On Property Insurance Claim Tips Blog

This is a frequent question we get after a policyholder has tried to handle their own claim and learns the settlement amount will not return their property to its prior condition.

Q. Does a public adjuster get paid on the full amount of the claim or just the disputed amount?

A. If a prior payment was made before the PA was hired, the PA should not be paid a fee on that amount. Basically, a PA should only be paid on new money they were able to recover after they were hired.

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Your property or business suffered damage during Hurricane Michael. You promptly filed a claim or had a public insurance adjuster document and file the claim for you. A check from the insurance company appears in the mail. Great! How easy could it be? But wait, there’s a catch…..on the back of your check there is language that states you are releasing the insurance company from any further costs related to the claim.

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On February 21, 2018 the policyholder experienced a category 3 water loss in her Carnegie, Pittsburgh home from a broken stack pipe that runs from the second floor bathroom through the kitchen, which in return sent sewage throughout these areas of the home. Immediately upon noticing the damage the homeowner called a restoration company to mitigate the damage and called her insurance company to report the damage. Not knowing what other options she might have, she followed her insurance company’s instructions and sent their claim adjuster a few days later to inspect the loss.

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A lot of properties that experienced Hurricane Irma losses will have Law & Ordinance issues. Law & Ordinance kicks in when the Florida building code requirements impact what will be required in order to obtain a CO (Certificate of Occupancy) in order to reoccupy the damaged structure. It is a separate coverage in your policy that you must elect and covers some of the cost of required code upgrades. If your property (be it commercial or residential) suffers a loss where the cost of repairs is greater than 50% of the pre-loss value of the real property, your repairs must incorporate current building code upgrades. 

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If the inquiries coming into our offices are any guide, policyholders are receiving settlement offers for their insurance claims and many are not happy and in some cases shocked at the offer they are receiving. Most often we are told the offer does not remotely cover the cost of repairs based on estimates local contractors are providing.

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Thank you to our Orlando Public Adjuster Brad Barrett for answering the following question:

Q. I had damage to my roof during a storm. Shingles blown off as well as some hail. Insurance told me to get 3 estimates which I did and then sent their adjuster out and he wrote me a check.  The 3 estimates said I had wind and hail damage and so did the check from carrier but the estimates said I needed the whole roof replaced and the carrier said I only needed the 1 corner repaired where shingles blew off. What should I do?

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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? 

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A few years ago I was invited to speak at a conference of insurance professionals in Rhode Island.  My topic was surplus lines insurance which at that time was a very hot topic, at least in Florida as there was a pending Florida Supreme Court case that had it turned out different, could have changed the surplus market insurance scheme in a big way.  As it turned out due to the Court’s ruling, the surplus lines carriers preserved their unique market position and the world in this insurance community did not stop or even wobble. Having been retained recently on a couple of large commercial fire losses and getting reacquainted with some of the nuances of surplus lines, I thought now would be a good time to revisit this unique line of coverage with a couple of case studies that hopefully will shed light on some of the practical problems for policyholders if they happen to be insured by a surplus lines carrier.

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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

Over the past few months, we have been helping businesses and homeowners try to settle their insurance claims from the extreme Winter Storm damage that has impacted enough property owners in Massachusetts and throughout the Northeast & New England area that this storm rivals the damage done by other major storms we have worked.  As we’ve seen with past major storms with widespread damage, it is very apparent that the insurance company’s are overwhelmed and they are desperately looking for assistance to service all their policyholders who have made claims for their property damage.  Similar to hurricanes, the carriers have enlisted the help of many independent adjusters who have made the trip from as far away as Arizona to help them make inspections, write repair estimates, and make field calls before turning their files in and heading back home.  The issue with this is that most of these independent adjusters are assigned so many claims that there are simply not enough hours in the day for these adjusters to conduct a thorough inspection of the damage and then spend adequate time behind the computer to write a detailed repair estimate.   Read More