If so, explain why you rejected the settlement offer in your letter. For example, your economic damages are more than the settlement amount.This is a sample letter seeking a reduction in a medical lien. A good debt settlement letter should be concise, thorough, and convincing enough to get a creditor to agree to your terms. Request to begin debt settlement negotiations. If the collection agency or creditor rejects your offer, don't lose hope. The letter should be addressed to the name of the appeals analyst referenced in the denial letter. It should be sent certified mail, return receipt requested. Our Baltimore personal injury lawyer explains why you should pursue legal action with an attorney over accepting an insurance settlement offer in Maryland. Understand your options when the insurance company makes a lowball injury settlement offer, and see a claimant's sample response letter.