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At-fault driver's insurance denied my claim over a 'coverage issue' — what does that even mean?

I'm still kind of in shock over this. Got rear-ended about three weeks ago at a red light — other driver was 100% at fault, admitted it at the scene, and the police report backs that up completely. Open and shut, right?

Wrong, apparently.

I filed a claim with the at-fault driver's insurance and just got a letter saying the claim is denied due to a 'coverage issue' on their policy. That's it. No explanation of what the coverage issue actually is. I've been going back and forth with their adjuster and keep getting vague non-answers.

My own insurer says I might be able to go through my own policy depending on what coverage I carry, but that I could still end up with out-of-pocket costs and a hit to my deductible — even though I did absolutely nothing wrong here. That feels completely backwards.

Some things I'm trying to figure out:

  • What are the common reasons a policy gets flagged for a 'coverage issue'? Like, did the other driver let their policy lapse? Were they excluded from the policy for some reason?
  • Can I actually get a written explanation of exactly why coverage was denied, and do I have a right to that?
  • Is using my own uninsured/underinsured coverage typically the move here, and does my insurer then go after the other driver to recover?
  • Would talking to a personal injury attorney even be useful for something like this, or is that more for injury settlements?

My car has significant damage and I've got some neck stiffness I'm still dealing with. Just want to understand my options before I make any moves. Any experience with this kind of situation would really help.

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