INSURANCE CLAIMS TIPS
Each year homeowners pay billions of dollars in insurance premiums, and one of the most discouraging things that can occur to a homeowner is paying your insurance premium for years, and yet have the insurance company deny an insurance claim.
Preparation and planning well before a loss occurs can help homeowners avoid potential frustration, and promptly getting the professionals involved when it comes time to file can help ensure receiving an adequate payout. Here are some tips on being prepared for a loss and what you can do to ensure your full reimbursement:
(1) MAINTAIN A THOROUGH INVENTORY
Being fully reimbursed on your insurance claim begins by listing what you own, particularly the more expensive items, including what they cost, even if you can on document an estimate.
Taking photos or even shooting video while you describe the items and how much you paid for them, works too. And, if possible, take digital photos and video, which you can store online. In the event that your computer is damaged during the loss, you will need to access your media.
(2) UNDERSTAND YOUR COVERAGE
Knowing what your insurance policy covers and what it doesn’t is essential to getting through the claims process quicker. Sifting through the language can be overwhelming, but all you need to know is what type of policy you have and the extent of your coverage
(3) GET THE PROFESSIONALS INVOLVED
As soon as damage strikes, contact the necessary professionals to complete temporary repairs and investigate the claim. Especially in instances of water damage. Prompt effective water mitigation is essential to prevent further damages.
Additionally, just as the insurance company has an adjuster working for them, you can have an adjuster on your team who has your interest in mind. An independent insurance adjuster will help you understand your policy and assist you through the entire claim process.
At All American Public Adjusters, we have experience negotiating claims with Allstate, Statefarm, Nationwide, Travelers, and numerous others
[middlerepresent}Types Of Damages
- Storm Damage
- Hail/Wind/Water
- Hurricane
- Tornado
- Fire Damage
- Water Damage
- Pipe break
- A/C Leak
- Dishwasher Leak
- Mold Damage
- Theft/Vandalism Damage
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- Published in F A Q
There is a lot of conflicting information on the internet concerning public insurance adjusters. Some resources advocate their services, whereas others say hiring them is not crucial and will leave you with less money. It is important to do your homework and separate fact from opinion in order to determine the truth.
In a nutshell, public adjusters are licensed insurance claims professionals that appraise damage, prepare written estimates/documentation, and negotiate settlements on behalf of the homeowner. The difference in opinion seems to be whether or not they are worth hiring. To answer this question, we can take a look at the statistics from an independent study.
To evaluated the impact of public adjusters on insurance claims, the Office of Program Policy Analysis & Government Accountability conducted an independent study on claims from Florida’s Citizens Insurance Company. The study answers a very important question about Florida public adjusters: What are the outcomes on claims processing and payments when using a public adjuster?
During the 2004/2005 hurricane season, over 300,000 homeowner insurance claims were filed with Florida’s Citizens Insurance Company. The majority of these claims were settled between the insurance company and the homeowners. However, a small portion of claims were settled using public adjuster representation.
For this study, over 76,000 claims were examined (approx 61,000 non-catastrophe and 15,000 catastrophe claims). After careful analysis, it was determined that policyholders with public adjuster representation typically received higher settlements than those who didn’t use them. If we look at claims related to the 2005 hurricanes, they achieved settlements that were (on average) 747% higher than those without representation. The study also shows more than half the catastrophe claims were re-opened by public adjusters to get clients additional compensation for their loses. This is further proof that public adjusters can get higher settlements for their clients.
If we use the figures above, the difference in settlement would be as follows:
SCENARIO A (A Homeowner with no Representation)
A homeowner experiences damage as a result of a storm, and files a claim with their insurance company. After the company adjuster visits the homeowner and appraises the damage, they give a settlement of $10,000 for the damages/loses to the homeowner
SCENARIO B (A Homeowner represented by Public Adjuster)
The same homeowner decides to hire a public adjuster, instead of trying to settle it on their own. After they appraise the damage to the home and submit the documentation for the claim, the homeowner receives a settlement of $63,495 (after a 15% fee [FL state average] paid for the adjuster’s services)
Conclusion
Although some might argue against the use of Florida public adjusters, statistics show they get larger settlements than those who do not use their services. This is especially noticeable with catastrophe insurance claims. The only question now is whether you want to risk a significant portion of your settlement by going against the odds and not hire one.
Article Source: http://EzineArticles.com/6590340
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- Published in F A Q, In the News
Q: With my store being closed for over a month, I am losing money. How can a Public Adjuster help me?
