How to File a Complaint Against a Texas Insurance Company

Texas · A complaint is not a second claim

Write the dispute down, then take it to TDI if the company still will not explain the payment.

Start with the insurer. A lot of “they will not pay” fights are a missed line on an estimate, or actual cash value paid first and replacement cost still waiting on repair invoices. That holdback is recoverable depreciation when the form says so. It is not a denial. Ask, in writing, what was paid, what was denied, and which policy sentence they used. Keep the date, the name, the photos, and the estimates. This is educational, not legal advice, and it does not change a claim.

Appraisal argues the amount. It does not decide coverage. If the policy has an appraisal clause, that process is for a disagreement about how much a covered loss costs, not for “is this flood, wear, or a covered peril?” A public adjuster can represent you on a property claim for a fee. Licensing and the contract are yours to check. Neither one is a substitute for the denial letter. Home-claim payment fights: when a Texas home claim is not paying enough. Roofs, without a promise they will buy a new one: getting a roof paid.

The Texas Department of Insurance takes consumer complaints about insurers, agents, and adjusters. Use the process on tdi.texas.gov, attach copies, and say what you want looked at: a delay, a disputed estimate, or how an agent behaved. TDI can ask the company to respond and can look at whether a rule was broken. It is not your lawyer, and it does not pay the claim because you disagree with the number. A court, or the policy’s own dispute clause, is a different path. Deadlines are on the policy and in the statute that applies. This page does not invent one.

Complaint counts TDI publishes are not a ranking of who pays claims fairly. The home list is home insurers by complaint count. The auto list is auto insurers by complaint count. A carrier ending your policy is a different problem from a claim check: can they drop you and cancellations, nonrenewals, and lapses.

Send the missing invoice or the missed damage first. File with TDI when the written explanation still does not match the policy. Ask an agent if you need the form read, not if you need someone to force a payment.