Our blog of August 5, The Unlicesed Practice of Public Adjusting – The Claims Keep Rolling In  continues to receive comments from many viewpoints and we appreciate the feedback and dialogue in hopes of responsibly addressing the issue. In an attempt to give fair and balanced coverage to the issue, we publish below a comment from Mr. Ron Reese of First General Property Restoration who operates out of Idaho.  I thank Mr. Reese for the time he put into the reply.

As we've reported to you on this blog, Citizens Insurance of Florida is allow by the legislature to play by different rules. For example, they are exempt from bad faith laws that other private insurance companies must follow. That sometimes means it allows them to act in ways that are not in the best interest of the property insurance policyholder. What is perplexing is that if private insurance companies acted in this manner, they would be subject to sanctions, fines and legal action.

Last week when I published the blog: The Unlicensed Practice of Public Adjusting, the Insurance Claims Keep Rolling In I apparently hit a nerve with a number of professionals from various parts of the property insurance industry that sent some very helpful comments that I’d like to share. Hopefully this may get a dialogue going that addresses this matter in a mutually beneficial manner.

You can bet at any gathering of a group of Florida licensed public adjusters, the conversation will start off with the question of how many Florida public adjusters currently exist. No question about it, Florida saw an explosion in the ranks of the public adjusting profession since the big four storms of 2004, as compared to the historical record.  And this does not include the hundreds of non-resident licensed public adjusters who fly into this State to solicit and handle claims.  In the past few years however, the actual number of in-state licensed public adjusters has started a precipitous decline because of several factors.

Here is an insurance claim question that we recently were asked to weigh in on as a contributing member of insurance claim experts for United Policyholders who advocates for property owners. 

Q. We received a question from a North Carolina consumer regarding a roof replacement due to windstorm damage. The carrier is claiming that only a "spot-repair" is required under the policy but the homeowner has requested a full replacement. This position is supported by the North Carolina Department of Insurance, yet I find scant case law to support it. Further, when I browse through the North Carolina Insurance Code, I find a reference to "like, kind, and quality" v. "functional" repairs but I'm not clear on what this means in practice. If you have had any recent experience with this type of scenario, I would be interested in your insight.

As public adjusters, we tend to see property damage resulting in an insurance claim sometimes well after the damage has been done and errors in filing and estimating the claim or just simple lack of documentation has occurred. Fortunately, policyholders can take a number of steps to protect their property claim. A recent article by Consumer Reports: Hurricane warning: Don’t let your house insurer blow you over states that “ the policyholder needs to stand tough and stand up to make sure you get everything you’re entitled to under your policy. They point out 10 ways to do that.

A recent article from CNN Money Damaged home? How to get an insurer to pay up states that utilizing a public adjuster can help policyholders obtain a fair recovery. As the article states, “Often, policyholders accept low-ball offers from insurers because they don't know what they're entitled to, don't realize how much repairs cost or they're just worn down.” Public adjusters are typically insurance industry veterans who understand the claims process and know how to talk the industry language. Especially with large or complicated losses or during a disaster, involving a public adjuster early in the process can help the homeowner avoid costly mistakes and subsequent denials that require legal action.