Q: Since the flood we have not been able to use the east side of the hotel, without the normal income of a full hotel we are unable to make ends meet. Can a Public Adjuster help me some money sooner?
Q: Since my tenants have had to move out of my rental property, there is no income coming in and i am unable to stay afloat for much longer. Can a public adjuster help me?
A: As a business owner, cash flow problems are among one of the most severe consequences when dealing with a settlement of a large property- loss claim. This is another way that the expertise All American Public Adjusters, Inc has can help you. Quite often wear able to negotiate with the insurance company to advance money to deal with the most important needs.
Q: My employees and I have attempted to remember everything that was in the storage rooms through the facility. How can a Public Adjuster help me with this?
Q: The fire destroyed all of my records necessary to prove my claim. Can a Public Adjusters help me reconstruct the inventory?
Q: I’ve asked my employees to help, but we are all having trouble remembering what all we had stored in our storage rooms throughout our facility. How could a Public Adjuster possibly be able to help me with this problem?
A: All American Public Adjusters can help you with this problem by reconstructing and inventory of your damaged or lost contents. We are knowledgeable in the right questions to ask and how to re-document the prices of items for which you no longer have receipts for. We are able to anticipate the problem and therefore making the process quicker and easier.
Q. In our factory we have unique equipment. How can I convince my insurance company’s adjusters of how much it will cost to replace the expensive machinery?
A: As with any policy the contract is between you and your insurance company and requires you to prove your loss. All American Public Adjusters, Inc experts will document your loss as proof for your claim and will negotiate in order to get them to agree with our estimates.
- Published in F A Q
Q: We currently cannot stay at our house and are living in temporary quarters; due to this we must drive our children to school every day. This leads to us incurring bills we normally would not have. What can a Public Adjuster do to help cover this additional expense by the insurance company?
Q: Since the loss occurred we have been staying in a motel, now we realize that the house will not be ready for several months. As a Public Adjuster help us get relocated to a house?
A: As a homeowner you may not be aware of the very helpful “Additional Living Expenses” (ALE) provision of their insurance policy. This provides a way for someone who has suffered a loss to be able to continue living life as comfortable as possible until the home is inhabitable again. At all American Public Adjusters we are experienced in helping our clients receive the full benefits from this coverage. In the past we have been successful in negotiating with your insurance company to get them to advance money for you to be able to survive while your claim is being settled. Call All American Public Adjusters, Inc now to find out how we can help you stay afloat during this rough time.
Q: My husband and I cannot remember everything we had stored in our basement. How can a Public Adjuster help me?
Q: All my records necessary to prove my claim were destroyed in the fire. Can a Public Adjuster help me reconstruct inventory of the contents lost?
A: All American Public Adjusters, Inc is extremely experienced in these types of very real scenarios. With our help we will be able to reconstruct an inventory of your contents. We are aware of the sorts of questions to ask, and are able to re-document the prices of items for which you no longer have receipts. We are also familiar with what the insurance company’s adjusters objections. Therefore we are able to make sure your claim is completed properly.
- Published in F A Q
Q: What is a Public Adjuster?
A: Public Adjusters are extensively trained on property loss estimating and assisting in documenting, negotiating and settling insurance claims. Our Public Adjusters will take care of your claim from beginning to end. They will work closely with you in insure that the insurance company provides you with the most reasonable and prompt settlement
Public Adjusters are not attorneys and can only represent you with regard to your first party insurance claim. They cannot represent you in court nor can they represent you if you have a claim against a third party.
Q: Why do I need a Public Adjuster?
A: As experts in policy and insurance a Public Adjust works to get the compensation you deserve in order to fix your loss. While the insurance company is not always on your side and does not hold out for your best interest, All American Public Adjuster is always on your side.
Q: What is the cost to retain a Public Adjuster?
A: Public Adjusters will establish a percentage charge of the net settlement of the claim. This will be established at the start of your claim process. Once the claim is settled, the customer will receive payment of the entitled compensation and will be responsible for remittance to the Public Adjuster. If All America Public Adjuster, Inc. does not succeed in collecting a settlement, YOU ARE NOT responsible for any payment.
Q: I don’t understand what a Public Adjuster can do for me that I can’t do myself.
