Name one internal policy that would deny a claim across the board that's not reasonably accepted now.
I've said full well that I'm not naming any specific insurers. Giving up specifics of INTERNAL policies?
If you have a legitimate claim I don't see how any insurance company could deny paying. Take it to court, take it to arbitration...good luck finding a judge that will side with an insurance company even if by rights they have every right to deny a claim (trust me, that does happen...just because you bought insurance does not mean you're covered for everything, but that doesn't mean a judge will not find in your favour anyway).
You realize that lots and lots of lawyers in insurance litigation have jobs, right?
How do you determine what is a "legitimate" claim? You mean the guy who was changing a flat tire in a mall parking lot claiming against his own insurer in tort pursuant to the unidentified driver provision, only to admit at his examination for discovery that he never saw another car hit his, had no damage to his car, didn't report it to police, didn't report it to the mall (to get security footage), and then didn't initiate the claim until the day before the 2 year limitation period expired, and then served it the day before the time to do so expired (179 days after initiating the claim) - making it impossible to get the said security footage or any other corroborating evidence? And then on discovery, half his answers were, "that was three years ago, I don't remember!"
He thought his claim was "legitimate". My summary judgment motion, from which I got my client $8,000 in costs, payable out of the insured's pocket, said otherwise. He definitely had a solid claim for solicitor's negligence to get those costs back, but no claim against his insurer for anything in tort (accident benefits is another story).
I have a bunch of stories like that, both from plaintiff and defence sides. I also have a number of claims defending property insurance claims.
Do insurers pay out on some "legitimate" claims? For sure - where the evidence is clear and unambiguous. Even still, do some insurers deny payout on "legitimate" claims? Absolutely - if they know it'll cost them a whole lot, they'll deny it entirely in hopes that the unsophisticated person will just "go away", or fight it for years so they can settle out at 50c/dollar.
To your point about the cost of repairs/medical bills/whatever being an issue, absolutely - especially in the motor vehicle context - massage therapists charging $120/hour? Occupational therapists charging $80/hr, plus mileage, plus other expenses (like meals?!)?
Do you know how settlement of property damage is determined (assuming no "replacement value" coverage)? They use Autotrader or kijiji to find used car ads that show "similar" models. Yes, KIJIJI, because Autotrader prices are higher.
The entire insurance industry is flawed - be happy that your premiums only go up by 20% all things considered.