Insurance and water damage claims

Posted by admin | Posted in Appraisal Umpire, Fire Insurance Claims, Home Owners Insurance Claims, Insurance Appraisal Services, Insurance Claims Dispute, Insurance Claims Help | Posted on 03-06-2010-05-2008

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Water damage in the home is often covered by homeowners insurance. For example, insurance may cover your losses due to a burst pipe or leaking appliance. However, if your home is flooded because a nearby river overflowed its banks, you’re on your own (unless you have a national flood insurance policy from the National Flood Insurance Program).

Water damage claims are tricky. For example, if your home floods because a high wind event blew off the roof and torrential rains damaged your home, the damage will likely be covered but if the flood is the result of storm surge, you’re probably on your own.

Below are a few water damage claims that are typically covered by insurance: – Burst pipes – Bathtub and sink overflows – Washing machine and other appliance overflows – Water damage from leaking roof

However, insurance policies are filled with loopholes. For example, if your pipes burst because they froze overnight while you were sleeping, the insurance will cover the water damage. However, if you left the home with the heat turned off while on vacation, then expect the insurance company to deny the claim on the grounds that you didn’t perform necessary upkeep of your home.

In addition, say your washing machine overflows causing extensive water damage. The insurance company will likely pay for the water damage to the building and its contents but they won’t necessarily pay to repair the washing machine.

Likewise, a leaking roof can cause water damage which is usually covered by homeowners insurance. However, the roof repairs are considered a maintenance issue and therefore the roof itself isn’t covered. The exception to this is if the roof leaked because of damage from a covered event such as hailstones, falling trees, or high winds.

The following water damage claims are generally not covered by standard homeowners insurance: – Flooding from an overflowing river or lake – Sewer backups – Water seepage

If you want to be covered from natural flooding such as overflowing rivers, tidal surges, and flash floods, you will need to purchase a national flood insurance policy from the federal government. While many people believe that these policies are only for homeowners who live in designated flood plains, it’s important to understand that flooding can occur outside of recognized flood zones.

Sewer backups are not generally covered by standard homeowners insurance policies. In fact, this type of water damage is often specifically excluded from the policy. This doesn’t mean that you can’t insure your home against this type of loss though. Check with your insurance company about purchasing a special endorsement that adds coverage for sewer and drain backups.

Water seepage, which is a common cause of flooded basements, is also excluded from typical insurance policies. Seepage is considered a preventable maintenance issue, not an accidental loss. If you’re concerned about water seeping into your basement, take the necessary steps to maintain your home and prevent this type of damage. For example, you may need to re-grade your lot, install a sump pump, or seal your walls with a waterproofing sealant.

Clearly, water damage related insurance claims are complex. Professional water damage restoration experts in both mopping up the mess as well as navigating the complexities of what’s usually covered and what’s not.

If you need help with a water damage insurance dispute, give us a call.
(C) Joe Brennan is President and owner/operator of Insurance Claims Group, Inc., a national independent adjusting, appraisal, and umpiring firm. We will answer your claim questions FREE as part of our FREE Insurance Claim Consulting Service – Ph: 919-669-9111 . Insurance Claim Help and questions about Independent Appraiser Services is available by visiting Insurance Claims Group | Insurance Appraisal Services | Insurance Appraisal Process | Insurance Appraisal Umpire | Fire Insurance Claims

How to Hire an Independent Appraiser

Posted by admin | Posted in Appraisal Umpire, Fire Insurance Claims, Home Owners Insurance Claims, Insurance Appraisal Services, Insurance Claims Dispute, Insurance Claims Help | Posted on 16-04-2010-05-2008

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An independent appraiser will be needed to dispute your insurance claim damage with your insurance company. In many cases the insurance company has invoked Appraisal on a policyholder… who is left wondering what they need to do.What are independent appraisers?

Independent insurance appraisers provide an unbiased evaluation of claim damage based upon what the policy provides. Individuals and businesses purchase insurance policies to protect against monetary losses. In the event of a loss, policyholders submit claims, or requests for payment, seeking compensation for their loss. When a disagreement on the amount the repairs will cost arises; each party can hire an independent appraiser via he insurance appraisal clause.

Their main role is to investigate claims, negotiate settlements, and reach an agreement on the amount of loss. Some even investigate claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine how much the company should pay for the loss. They may consult with other professionals, such as accountants, architects, construction workers, engineers, lawyers, and physicians, who can offer a more expert evaluation of a claim. The information gathered—including photographs and statements, either written, or recorded audio or video—is set down in a report that is then used to evaluate the claim.

When is the right time to hire an independent appraiser?

An independent appraiser is not needed until you actually have a dispute. Most of the time an independent appraiser is needed hen serious damages occur from fire, floods, earthquake,tornados, lightning strikes and hail.  If you want an independent opinion or are having problems collecting money on your loss, you can consult with an Independent Insurance Appraiser to determine if you should consider the appraisal process.