A: The insurance policy is a contract agreed upon at time of purchase. You as the policyholder and your insurance company as the insurer are held to very specific obligations. The most crucial fact of the policy, is that in order to get your insurance company to pay for your losses, you have to prove your claim to them. While many try to do this process themselves, they quickly come to realize that it is impossible for them to get the results that a trained professional will be able to achieve. In order to achieve the desire results you will have to become an overnight expert in pricing of everything from loss of use income to depreciation and of course become a will have to become a wiz at organizational and negotiating skills that are developed only from years of training. Often you forget how little time you actually have, when filling your claim without a Public Adjuster often this will become your full-time job for months and even years. When hiring All American Public Adjusters, Inc we will make sure that the process is smooth and proceeds as quickly as possible so your life is not affected further.
Q: The insurance company’s adjuster seems very knowledgeable about the claims process. Why should I be concerned about him misleading me?
A: In most cases the insurance company’s adjuster is knowledgeable, after all this is his job. But just like in divorce you wouldn’t use your ex’s attorney, why would you use your insurance companies adjuster? The expectation is that you are already aware and know how to do what is required to convince them and there employer that they ought to pay you for what you are claiming you have lost. You must bear in mind that insurance companies are for profit business and they must worry about the bottom line at all times, because of this there goal is not to fix your loss but to not pay out more then the bare minimum on the claims they receive.
Do not hesitate call All American Public Adjusters, Inc, our trained and experienced professionals are here to represent and guide you through the intricacies of documenting, presenting, and negotiating with your insurance companies. They will help you receive what you deserve for your loss, based in the maximum mount your coverage entitles you to.
Q. I still don’t see why I need a Public Adjuster – I already have an Independent Adjuster working on my claim.
A: Just as the claim process is confusing, understanding the types of adjusters maybe difficult. The word “independent” means that the licensed adjuster is able to represent more then one insurance company. Although his is “independent” he does represent the company and not the policyholder. His income or commissions are paid by the company that is represented and that is where his loyalty will always be. A Public Adjuster on the other hand has been licensed to represent individuals who have purchased a policy from an insurance company. As a consumer you are part of the public and therefore the only type of adjuster who can represent your needs is one who has the word “PUBLIC” in their title.
Q. How is a Public Adjuster paid, and how much?
A: A Public Adjusters fee in all cases is a percentage of the total amount you receive for a claim. All American Public Adjusters is not paid anything until you have been paid. Please note that in many cases we are able to help you use your policy’s benefits in such a way that it will help to more then make up for the fee.
Q. Do Public Adjusters have to be licensed or certified?
A: The majority of states do require Public Adjusters to be licensed and bonded by each state’s Department of Insurance. All American Public Adjusters, Inc is licensed in Florida, Georgia, North Carolina, Tennesee, Illinios, New Jersey, New York, Nebraska, Kansas, Colorado. If your state is not listed don’t worry we can still help.
Q: My policy says I’m supposed to make some temporary repairs to protect my damaged property. How do I know what to repair now and what to wait till later to repair?
A: All American Public Adjusters, Inc will help you make these important decisions, as this is included in the many service we currently provide for our clients. Our general advice, after a loss it that you should protect your property as if you do not have insurance. Our knowledge in this area will definitely help to ensure you collect for all damages. Call All American Public Adjuster right away so we can help you from the beginning of the process.
Q: We have a lot of building contractors and cleaning/restoration companies knocking on our door, wanting to do our work and help us file out insurance claim. Why should I hire a Public Adjuster to do this for us, instead?
A: Many policyholders have developed confusion from this fairly recent development. Salesman and building contractors have begun presenting themselves a being qualified to help you with the intricacies of your insurance policy as well as claiming to have expertise in helping you to get the insurance company to pay for your repairs and cleanup. In reality, in most cases, these people are not licensed in any state to act as a claim adjusters, nor do they possess the necessary training. Often they are treading on the fine line with separates adjusters from builders, that is imposed by ethics. Contacting All American Public Adjusters ensures that you have a licensed and trained representative in documenting and settling your claim. We can also help you find ethical, bonded contractors to complete your repairs.
Q: Isn’t it a good idea to go ahead and get everything cleaned now by a professional restoration service instead of waiting until I have settled my claim?
A: Absolutely not! As a policyholder this is probably the single biggest mistake you can make.The reason for this is once the process had begun, the cleaning bill reduces the amount of coverage you have left to replace what has been destroyer or damaged in your loss. Although it s a well intentioned mistake it clearly illustrates why policyholders like yourself are in need of a Public Adjusters on there side. To avoid costly mistakes like this, call All American public Adjusters, Inc and speak to one of our trained professionals.
Q: Who decides if an item needs to be repaired or replaced? My insurance company and I are disagreeing on just about everything.
