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[GA] Can an insurer refuse OEM repairs and rely on photo estimates in auto claims without inspection?

Liz
Liz

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Under Georgia law, insurance companies are required to act in good faith when handling claims (GA Code § 33-4-6). This means they must conduct a thorough investigation and provide a fair settlement based on the actual damages. Relying solely on photos without an in-person inspection might be seen as insufficient, especially if it leads to an inaccurate assessment of the necessary repairs.

The use of OEM parts is often a point of contention. While insurers may argue that non-OEM parts are sufficient, Georgia law can support the use of OEM parts if they are deemed necessary to restore the vehicle to its pre-loss condition, particularly for newer vehicles like yours.

The appraisal clause in your insurance policy, if applicable, allows for a third-party evaluation of the damages and can be invoked if there’s a disagreement over the amount of loss. This process can help resolve disputes between you and the insurer regarding the cost of repairs. If they continue to refuse, you could also consider an option like moving to mediation or arbitration.

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I have a collision claim in Georgia with an insurance company involving a 2025.5 Volvo with fewer than 6,000 miles.
The insurance company has never performed an in-person inspection; all estimates and reviews were based on photos only.
I selected an independent Volvo-certified repair facility that follows Volvo OEM repair procedures.

Independent OEM-compliant estimate: ~$10,000
The insurance company estimate: ~$5,400
Deductible: $1,000
The insurance company payment issued: ~$4,400
Disputed amount (excluding deductible): ~$4,600

The difference is primarily due to OEM-required parts, labor hours and hourly rate, scans, and calibrations that insurance company classified as unnecessary or excessive.

I submitted the independent shop’s estimate, Volvo OEM repair guidance, and requested a formal review under Georgia Rule 120-2-52. The insurance company completed a desk review only, stated nothing additional was owed, and directed the shop to submit supplements if additional damage is found. No physical reinspection was conducted.

The independent repair shop requires a standard authorization making me responsible for any unpaid balance. I want to understand my rights and best course of action before authorizing repairs.

Questions:

  • Under Georgia law, when can an insurer lawfully refuse OEM-required repairs as “not necessary,” particularly on a near-new vehicle?
  • Does the insurance company’s reliance on a photo-only estimate and refusal to reinspect weaken its position?
  • If I pay the disputed amount after repairs and seek reimbursement, does that prejudice my legal claim?
  • Is invoking the appraisal clause (if applicable) or pursuing reimbursement after repair the better approach in Georgia?
Lexi

Lexi, Chatbot

I understand how frustrating it can be to deal with an insurance claim, especially when it involves necessary repairs for your vehicle. Have you already communicated with the insurance company about your concerns regarding their estimates and the lack of an in-person inspection?

I requested a formal review of their original estimate with my concerns about their original estimate not returning the car to pre-loss condition, utilizing a non-certified shop and non-OEM parts. I included documents from Volvo requiring OEM parts and their position on replacement of certain items vs repair.

Lexi

Lexi, Chatbot

Are you currently working with a repair shop that is familiar with the legal aspects of insurance claims in Georgia?

I assume so. They have been in business for a while and advised me to request the formal review through the insurance company.

Lexi

Lexi, Chatbot

Is there anything else the lawyer should know before I connect you? Rest assured they’ll be able to help with your collision claim.

No, not that I know of.

Liz

Liz

Hi there! My name is Liz, and I’ve been an attorney for more than a decade, and I am here to assist with your legal concerns.

Please note that this is a legal information-only service. No attorney-client relationship is formed from our conversation.

So I can best help, did they say what about the repair made it unnecessary?

The insurance company has not provided a specific reason for why any of the OEM-required repairs are considered “unnecessary.” Their review was desk-only, based solely on photos. They stated that “nothing additional is owed at this time” and that the parts are “within the standards of what the insurance company owes.” They directed me/the shop to submit supplements if additional damage is found.

Liz

Liz

Thanks for sharing that. It sounds like a frustrating situation. Has the shop tried to submit the repairs as supplements?

No. I took the car to the shop for an estimate prior to receiving the insurance company’s estimate so I could have a comparison, and the insurance company requested that I not leave the car at the shop until after their investigation and estimate process was completed.

So the car is currently at my house.

Liz

Liz

Has any work been done yet?

No.

Liz

Liz

Under Georgia law, insurance companies are required to act in good faith when handling claims (GA Code § 33-4-6). This means they must conduct a thorough investigation and provide a fair settlement based on the actual damages. Relying solely on photos without an in-person inspection might be seen as insufficient, especially if it leads to an inaccurate assessment of the necessary repairs.

The use of OEM parts is often a point of contention. While insurers may argue that non-OEM parts are sufficient, Georgia law can support the use of OEM parts if they are deemed necessary to restore the vehicle to its pre-loss condition, particularly for newer vehicles like yours.

The appraisal clause in your insurance policy, if applicable, allows for a third-party evaluation of the damages and can be invoked if there’s a disagreement over the amount of loss. This process can help resolve disputes between you and the insurer regarding the cost of repairs. If they continue to refuse, you could also consider an option like moving to mediation or arbitration.

The independent shop requires a repair authorization prior to starting work stating that I am responsible for any amounts not covered by insurance.

I had hoped to get the insurance company to agree to cover the OEM-required repairs and parts before work begins, but they have refused to revise their estimate. While they maintain I can use any shop I like, their estimate really only covers using one of their DRP shops.

I am concerned that a DRP shop would not perform repairs in accordance with Volvo OEM standards, including proper parts, labor operations, scans, and calibrations, and would likely only produce cosmetic results.

Questions / Potential Courses of Action:

  • Proceed with independent shop, pay ~$4,600 difference, submit supplements, and seek reimbursement later
  • Attempt another review request now
  • Other strategies to protect my rights and minimize financial exposure
Liz

Liz

You can choose to have the repairs done at your independent Volvo-certified shop. This ensures that the repairs meet OEM standards. You would initially cover the $4,600 difference and have the shop submit supplements for the additional costs to the insurance company. If the insurance company denies these supplements, you could pursue reimbursement through small claims court or other legal action.

This approach ensures your vehicle is repaired correctly but does involve upfront financial risk. You also could consider threatening a complaint to the Department of Insurance.

If I proceed and submit supplements, would that preserve my right to seek reimbursement later? Would submitting a DOI complaint at the same time strengthen my position?

Liz

Liz

Submitting the complaint can help strengthen a claim. You could also make it clear you’re objecting to their denial of those claims but are proceeding with repairs as you need a car and request they escalate the objections. You could also submit the supplements, with the mechanic providing detailed reasoning as to why it’s needed as a repair.

The insurance company is sending me a check. If I accept it, am I waiving my rights?

Liz

Liz

Accepting the check does not necessarily mean you agree with their estimate or waive your rights to pursue additional reimbursement. You can deposit the check but make sure to document that you are accepting it as partial payment only, and that you reserve the right to seek further compensation for the OEM-required repairs. Keep all correspondence and documentation related to your claim to support your position if you need to pursue further action.

Thanks.

Liz

Liz

Of course.

Liz

Liz

43,836 satisfied customers

Liz
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