If you find your self in this unfortunate situation, Insurance Claims Group, Inc. provides a Free Insurance Claim Review.

(C) Joe Brennan is President and owner/operator of Insurance Claims Group, Inc., a national independent adjusting, appraisal, and umpiring firm. We will answer your claim questions FREE as part of our FREE Insurance Claim Consulting Service – Ph: 919-669-9111 . Insurance Claim Help and questions about Independent Appraiser Services is available by visiting Insurance Claims Group | Insurance Appraisal Services | Insurance Appraisal Process | Insurance Appraisal Umpire | Fire Insurance Claims

A Natural Disaster can lead to an Insurance Claims Dispute

Posted by admin | Posted in Fire Insurance Claims, Home Owners Insurance Claims, Insurance Appraisal Services, Insurance Claims Dispute, Insurance Claims Help | Posted on 20-03-2010-05-2008

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Natural disasters can change the face of the world. Believe it or not, the strongest earthquake ever recorded in the United States was located in Missouri, not California. This earthquake was so powerful that it actually changed the Mississippi River’s course. We do not have the power to stop them from happening, but we can do a much better job preparing ourselves from the consequences and protect ourselves from an insurance claims dispute.

Every state that borders the Gulf of Mexico and Atlantic Ocean, which is twenty states including Hawaii face hurricane threats on a yearly basis. The population of the United States continues to grow exponentially, and so does the threat of facing a catastrophe. Tornado, Hurricanes, Floods, and Earthquakes happen all over the United States.

Home values have decreased in some areas that have a lot of natural disasters. Most homeowners have a large amount of their money tied up in their homes. This puts them at huge risk with their finances. Recent natural disasters, such as Hurricanes Rita and Katrina showed us that we are not prepared for natural disasters.

There are many great ideas to help Americans prepare for these natural disasters, and national coalitions like protectingamerica.org advocate these. These organizations are made up of first responders as well as emergency management officials.

One basic solution to this is the emergency of privately funded, but sponsored by government funds for catastrophe. This money would accumulate before a disaster occurred, and is a combination of insurance premiums and government money. This way, the states can fund their own restoration from natural disasters. If property owners can’t be covered by one state, then the federal government would step in. Money would be designated for this one purpose, and could grow every year it wasn’t used.

Another solution includes training and strengthening first responders, better land use policies, and better building codes. A better solution is not going to happen overnight, so here is what you can do in the meantime to prepare yourself:

  1. Familiarize yourself with your town’s disaster plans and come up with a family disaster plan.
  2. Create an emergency supply kit that has plenty of nonperishable food, can opener, paper plates and utensils, lots of bottled water, first-aid kids, flashlight and radio, and plenty of batteries
  3. Put everything important in water and fire proof containers; wills, insurance policies, passports, birth certificates, financial information, phone numbers, etc.
  4. Create a video inventory of your personal property and keep as many receipts as possible.

As stated earlier, “We do not have the power to stop Natural Disaters from happening, but we can do a much better job preparing ourselves from the consequences and protect ourselves from an insurance claims dispute.

(C) Joe Brennan is President and owner/operator of Insurance Claims Group, Inc., a national independent adjusting, appraisal, and umpiring firm. We will answer your claim questions FREE as part of our FREE Insurance Claim Consulting Service – Ph: 919-669-9111 . Insurance Claim Help and questions about Independent Appraiser Services is available by visiting Insurance Claims Group | Insurance Appraisal Services | Insurance Appraisal Process | Insurance Appraisal Umpire | Fire Insurance Claims

Insurance Disputes Solved by the Insurance Appraisal Process

Posted by admin | Posted in Appraisal Umpire, Fire Insurance Claims, Home Owners Insurance Claims, Insurance Appraisal Services, Insurance Claims Dispute, Insurance Claims Help | Posted on 12-03-2010-05-2008

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An increasing number of insurance policyholders have found themselves involved deeply in an insurance dispute about claim damage. Insurance disputes can be financially devastating. A common feeling of most policyholders is that insurance companies are there to actually help them in times of need. Sometimes, that is completely true, however with larger claims, it can feel like you are being taken advantage of.

A house fire, tornado, tree through the roof, or busted pipe can cause large amounts of damage to a home and it’s belongings. People often feel reassured because they have homeowners insurance coverage or business owners insurance. That relief could be premature. Yes, your damages are covered by your insurance policy, but how much will your company pay versus what you have to pay out of pocket?

The policyholder often thinks that if they have been with a company for a number of years and never submitted claim, they will get a fair settlement. It should be that easy. You pay timely premiums, you find a good contractor and submit your claim properly, and it should be paid. However, larger claims dig deeper into the insurance company’s pockets. With more to pay out, any policyholders find out that they are NOT “in good hands,” the insurance company is NOT always “on your side,” and “like a good neighbor… there NOT always there.”