A: The policy, which is a contract between you and the insurance company has terms that require you to prove your loss. As your representative, All American Public Adjusters, Inc will work to justify your claim by documenting, and negotiate with the insurance company’s representative on your behalf in order to get them to agree with our decisions on these issues. If no agreement can be agreed upon by you and the insurance company, the Appraisal Claus of your policy may be on option considered. Please see the Appraisal Clause Section of this website, for more information on this option.
FAQs FOR HOMEOWNERS
Q: We currently cannot stay at our house and are living in temporary quarters; due to this we must drive our children to school every day. This leads to us incurring bills we normally would not have. What can a Public Adjuster do to help cover this additional expense by the insurance company?
Q: Since the loss occurred we have been staying in a motel, now we realize that the house will not be ready for several months. As a Public Adjuster help us get relocated to a house?
A: As a homeowner you may not be aware of the very helpful “Additional Living Expenses” (ALE) provision of their insurance policy. This provides a way for someone who has suffered a loss to be able to continue living life as comfortable as possible until the home is inhabitable again. At all American Public Adjusters we are experienced in helping our clients receive the full benefits from this coverage. In the past we have been successful in negotiating with your insurance company to get them to advance money for you to be able to survive while your claim is being settled. Call All American Public Adjusters, Inc now to find out how we can help you stay afloat during this rough time.
Q: My husband and I cannot remember everything we had stored in our basement. How can a Public Adjuster help me?
Q: All my records necessary to prove my claim were destroyed in the fire. Can a Public Adjuster help me reconstruct inventory of the contents lost?
A: All American Public Adjusters, Inc is extremely experienced in these types of very real scenarios. With our help we will be able to reconstruct an inventory of your contents. We are aware of the sorts of questions to ask, and are able to re-document the prices of items for which you no longer have receipts. We are also familiar with what the insurance company’s adjusters objections. Therefore we are able to make sure your claim is completed properly.
FAQs for Business Owners
Q: With my store being closed for over a month, I am losing money. How can a Public Adjuster help me?
Q: Since the flood we have not been able to use the east side of the hotel, without the normal income of a full hotel we are unable to make ends meet. Can a Public Adjuster help me some money sooner?
Q: Since my tenants have had to move out of my rental property, there is no income coming in and i am unable to stay afloat for much longer. Can a public adjuster help me?
A: As a business owner, cash flow problems are among one of the most severe consequences when dealing with a settlement of a large property- loss claim. This is another way that the expertise All American Public Adjusters, Inc has can help you. Quite often wear able to negotiate with the insurance company to advance money to deal with the most important needs.
Q: My employees and I have attempted to remember everything that was in the storage rooms through the facility. How can a Public Adjuster help me with this?
Q: The fire destroyed all of my records necessary to prove my claim. Can a Public Adjusters help me reconstruct the inventory?
Q: I’ve asked my employees to help, but we are all having trouble remembering what all we had stored in our storage rooms throughout our facility. How could a Public Adjuster possibly be able to help me with this problem?
A: All American Public Adjusters can help you with this problem by reconstructing and inventory of your damaged or lost contents. We are knowledgeable in the right questions to ask and how to re-document the prices of items for which you no longer have receipts for. We are able to anticipate the problem and therefore making the process quicker and easier.
Q. In our factory we have unique equipment. How can I convince my insurance company’s adjusters of how much it will cost to replace the expensive machinery?
A: As with any policy the contract is between you and your insurance company and requires you to prove your loss. All American Public Adjusters, Inc experts will document your loss as proof for your claim and will negotiate in order to get them to agree with our estimates.
- Published in F A Q
So, you’ve experienced hail damage. You may have thought to yourself that you remember the hail storm but looked up at your roof and really didn’t notice any damage. The fact is you can’t see hail storm damage from the ground and most home inspectors have not received any formal training on hail damage to roofs.
In order to know if your home has actual hail damage, a home’s roof must be inspected by a person who has training, knowledge, and experience. When you have hail damage, you will see some of the tiny granules of a roof missing and over time the roof damage will get progressively worse and possibly shorten its lifespan. Ultimately your roof will end up leaking.
Even if your roof has minimal damage you have a valid insurance claim and should file with your insurance company. The damage caused by a hail storm might not cause your roof to leak for years. This makes it very critical to have a qualified person inspect your roof. Most insurance policies allow a homeowner 14 days to report a loss, known as the 14-day rule. It is important to do so in that time frame because the insurance company will come back and say that this was something that happened over a long period of time, also known as pre-existing condition, and that the homeowner failed to mitigate the damages in the time frame allowed.
