim in 2025, you have until 2030 to file the bad-faith claim.

The 14-Day PIP Rule Kills More Claims Than Anything Else

Florida’s auto system is no-fault: your own PIP coverage pays medical bills regardless of fault. PIP covers 80% of medical expenses up to $10,000. But if you don’t seek medical treatment within 14 days of the accident, you lose all PIP benefits — not a reduced amount, but zero.

Section 627.736(1)(a) contains no exceptions. It doesn’t matter if you felt fine at the scene and pain began weeks later, or if you were hospitalized for an unrelated injury and couldn’t see a doctor within 14 days. Miss the deadline and insurers will deny the claim.

Common pattern:

  • Client gets rear-ended, feels sore but not injured.
  • Client waits three weeks, then sees a doctor and files a PIP claim.
  • Insurer denies the claim citing the 14-day rule.

Once PIP is denied, you must try to recover from the at-fault driver’s bodily injury coverage. If that driver only has minimum limits ($10,000 in Florida) and your bills are $15,000, you pay the difference.

Insurers Will Demand Documentation That Doesn’t Exist

A frequent bad-faith tactic is demanding proof that’s impossible to produce. For example: a pipe bursts in your Pembroke Pines home while you’re at work. You call a plumber, fix the pipe, and file a claim. The adjuster asks for the receipt from the original pipe installation in 1987 — which you don’t have — then denies the claim for inadequate documentation.

This also happens with roof claims: insurers ask for maintenance records going back 10 years, invoices for every repair, and proof the shingles were installed by a licensed contractor. Most homeowners don’t keep that paperwork, and insurers know it.

Section 626.8797 requires a sworn proof of loss, but it doesn’t require producing documents that never existed or that a reasonable person wouldn’t keep. When insurers cross that line, it can be bad faith — but you still must fight it, usually through the CRN process.

Another tactic is recorded statements. Adjusters may ask for a recorded statement days after the loss to fish for inconsistencies to deny the claim later. You are not required to give a recorded statement in most property insurance cases. The policy may require cooperation, but cooperation does not mean allowing the adjuster to put words in your mouth on tape before you fully assess the damage. If an adjuster pushes for a recorded statement too soon, that’s a red flag.

When to Hire an Attorney Instead of Fighting the Insurer Yourself

Most people try to handle claims on their own at first. That makes sense, but insurers have legal departments and adjusters whose job is to pay as little as possible. You are at a disadvantage.

Hire an attorney if any of the following apply:

  • Your claim is denied outright — hire an attorney immediately; denials are rarely reversed without legal pressure.
  • The insurer offers a settlement that is a fraction of actual damages — do not accept a lowball offer without advice.
  • The insurer is dragging out the process — not returning calls, not sending adjusters, or not making decisions (these can be signs of bad faith).
  • The insurer demands unreasonable documentation or asks you to sign medical authorizations that give them access to your entire medical history.

Florida law requires insurers to acknowledge your claim within seven days and make a decision within 60 days of receiving your proof of loss. If they miss these deadlines, they may be violating the statute.

Attorney fees in bad-faith cases are recoverable if you win, meaning the insurer pays your lawyer. Post-2022 reforms eliminated attorney fees for breach of contract in many property disputes, but many insurance claim lawyers still work on contingency: you don’t pay unless you win.

The Difference Between a Breach of Contract Claim and a Bad Faith Claim

  • Breach of contract means the insurer didn’t pay what they owed under the policy. Damages are limited to the policy benefits you should have received plus interest. You don’t get emotional distress or punitive damages in a breach of contract case.
  • Bad faith means the insurer handled the claim so unreasonably that they violated their duty to act reasonably. Bad-faith damages can include additional losses caused by the breach (e.g., high-interest loans taken to pay for repairs, additional damage like mold), and in egregious cases, punitive damages.

The burden of proof differs:

  • To prove breach of contract: show the insurer didn’t pay what the policy required.
  • To prove bad faith: show the insurer acted unreasonably — that no reasonable insurer in the same situation would have handled the claim that way. This is a higher standard.

Under the 2022 reforms, you cannot file a bad-faith claim until you win the breach claim, so most disputes follow a two-phase strategy: win the breach claim first, then file bad faith if appropriate.

What Happens If You Miss a Deadline

  • If you miss the one-year notice deadline for a property claim, the claim is barred; the insurer owes nothing.
  • If you miss the 14-day PIP treatment rule, your PIP benefits are gone; you can still pursue the at-fault driver’s bodily injury coverage, but you may be left with unpaid bills if that coverage is insufficient.
  • If you miss the five-year statute of limitations for a breach of contract lawsuit, you lose the right to sue.

Florida courts do not extend these deadlines. There is no equitable tolling for property insurance claims and no “I didn’t know about the deadline” exception. That’s why the first thing any insurance claim attorney does is check the dates: when did the loss occur, when was the claim filed, when was it denied, and how much time remains on the statute of limitations? If deadlines are tight, everything else takes a back seat.

Protect Your Rights. Call Eric Goldman.

Whether you are buying a home, dealing with a landlord dispute, or recovering from an injury, Eric Goldman can help. Serving clients throughout Florida.

Hiring an Insurance Claim Lawyer in South Florida

If your claim was denied, the settlement offer is inadequate, or the insurer is stalling, contact an attorney who handles these cases regularly — not a general practitioner. Look for someone who deals with Florida insurance law weekly and understands adjusters and defense lawyers.

Most initial consultations are free. Bring:

  • Your policy
  • The denial letter
  • Photos of the damage
  • Repair estimates
  • Any correspondence with the insurer

The attorney will evaluate whether you have a viable claim, explain the deadlines, and estimate the case’s value.

Don’t wait until the statute of limitations is about to expire. Insurers know your deadlines and may drag out negotiations until you run out of time. If you’re six months away from the one-year property claim deadline and the insurer is still “investigating,” they’re likely running out the clock. File the claim, document everything, and get legal help before the window closes.

Call Us Contact