As we continue to help our clients who experienced winter storm damage, settle their insurance claims, we are learning more and more about insurance company claim practices and procedures, some which is quite troubling. This winter in the northeast, we endured some grueling battles with insurance companies which I will detail below. No doubt, insurance is a for-profit business and no business likes to lose money.  We also understand that one can’t generalize one company’s behavior to all insurance companies as they all have their own standards of practice. And like other public adjusters in our industry, there are good apples and there are a few bad that can taint the entire profession. 
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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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It may be no surprise that not a lot of bills were filed in this year’s legislative session to correct any real or imagined property insurance crises and those that were, died in various committees.   After all, we are fast approaching a decade of no major hurricane strikes that some are saying is a record going back over hundred years! The sitting duck we were supposed to be is looking more like a stuffed bird hung on the wall. Yes, I know it only takes one, but let’s hope the good times continue to roll. There is too much at stake to see Florida or any of our coastal neighbors hit with the big one in this year’s 2015 Atlantic hurricane season just as we are in full recovery mode from the great recession.

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For those of us who are insiders in the Florida claim adjusting business, the AOB issue has been the hot topic with a whole host of folks calling for its demise. I had previously written about this insurance claim scheme and the response to my blog was amazing. Seems no one likes the assignment of benefit except for some of the folks in the restoration business and of course a hand full of lawyers who have discovered a new opportunity to collect attorney fees. 

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After a scathing report about engineering fraud on 60 Minutes, it looks like FEMA is going to allow policyholders the ability to reopen all Superstorm Sandy insurance claims per a NPR report. As a licensed public insurance adjuster who represents policyholders and handled Sandy flood claims, it would be helpful to understood that the NFIP (National Flood Insurance Program) sets their own very rigorous and draconian adjusting practice that have lead to the situation we have here. As an example, NFIP will not allow for any discussion on the scope of the loss other than what their adjusters says was flood damaged. If there is a disagreement, then the dispute resolution process in the flood policy called appraisal cannot be used to determine scope issues, only price.

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An online poll published in the Boston Globe on Saturday, showed over 70% of Bostonians are rooting to break the record snow fall of 107.6 inches. To date, they are only 2 inches shy. Who would have guessed that with all the misery from snow, ice and freezing temperatures, that folks in Boston would be in the majority and want those extra few inches to best a 124-year National Weather Service record? 

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As I write this, I am sitting in LaGuardia airport waiting for a flight back to Florida.  I was called up to New York to meet with a prospective client who owns a building in Manhattan that has suffered structural damage due to a new building being constructed next door.   Florida’s tourism boom this year is apparent in New York; snow, ice, then freezing rain and back to snow with 6-8 inches predicted for the five boroughs of NYC.  Other parts of the country are predicted to get even more snow, then freezing temps. Clearly, northerners are flocking to Florida in droves trying to escape the brutal winter especially in the northeast. 

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It looks like the Florida Legislature has taken the first steps in properly addressing the Assignment of Benefits (AOB) issue that is creating insurance claim and other problems. For first time readers, AOB is when a policyholder assigns their claim benefits over to a contractor. 
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I am from the government and I am here to help you. The famous line from then presidential candidate Ronald Reagan claiming that the government is here to help you, will in my view always be remembered as the defining quote in his campaign that led to a conservative Republican victory and his election to this country’s highest office.  But that was then, what does it have to do with current events?
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The 2016 Windstorm Insurance Conference at the Roosevelt Hotel in New Orleans was a huge success with 850 in attendance. The annual event is all about the best of the best in the property insurance industry that volunteer their time to teach and educate attendees on the latest trends. As a side benefit, the networking with leaders in their field is incalculable. Unlike many other forums around the country, this is the only one I am aware of where you encounter three or four faculty in a workshop all representing a different perspective.  Got questions, ask the panel--no issue or questions are off limits.
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