Some months back I received a call from a physician who was referred to me by an engineering firm we had worked with on a large project in Longboat Key, Florida that resulted in a multi-million dollar settlement. Not only was the client pleased with our work, but their engineer apparently was equally impressed given the kind words he shared with this physician about our work and the results we were able to achieve with previous claim. During my initial discussion with the physician on the phone, I told him it was unlikely we could prevail on his insurance claim based on the damages he described to me. The insurance industry had changed most policies to take away coverage that was previously available for what sounded to me like a collapse claim.  

Read More

The following is an insurance claim question we answered for a policyholder through the United Policyholders Ask an Expert Forum.

Q. I have been the legal guardian for my mother-in-law. She has recently passed away and I am the PR for her estate, approved and documented by the local courts. I also don't live here full time, but I've had to be here regularly for several years in order to maintain the property which is an asset of the estate. Now I am undertaking the remediation and reconstruction after damage from Hurricane Matthew. Am I entitled to all that the owner would be, such as ALE, etc?

Read More

Q. I have a vacation home near Daytona Beach that was damaged by Hurricane Matthew. Because I am in Kentucky, do I need to physically see the damage myself before calling my insurance company or can I go from pictures of my home from my neighbors?

A. If you have photos that show damages from Hurricane Matthew to your insured property, by all means report the loss to your insurance carrier as soon as possible. I would suggest you email the photos to the claim office.....click to read the rest of the answer.  

Read More

The following is an insurance claim question we answered for a policyholder through the United Policyholders Ask an Expert Forum

Q. I live in Florida and have had an extensive water damage/mold claim that I hired a public adjuster to handle. The insurance company invoked appraisal and the out-of-state umpire determined that mold was accountable for $15,000 of damage although our mold remediation bill totaled $9,500 (we have a mold cap of $10,000 per claim). Secondly, the bathroom tile floor was damaged during remediation and was included as part of the umpire's award. However, the insurance company is refusing to pay the $4,300 floor tile repair portion of the award stating that I must abrogate against the mold remediation company to recoup that loss. Third, my public adjuster is holding the check issued by the insurance company hostage, insisting that I pay his fee prior to endorsing it over to the mortgage company. Please help!.....click to see answer.

Read More

This was a great day for this highly decorated Vietnam War Veteran and his wonderful wife. A recipient of a Purple Heart and 2 Bronze Stars with Valor, this couple tragically lost their home to fire 9-months ago. After receiving insufficient offers to settle their claim and months of delay, we were finally able to negotiate a 200% increase over and above the insurance company's initial offer. And to think that the insurance company adjuster discouraged them from hiring a public adjuster! 
Read More

Periodically, we like to highlight a property claim we’ve handled based on something new we’ve learned, alert readers of important insurance claim issues or just to show the value public adjusters can bring to the claims process. This was a particularly satisfying claim. Not only for the settlement amount we were able to achieve but because it helped improve the client’s perception of the value of public adjusters as you will see by the note at the end of this article.
Read More

Confidentiality settlement requirements are often demanded in the property insurance adjustment process. What happens when you run afoul months or years later as a result of a conflict with some disclosure requirements that overlap the prior agreement? Anybody have any thoughts or answers to this possible fatal conundrum? 

Read More

Last week, I was interviewed by Deirdre Fernandes  who covers the insurance industry for the Boston Globe. Her story   Pricey car insurance policies test consumers     discussed how more policyholders were likely to shop around for both home and auto insurance after the brutal winter left many homeowners disillusioned with their claim settlements and the coverage increases the insurance firms are trying to push through. What’s amazing is how few homeowners shop for the best rates. We handled many winter storm claims in and around Boston and I can tell you many of our clients are now shopping for new policies due to the push back and negative experience they had with insurers some had been paying premiums to for many years. In many cases, these insurers failed their moment of truth. Instead of trying to make their policyholders whole, their adjusters instead looked for technical loopholes to minimize the payouts. The policyholder will have the last say in the matter when they walk away and look for a new carrier.

Read More

There is nothing like being victorious, especially when you know you were right. And sometimes the victory is sweeter when the fight was long and hard as was this commercial property insurance claim from a 2014 hurricane loss in the Caribbean that we wrote about a few weeks ago.

Read More

While most folks are enjoying the spring weather and looking forward to summer vacations with outdoor time with the family, others are still working through the insurance claim adjustment process dealing with adjusters and contractors.  Yes, as hard as it may seem, a lot of folks are still struggling with losses over the last twelve months from winter storms in the Northeast, hail and tornados in the Southwest, and Caribbean wind losses from Hurricane Gonzalo.  It’s been a busy season for Public  Adjusters and with their help, many folks are just now entering into settlement discussions with their insurance companies. So now is the time to pay attention to the details in your insurance policy.  The news media seems to move on from storm to storm with little information offered or shared about the vital information you need to know about your property policy and its terms and conditions.
Read More