So what do you do if you think you may have hail damage to your roof and want to file an insurance claim? GETCLAIMHELP! Contact All American Public Adjusters, Inc to review your policy and verify if you have the proper coverage. After our experienced and knowledgeable adjusters inspect your loss, and justify that you in fact have hail damage, we will assist you with filing a claim. We will meet with the insurance company’s adjuster and justify your damage with proper estimates and with our expertise, get you a maximum settlement for your loss. Contact us today for a free claim evaluation.
[footer1]ADDITIONAL COVERAGE BY ENDORSEMENT Our policies are designed to meet the needs of our average policyholder. We chose to exclude coverages most of you do not need. However, after reviewing the basic coverages automatically provided, you may feel your unique needs require more specific or additional protection. We may be able to provide that protection by endorsement. An endorsement is an attachment to your policy that amends the coverages already provided. The following are some of the more commonly purchased endorsements and the coverages they provide; others are available upon request. If made a part of your policy, each of these endorsements will result in an additional charge. Let us customize a policy for your specific needs. Policy deductible applies to each endorsement unless otherwise indicated. HO-32 Special Coverage Endorsement — (Condo Unit policies only) Without this endorsement, damage to the residence premises is covered only if it is caused by one of the perils listed in the policy. This endorsement provides broader coverage — responding to any cause except for those specifically excluded. For instance, this endorsement would cover accidental damage to floors, ceilings and walls such as spilling paint, or scorching a kitchen countertop with a hot pan. HO-35 Loss Assessment Coverage — If you belong to an association of property owners, and if the association is liable for someone else’s Bodily Injury or Property Damage, or if you must pay your share of covered damage to the group’s jointly owned property, the policy will cover up to $1,000 of your share of this cost. This endorsement permits you to buy coverage higher than $1,000 or coverage for more than one location. HO-48 Other Structures — If you feel that the limit for Coverage B Other Structures automatically provided by your policy (10% of your Coverage A Dwelling limit for one– and two-family residence in New Jersey and Pennsylvania; 5% of your Coverage A Dwelling limit for three– and four-families applicable to New Jersey policies only) is not sufficient, this endorsement can be used to increase your coverage. HO-53 Credit Card, Fund Transfer Card, Forgery and Counterfeit Money Coverage — All policies will pay up to $500 if your credit card or fund transfer card is used by an unauthorized person, or if you experience a loss as a result of a check forgery or the acceptance of counterfeit money. If you feel that $500 is not enough protection, this endorsement is used to increase your coverage. (Policy deductible does not apply.) HO-61 Scheduled Personal Property (available to New Jersey Manufacturers Insurance Company policyholders only) — This endorsement provides broader protection for specific articles of jewelry, fur and/or silverware by describing the covered items on your policy. An up-to-date appraisal which must be acceptable to our underwriters is required for each item before coverage can be afforded. For additional information, please request a Scheduled Personal Property application package. (No deductible applies.) HO-65 Coverage C Increased Special Limits of Liability — This endorsement can be used to increase the basic coverage for items 1, 2, 5, 6, 7,10 and/or 11 in the special limits section of this Guide. Other lnsured Locations —If you own and occupy another one– or two-family residence, this endorsement can extend your Personal Liability and Medical Payments to Others coverages to that location. (Policy deductible does not apply.) This endorsement is also applicable for New Jersey policies for three– or four-family residences that you own and occupy. HO-70 Additional Residence Rented to Others Coverage — For an additional premium, you may extend your policy’s Personal Liability and Medical Payments to Others Coverages to any one– or two-family residence you own and rent to others. HO-75 Watercraft Endorsement — All policies automatically provide Personal Liability and Medical Payments Coverages for: (1) any watercraft equipped with inboard or inboard-outdrive motor power of 50 horsepower or less if rented to you, (2) a sailing vessel less than 26 feet in length if owned by or rented to you, and (3) any watercraft powered by one or more outboard motors with 25 or less total horsepower if the outboard motor(s) is (are) owned by you. If you own or rent a type of watercraft not included above, Personal Liability and Medical Payments may be obtained by purchasing this endorsement. Damage to your watercraft itself is not covered by this endorsement. (Policy deductible does not apply.) HO-76 Limited Escaped Fuel Liability Coverage — Applicable to policies first written in New Jersey on January 1, 2009 and later, and Pennsylvania policies first written on June 1, 2009 and later. Coverage for personal liability due to leaks from fuel systems such as oil tanks is excluded from your policy