INSURANCE WON'T PAY?
Roland will check your case and get your money back.
You open your mailbox and find a letter from the insurance company.
Lots of technical jargon, long sentences, no sense of whether it's good or bad.
That's exactly where we come in: Let's look at 5 typical insurance letters – and translate them into plain English. So you finally know what's what.
It sounds harmless, but it's important. It often says something like:
"To further investigate the damage, we require the following documents..."
What this means in plain English:
The insurance company has not yet rejected your claim.
But she hasn't agreed yet.
She wants more food so she can make a decision.
Typical required documents:
invoices,
Photos,
medical reports,
Police report
Confirmations from third parties.
What you should do now:
Do not ignore the letter.
Collect the required documents.
Check deadlines (“please by…”).
If in doubt, double-check with us: Does this demand make sense?
Risk-BOT tip:
Take a photo of the letter and send it to us via WhatsApp.
We'll tell you if this is standard – and what you really need to deliver.
The unpleasant classic. It says something like:
“Unfortunately, we are unable to settle the claim in accordance with section XYZ of their terms and conditions…”
In plain terms:
The insurance company initially says: "No."
Common reasons given include exclusions, alleged lack of coverage, and alleged misconduct.
What you should do now:
Don't give up immediately.
Check (or have someone check) whether the justification is actually valid.
Don't react emotionally ("That's unfair!"), but remain objective.
Risk-BOT tip:
You send us the rejection as a photo or PDF.
We will translate for you:
What exactly is the reasoning?
Is this legally/contractually plausible or very "creative"?
Is it worth filing an objection or asking a question?
With membership you even get help with formulating your answer.
These letters are stressful because they contain deadlines. For example:
“Please let us know within 7 days whether you agree to the regulation…”
In plain terms:
The insurance company wants a response within a certain timeframe.
If you don't respond, it can be interpreted as either agreeing or not being interested.
What you should do now:
Check the date of the letter.
Calculate the deadline.
Don't wait until the last day to react.
If you are unsure, please forward this information to us immediately.
Risk-BOT tip:
Take a photo of the letter and send it to Risk-BOT via WhatsApp.
We'll tell you how urgent it is and what options you have.
Together we can formulate an answer that secures your position.
It reads something like this:
"The insurance coverage for the claim you reported is currently being reviewed. We ask for your understanding that this may take some time."
In plain terms:
The insurance company has not yet formed a clear opinion.
She is keeping all her options open.
It can take time – sometimes longer than you'd like.
What you should do now:
Don't accept the status completely passively.
Questions: What information is still missing? Are there any deadlines?
Start preparing evidence and documents in the meantime.
Risk-BOT tip:
We'll look at it together with you:
What does your contract look like?
What are the chances?
What can you proactively deliver to speed things up?
This way you're not in the "waiting room", but actively at the wheel.
It sounds nice at first: "Goodwill". A typical phrase:
"Without acknowledging any legal obligation, we are offering you a payment of … as a gesture of goodwill."
In plain terms:
The insurance company wants to pay without admitting that it actually has to.
That can be fair – or very “economical”.
What you should do now:
Check: Is the offered sum realistic?
Ask yourself: Does that really cover your damages?
Not to sign "in a flash" out of pure gratitude.
Risk-BOT tip:
We'll look at this with you:
What is the actual amount of damage?
Is there any evidence that this was a case of "understating the facts"?
Is negotiation/inquiry worthwhile?
The truth:
Most insurance letters are not designed to make you feel good.
They are technically correct in their wording – but often incomprehensible.
You don't have to translate this alone.
This is what it can look like with Risk-BOT:
You take a picture of your letter.
You send it to Risk-BOT via WhatsApp.
You get:
a plain-text summary ("What does it say?"),
an assessment (“Is this okay?”),
a recommendation ("What should you do now?"),
Depending on your membership, you may even find ready-made phrases for your reply.
Especially with the claims assistance membership and Elite package, you have:
an insurance translator in your pocket,
someone who is not in the insurance company's camp,
Someone who says: "That's fair" or "There's room for improvement.".
Insurance letters are not an intelligence test. You don't have to understand them on your own to be "grown up".
You may:
Ask questions.
Have letters checked.
Saying "I don't understand anything" without feeling ashamed.
If you're tired of sitting alone in front of cryptic texts:
Roland will check your case and get your money back.