Recourse When the At-Fault Insurer Stalls a Property Claim
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Reviewed & verified by A. Jason Velez, Esq.*
Founding Attorney, 1LAW · Last reviewed August 2024
Legal Inquiry
Consumer Legal Issue
My husband was in a multi-vehicle accident that was not his fault, resulting in a fatality. The at-fault driver's insurer gave the policy limit right away and accepted fault. They also paid what our truck was worth with no issues. But the adjuster for personal property is giving us such a hard time for just $1,500, dragging this out. First, she wanted pictures of everything. My husband's truck had a bed topper, so he kept all his fishing gear, tools, etc. in there. The pictures I could supply were of the items burned and broken in the truck right after the wreck. I circled and labeled everything. Then I found the exact items, like she said to do, with the price, and emailed them to her. She emailed back weeks later saying everything has been approved by her manager except for the rare vintage fly fishing rod. She needs pictures and a value for it for her manager. Then we don't hear back from her for weeks after emailing her. Then she emailed today saying nothing is approved and she is closing this case. Is this ethical? We are in Texas.
Attorney Answer
What that adjuster is doing may well be unfair, but the Texas statute you would expect to punish it does not reach your situation — because you are claiming against someone else's liability policy rather than your own.
Texas's unfair settlement practices statute, Tex. Ins. Code § 541.060(a), lists exactly the conduct you are describing: failing to attempt in good faith to reach a prompt, fair and equitable settlement where liability has become reasonably clear, and refusing to pay a claim without conducting a reasonable investigation. Subsection (b) then closes the door on you. In the statute's own words: "Subsection (a) does not provide a cause of action to a third party asserting one or more claims against an insured covered under a liability insurance policy." The prompt-payment rules in Chapter 542 are first-party rules too — they protect the company's own policyholder. Against the other driver's carrier you have no private claim under either, and it is better to know that now than to spend months waiting for leverage that does not exist.
Texas also does not allow an injured person to sue the other side's liability insurer directly. In In re Essex Insurance Co., the Texas Supreme Court held that a claimant cannot maintain an action against the tortfeasor's insurer until the insured's liability has been established. Legally, your dispute is with the responsible driver, not with the company writing the checks.
That is not the same as having no options.
What you can do
1. Put the whole remaining claim in one written package: the itemized list, the photographs you already labeled, the replacement prices you found, and whatever value support exists for the fishing rod. Email it and ask for a written decision with reasons.
2. In the same email, ask for the file to be reviewed by a supervisor and for any denial to be put in writing. A written closure is worth far more to you than another phone call.
3. File a complaint with the Texas Department of Insurance. It is free, it is online, and a claim-handling complaint puts the file in front of someone other than this adjuster.
4. Check your own coverage. Personal items carried in a vehicle are often covered by a homeowner's or renter's policy rather than the auto policy, and with your own insurer you are the customer, so the settlement and prompt-payment rules do apply there.
5. Ask a Texas attorney whether a small claim against the responsible driver is worth pursuing for this amount. Where a driver has died, a claim is generally pursued against the estate, and how that works is a question for a lawyer rather than something to attempt from a form.
Most lawyers offer a brief initial call at no cost, and a few minutes on your specific facts is worth more than any general guidance, including this page.
⏱ Time limits apply. Tex. Civ. Prac. & Rem. Code § 16.003(a) gives two years for property damage claims as well as personal injury claims, running from the day the cause of action accrues, and an adjuster's delay does not stop that clock. Where your dates fall depends on your facts, so do not let a $1,500 dispute drift toward that line — have a Texas attorney check them.
Cases Cited
Published decisions relevant to this issue, provided as legal background rather than advice about any particular case.
- In re Essex Insurance Company, 450 S.W.3d 524 (Tex. 2014) (per curiam) — Supreme Court of Texas
An injured party cannot maintain an action against the tortfeasor's liability insurer until the insured's liability has been established. The no-direct-action rule is judge-made and is not stated in statute, and it explains why the reader's leverage runs against the driver rather than the carrier.
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Frequently Asked Questions
Can you sue the other driver's insurance company in Texas for the way it handled your claim?
Generally no. Tex. Ins. Code § 541.060(b) states that the unfair settlement practices in subsection (a) do not give a cause of action to a third party asserting claims against someone insured under a liability policy, and the Chapter 542 prompt-payment rules are first-party rules as well. The Texas Supreme Court held in In re Essex Insurance Co. that a claimant cannot sue the tortfeasor's insurer before liability is established.
Who can use Texas's unfair settlement practices and prompt-payment rules?
The insurer's own policyholders and beneficiaries — people in a first-party relationship with the company. Someone making a claim on the other driver's liability policy is a third-party claimant and is outside those protections. That is why checking your own coverage matters: on your own policy, the same conduct is measured against rules you can actually invoke.
What can a third-party claimant do about an adjuster who stalls or closes a claim?
Put the entire claim in writing with the supporting documents, ask for a written decision and a supervisor review, and file a complaint with the Texas Department of Insurance, which is free and needs no lawyer. The underlying legal claim remains against the responsible driver, so an attorney can advise whether pursuing that driver is worth it for the amount in dispute.