unless you purchase the HO-76 endorsement, which will provide $100,000 in liability protection. Your first policy year is your ONLY opportunity to purchase this endorsement. If you decide to purchase the HO-76, you will also have $10,000 of coverage, at no additional charge, for remediation and/or restoration expenses that are a direct result of covered liability claims for fuel leakage. Fuel tank replacement is not included, but expenses incurred for property restoration using like kind and quality soil, shrubs and other landscaping materials would be covered. You will not have this remediation coverage without purchasing the HO-76. The HO-76 endorsement will remain on your policy each year at renewal unless you request to remove it. Once coverage has been withdrawn it cannot be reapplied. If you are a Pennsylvania policyholder insured prior to June 1, 2009, liability for leaking fuel systems will continue to be covered without the need for any endorsement so long as your policy remains in effect. HO-95 Water Back-up and Sump Overflow Coverage — The standard policy does not provide coverage for damage caused by water back-up and for water overflowing from a sump. However, if you inform the NJM Insurance Group that your dwelling has a sump pump, this endorsement will provide up to $5,000 for this type of loss, even if it is caused by the mechanical breakdown of the sump pump. Coverage does not apply, however, to the sump pump or related equipment caused by mechanical breakdown. The maximum benefit limit is concurrent with your other coverage amounts; it does not increase the total limit of Coverage A (Dwelling) for HO-2, HO-3 and HO-6 or Building Additions and Alterations for HO-4, B (Other Structures), C (Personal Property) or D (Loss of Use) stated in your policy declarations. HO-95X Water Back-up Coverage — The standard policy does not provide coverage for any loss caused by water which backs up through sewers or drains. However, the HO-95X endorsement provides up to $5,000 for this type of loss. The maximum benefit limit is concurrent with your other coverage amounts; it does not increase the total limit of Coverage A (Dwelling) for HO-2, HO-3 and HO-6 or Building Additions and Alterations for HO-4, B (Other Structures), C (Personal Property) or D (Loss of Use) stated in your policy declarations. HO-277 Ordinance or Law Coverage — The ordinances or laws of your community may require the rebuilding of a damaged home to be in compliance with current building code standards rather than rebuild the structure as it was before being damaged. This coverage will pay for the additional expense of meeting current building codes up to your Ordinance or Law Coverage limit. Your policy will provide Ordinance or Law Coverage of up to 10% of your Coverage A (Dwelling) limit at no extra cost for homeowners (HO-2, HO-3) or condominium owners (HO-6) policies. The HO-277 endorsement will increase coverage in incremental amounts above 10% to a maximum of 100% of the Coverage A limit for a higher premium. For renters/tenants (HO-4) policies, the standard coverage for building code upgrades is 10% of the Building Additions and Alterations Coverage amount, and may be increased to 100% of this coverage limit for a higher premium. HO-290 Personal Property Replacement Cost Endorsement — All policies provide reimbursement for covered personal property losses (not the building itself) based on the actual cash value at the time of the loss but not exceeding the amount necessary to repair or replace the covered property. This means that after determining the amount to repair or replace the covered property at today’s costs, a deduction will be made for any depreciation. If this endorsement is attached to your policy, covered property losses will instead be settled at replacement cost value, meaning that we will settle any losses at the amount necessary to repair or replace the covered property at today’s costs. HO-315 Earthquake Coverage — While earthquakes are rare for this part of the United States, the possibility always exists. Earthquakes are not covered under a homeowners policy. Protection from this risk requires that a separate endorsement (HO-315) be added. Rates for this coverage are lower in our region as opposed to a high-risk area for earthquakes such as California. HO-452 – Residence Held in Trust (New Jersey policies only) HO-455 – Identity Fraud Expense Coverage (New Jersey policies only) HO-458 – Other Members of Your Household (New Jersey policies only) HO-459 – Assisted Living Care Coverage (New Jersey policies only) |
- Published in F A Q, In the News
Dealing with Mold and Mildew in Your Flood Damaged Home
After natural disasters such as hurricanes, tornadoes, and floods, excess moisture and standing water contribute to the growth of mold in homes and other buildings.
Be aware that mold may be present and may be a health risk for your family, if your home has water damage due to:
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Flooding,
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Sewage back-up,
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Plumbing or roof leaks,
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Damp basements or crawl space,
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Overflows from sinks or bathtub, or
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High humidity: steam cooking, dryer vents, humidifiers.
