Denied isn’t final.It’s an opening argument.
Carriers deny on vague language — “wear and tear,” “pre-existing”— and bank on you accepting it. Recourse reads your denial against your own policy and your state’s insurance code, then writes the appeal they hoped you couldn’t.
They count on the ninety percent.
Every denial is entered as evidence — then answered, one exhibit at a time.
We read the letter against the policy it contradicts. Each contradiction becomes an exhibit with the carrier’s own language on the record.
To the Claims Review Department:
This letter contests the denial of the above claim and demands reconsideration on the following grounds:
1. The denial cites “wear and tear,” yet the policy expressly covers mechanical systems under five years of age against failure. The unit is three years old. §4.2 · CA INS. CODE §790.03(h)
2. The carrier approved this identical unit in 2023, estopping the present position.
3. The $1,500 appliance sublimit was misapplied to a scheduled $3,900 HVAC system.
The letter sounds like a lawyer because it argues like one.
Your appeal cites the policy’s own clause, your state’s insurance code, and — where carriers have a pattern — the pattern. You review it, sign it, and send it certified.
- Every argument locked to an exhibit
- Nothing asserted that the record doesn’t already prove
- Editable to the last comma — nothing sends without your signature
Carriers stall past their own statutory clocks.
Recourse counts the days.
And when the clock runs out, Recourse drafts the regulator complaint for you — the sharpest thing you can put in front of an adjuster.
Quiet proof.
OUTCOMES VARY. THE APPEAL IS YOURS TO WIN — RECOURSE ARMS IT.
Priced like counsel who’s on your side.
Your state's rules and your case's strength — see exactly where the denial fails before you spend a dollar.
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“Their letter said wear and tear. My policy said covered for units under five years.Mine was three. Recourse put those two sentences next to each other and they paid in eleven days.”