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Claim Underpaid

Underpaid Insurance Claim? How to Get Full Value in Colorado

Reviewed by

Nelson Waneka

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Updated

A claim is underpaid when the check falls short of what the loss is worth, usually because the insurer narrowed the scope of damage, undervalued the repairs, or priced the work off numbers from another market. Colorado lets you contest that with your own estimates and documentation, and a lowball the insurer can’t justify is bad faith under state law.

Hands holding tax forms with calculator and laptop

A check is not a settlement. The insurer would like you to think it is, which is why the first payment on a property or auto claim so often arrives with a letter that reads like a closing statement. It isn’t. Cashing an ordinary payment check usually doesn’t end your claim (a check or letter marked “full and final” is different, so read both before you deposit), and a number that doesn’t match the damage is a number you can contest. In our Glenwood Springs practice, the underpaid claim is more common than the denied one, and harder to spot, because it comes with money attached.

How do I know if my settlement is too low?

Compare the insurer’s estimate to one you commissioned. Not a guess: a line-item estimate from a licensed contractor who has seen the damage, priced for the mountain towns where the work will actually be done. Then look for the gaps. The roof slopes the adjuster didn’t climb, the drywall behind the cabinets, the matching question on a roof that’s half new and half faded. Look at the pricing too. A desk adjuster in another state, pricing a Carbondale roof off a price list that doesn’t reflect mountain-town labor, is a low number waiting to happen.

Three signals are strong tells. The scope got smaller after your estimate came in. The depreciation is steep and unexplained. And the letter says “final” before anyone has asked you a question.

Why insurers underpay claims

Because it works. Many policyholders take the first check, and many of the ones who don’t take the second. Underpayment is cheaper than denial for the carrier — a denial invites an appeal, and a payment invites gratitude. The mechanics vary: a narrowed scope, depreciation applied to things that don’t depreciate, a software estimate nobody adjusted for the county, a “like kind and quality” call that pairs your cedar with asphalt. On a homeowner’s policy, Colorado law gives you one specific lever here: if the insurer pays depreciated value for your contents, it has to show you the method it used to calculate that depreciation. Ask for it. The answer is often where the underpayment lives.

Can you negotiate or dispute a low offer?

Yes, and do it in writing. Send your contractor’s estimate with a letter that walks the insurer’s numbers against yours, line by line, and asks for a supplemental payment on the difference. Most property policies also carry an appraisal clause: each side picks an appraiser, the two pick an umpire, and the panel sets the amount of the loss. Appraisal mostly settles how much, not whether the loss is covered, and it can be fast. It can also be the insurer’s preferred venue, because it keeps the claim out of court. Read the clause before you invoke it, and read it with a lawyer if the gap is large.

Colorado’s unfair-claims law names the two moves regulators treat as unfair here: not attempting in good faith to settle a claim promptly and fairly once liability is reasonably clear, and forcing policyholders to sue by offering substantially less than they eventually recover. Neither gives you a lawsuit by itself. Both are the standard your insurer is measured against.

What evidence proves the claim was underpaid?

The insurer’s estimate, side by side with yours. Photos before repairs, dated. Invoices for the work actually done, because paid invoices beat estimates. Weather data for the loss date. Every email where the scope got smaller, and every one where you asked why. Keep the depreciation worksheet and the methodology you requested. And keep the policy, because the fight is often over a line in it: a matching provision, an ordinance-and-law endorsement, a replacement-cost benefit the insurer treated as actual cash value. On a homeowner’s policy, a full copy with endorsements is yours within three business days of asking.

When underpayment becomes insurance bad faith

An insurer may not unreasonably delay or deny payment of a claim for benefits it owes, and paying part while unreasonably withholding the rest is a denial or delay of the rest. When that’s proven, the penalty under Colorado’s bad-faith statute is two times the covered benefit plus your attorney fees and costs, applied to the portion the insurer wrongfully held back. A lowball payment isn’t a settlement. It’s a smaller violation of the same statute. A denied claim and a delayed claim are the same law from two other angles, and the full picture is on our insurance bad faith page.

The deadlines run from the underpayment too: generally three years to sue on the contract claim, two on bad faith. If the check came more than a year ago, have the file read now.

Bring both estimates, the payment letter, and the policy. We’ll tell you whether the gap is a negotiation or a case, and what it’s worth. Nelson Waneka reads these files himself. Request a Consult or call (970) 200-2222. No fee unless we recover.

Not sure the insurer is treating you fairly?

Send us the letter and the policy. One call usually settles whether there’s a real dispute.

Request a Consult

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Reviewed by

Nelson Waneka

Nelson has tried insurance and insurance bad-faith cases across Colorado since 2010 — hail, wildfire and water losses in front of Western Slope juries, at the Colorado Court of Appeals, and in the negotiation rooms where most claims actually resolve. Other attorneys retain him as an expert witness on how claims should be handled. He has spent his whole career on one side of the table: the policyholder’s.

Best Lawyers “Lawyer of the Year,” Insurance Law (2×) · Chambers USA ranked · Colorado Super Lawyers Top 100 · Colorado Bar #42913

Based in Glenwood Springs. Serving the Western Slope: Aspen · Vail · Grand Junction · Montrose · Basalt — mountain-town claims handled by a mountain-town firm, not a Denver satellite.