The U.S. Environmental Protection Agency website contains information on mold cleanup and remediation in homes, schools and other large commercial buildings.
The Centers for Disease Control and Prevention website includes general background information about mold health hazards and mold safety recommendations.
- Published in F A Q
Public Adjusters can get you 2-5 times more money on your property damage!
WHY Independent Insurance Agents should consider working with a Public Adjuster to handle and resolve home owners and business insurance damage claims. Insurance agents need to realize that Public Insurance Adjusters are not your enemy. If you help your customer pick a claims professional who understands YOUR insurance claims business, adheres to a Professional Code of Ethics and has an excellent reputation, you will have done a great service for them. Here are guidelines for how to pick a good Public Adjuster: – They should be licensed in the state the loss occurs in – A member of the National Association of Public Insurance Adjusters (NAPIA) – Experienced with a range of disasters and has worked with many insurance companies – Local knowledge of contractors, repair and remediation prices, building codes, etc.
Public Insurance Adjusters Are Not Your Enemy
An Interview with Ronald R. Reitz, CPPA – Quality Claims Management, San Diego, CA
We recently spent an afternoon with Ron Reitz, CEO of Quality Claims Management and Past President of the California Association of Public Insurance Adjusters as well as an Officer of the National Association of Public Insurance Adjusters (He will be President in 2012) . Ron is a Certified Professional Public Adjuster with over 15 years of experience providing hazard claim recovery services to investors, mortgage servicers, homeowners and businesses.
1. After a disaster, insureds have hundreds or even thousands of questions and worries. In a large-scale disaster, many of your local customers will be coming to YOU for answers. You may find yourself answering the phone every few minutes to address more questions and to resolve their fears. As an agent you will find it necessary to read the policy and then get back to the insured with their answers. You may find yourself at odds with the insurer if you add your own opinion or interpretation of the policy language and it differs from the insurer’s. This is an area where a public adjuster can add value since they will be the ones working directly with the insured and the insurer to address all coverage issues.
2. Customers who have suffered a loss are very emotional and upset. You will likely be the first one to receive a call informing you of their loss. Your customer will be in need of some immediate assistance and resources. Some of the things they will need are emergency services and temporary housing. Customers will also ask you to report their claim for them and will inquire as to the entire process. It is likely they will ask for a copy of their policy with a full explanation of their coverages. This is an important process that can be handled by a public insurance adjuster.
3. For the insured who experiences a disaster, working with numerous company adjusters, independent adjusters and contractors can be cumbersome, time-consuming and sometimes may even be infuriating. However, you as an independent agent want to stay neutral – you don’t want your customers yelling at you for decisions the insurer may be making and you certainly do not want your insurance company clients upset with you either. This can be a very challenging position to find yourself in. This is another reason why it makes sense to engage a public insurance adjuster – they are outside of the decision making process and will be an advocate for the insured.
4. Our experience in adjusting large losses and large scale disasters has shown there are a large number of insureds that are under-insured. This is usually the result of the insured shopping for the lowest rates and ending up with inadequate coverage limits. If your insured finds themselves under-insured, the natural thing for them to do is to point their finger at their agent and accuse them of not properly insuring them. Sometimes, a very skilled and astute public adjuster can find additional coverage within the policy to minimize the impact. When selling a policy I recommend the agent spend additional time with the insured to fully explain the coverages that may quickly reach or exceed limits in case of a large loss – such as personal property with the sub-limits; additional structures; landscaping; and building code upgrade to name a few. A good public adjuster will look for all coverages within the policy with a goal of minimizing the effect of an under-insured situation.
5. During the entire claim process it is common for the insurer and insured to have differing opinions on a variety of issues. A professional public insurance adjuster will relieve the burden from the agent by answering and explaining coverages, processes, values and options available to them. In addition, the public adjuster will be able to obtain a value of the loss that is independent from the insurer’s. The goal of the public insurance adjuster is to pursue all coverage the insured is entitled to under the policy. Our experience has shown this is not always the same goal the insurer has. A professional public insurance adjuster can be a strong advocate for the insured and will work with the agent, insured and the insurer to resolve the claim expeditiously for its full value.
[footer1]6. Remember a professional public insurance adjuster is the only adjuster that can represent the insured. The company adjuster and independent adjuster are only authorized to work for the insurer. If the customer does not engage a public insurance adjuster, then they will find themselves without their own representation – or will rely upon their agent to perform that work and you will quickly discover you have a second full-time job. It is an arduous and tenacious task to juggle all elements of a claim and one that should really be performed by someone that does this on a full-time basis.
If you help your customer pick a claims professional who understands the insurance claims business, adheres to a Professional Code of Ethics and has an excellent reputation, you will have done a great service for them.
Guidelines for How to Pick the Right Public Adjuster:
– They should be licensed in the state the loss occurs in
– A member of the National Association of Public Insurance Adjusters (NAPIA)
– Experienced with a range of disasters and has worked with many insurance companies
– Local knowledge of contractors, repair and remediation prices, building codes, etc.
– Knowledge of your insurance company – its top adjusters and claims handling processes and policies
– References from satisfied customers
- Published in Blog, F A Q, In the News
Of all the things there are to worry about, earthquakes are fairly low on the list for those on the East Coast. So it was startling, just as the lunch hour was ending Tuesday and workers in a broad area of North America were settling back into their cubicles, when floors began to shake and chairs rocked.
In Clemson, S.C., water sloshed in glasses. In Washington, chandeliers swayed in the Capitol. And in the tiny town of Mineral, Va., china cabinets exploded.
An unusual earthquake centered near Mineral startled millions of people from Maine to Georgia on Tuesday. In the end there were few reports of serious damage, with more rattling of nerves than of property.
But the tremors disrupted life in some of the nation’s biggest population centers. Tens of thousands of people were evacuated from office buildings. The quake strangled cellphone service, interfered with air traffic, halted trains, jammed roadways and gave some on the West Coast an opportunity to poke fun at Easterners who seemed panicked and uncertain of how to respond. In earthquake-prone areas, people usually are instructed to stay inside to avoid falling debris, but in a post-Sept. 11 world, few argued with evacuation commands.
The United States Geological Survey said the quake struck at 1:51 p.m. It preliminarily measured 5.8 and lasted 20 to 30 seconds. Survey officials reported two small aftershocks, of magnitude 2.8 and 2.2, within 90 minutes of the original jolt. Seismologists, suggesting little cause for further alarm, said the initial quake erupted from an old fault, which, unlike the San Andreas fault in California, normally produces much weaker quakes.
This quake was notable for its incongruity: it was one of the most powerful to hit the East Coast in decades, and yet it caused little damage. Reports of tremors came from as far north as Sudbury, Ontario, where government offices were closed, and as far south as Alabama.
Thousands of people in Midtown Manhattan were evacuated from their offices and found themselves suddenly sprung on a sunny summer afternoon. Farther downtown, police officers ordered the evacuation of City Hall, sending Mayor Michael R. Bloomberg and his staff scurrying out of the building.
But for all the disruptions and the fleeing of buildings, the quake was, for most people, a curious interruption before life quickly returned to normal, providing fodder that lighted up social media sites. “Felt a litle wobble here is Astoria, but none of my Scotch fell off the shelf,” a man who identified himself as William Schroeder posted on an Nytimes.com message board.
Others were more shaken. “I ran outdoors and found my neighbor calling a friend in Virginia who also felt the profound quake,” Bill Parks of Hummelstown, Pa., said in an e-mail. “This quake was like none I ever experienced in the East in my life and I am 76 years old.”
In Washington, the quake led to the quick evacuations of the White House, the Capitol and monuments across the Mall. Air-control towers across the region were evacuated, putting some planes in a temporary hold pattern and diverting some to Boston. Amtrak stopped its trains. The Federal Emergency Management Administration asked the public to refrain from talking on cellphones and to use e-mail and text messages instead in an effort to relieve the congestion.
The epicenter in Mineral is about 84 miles southwest of Washington, and a few miles from a nuclear power plant. Dominion Virginia Power, which owns the plant, said that its units tripped off line automatically as planned and that no damage to the plant had been reported.
Perhaps the most trauma occurred in Mineral itself. The quake stopped everything for hours. Schools closed. Coffee shops shut down. At the Food Lion, on the outskirts of town, managers shooed reporters away but not before one employee said: “The whole floor was going up and down. It was crazy in there.”
Ben Pirolli, 68, who co-owns Main Street Plumbing and Electrical, said he was in the bathroom when the quake hit.
“I was mopping the floor and the next thing you know, everything is falling in on me,” Mr. Pirolli said. “I thought the world was coming to an end.”
Geologists said that the region had frequent earthquakes but that they were usually so small that they were hardly noticed. This one was 3.7 miles deep, bigger than is typical, and produced a rumbling that grabbed the attention of millions of people hundreds of miles away from the epicenter.
- Published in F A Q
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