Everyone wants to believe that they will be taken care of in a time of need. That is not always true with more costly claims. These large claims become a huge, costly battle over what should and shouldn’t be replaced or repaired. Many insurance companies do wish to take care of their clients and give them a fair claim settlement for the needed repairs. Unfortunately, there are just as many companies who will do everything in their power to protect themselves financially… instead of protecting and taking care of their clients.

Not many policyholders are aware that there is a clause within their policy that protects them from insurance company greed. It’s called the insurance Appraisal Clause. The clause has a set process to settle insurance disputes that involve the “amount of loss.” If the two parties have two separate estimates and different opinions on how much money it will take to complete repairs or replacement, appraisal is the next step.

Appraisal settles disputes about damage to your home or property. If you suffer a natural disaster that destroys your home, the insurance company will send an adjuster. Disputes begin for many reasons. However, as an example, let’s say the adjuster estimates a fire damage claim at $300,000. Your contractor gives an estimate to repair the damage for $450,000. Obviously there is a dispute on the “amount of loss.” This results in a dispute between the two parties for both repairs and damages. An agreement can not be reached, as neither party is willing to budge. At that time, either party can demand appraisal in writing. Each party must appoint an Independent Appraiser to settle the insurance dispute.

For a more detailed breakdown of the Insurance Appraisal Process policyholders can educate themselves and obtain insurance dispute assistance from Insurance Claims Group.

(C) Joe Brennan is President and owner/operator of Insurance Claims Group, Inc., a national independent adjusting, appraisal, and umpiring firm. We will answer your claim questions FREE as part of our FREE Insurance Claim Consulting Service – Ph: 919-669-9111 . Insurance Claim Help and questions about Independent Appraiser Services is available by visiting Insurance Claims Group | Insurance Appraisal Services | Insurance Appraisal Process | Insurance Appraisal Umpire | Fire Insurance Claims

Insurance Advice: Never Take The Adjusters Word For It!

Posted by admin | Posted in Fire Insurance Claims, Home Owners Insurance Claims, Insurance Claims Dispute, Insurance Claims Help | Posted on 24-02-2010-05-2008

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Many policyholders will rely on the adjuster sent by their insurance company to arrive for a meeting, inspect the claim damages, and provide an estimate for what they believe is a fair settlement of the claim. This is a mistake of enormous proportion that should almost NEVER HAPPEN! Insurance advice rule number one is… Don’t Let It Happen!

I’m not insinuating that there isn’t any good, hard working, professional adjusters remaining out there. I’m also not insinuating that all the adjusters are not trustworthy, or that all adjusters are trying to cheat people. There are many professional and courteous adjusters that go above the call of duty for many policyholders. However, are we so blind an delusional to think that an adjuster can’t make mistakes, that there will never be an adjuster that misses hidden damages, or that every adjuster who works for your insurance company has multiple years of experience with the type of claim on your building? Not Very Likely!

Have you ever obtained a second opinion before having a mechanic do major work on your car? Have you, or anyone you know, ever secured a second opinion before having surgery? A second opinion when hiring a landscaper, when buying a computer, or when hiring a contractor? Have you ever obtained more than one estimate to have work done on your home? Excuse me for assuming that you’ve answered a very loud and proud “YES,” to more than one of these questions, or all for that matter. Then why will policyholders (homeowners and business owners) allow the insurance company’s adjuster to out-right “TELL THEM,” what the damages of their insurance claim will cost without looking into themselves?

Many insurance company adjusters have attended classes to pass an insurance exam and have also attended classes to use insurance claim estimating programs. However, these same adjusters have never worked for a construction company, nor have they ever repaired or built a home, and many have never repaired any damages at their own home. If you end up with this type of adjuster to assess your insurance claim damages, chances are, they will likely miss items, materials, or construction procedures that are required to properly repair the damages.

Simply put, this is what you have been paying for all this time. To be protected when you have a claim. No one would require insurance advice from a professional to realize that this is YOUR money, it is YOUR insurance policy, it is YOUR property, which in turn makes it YOUR responsibility to protect yourself from mistakes or from being taken advantage of. Again, the insurance company adjuster could be 100% accurate with the final analysis and estimate numbers for your claim damages. Regardless of what you think may be true, YOU should be sure. Policyholders need to have an independent insurance appraiser or contractor provide them with a line item, detailed estimate that will ensure their adjuster was correct.

What Qualifies As A Line-Item, Detailed Insurance Claim Estimate?

Many contractors may use a square foot cost to replace a roof or siding on a home. However, insurance companies usually require an estimate that has been detailed by separating each line-item individually. By using the replacement of a damaged roof in our example; the insurance companies will require that each process and layer of the repairs be listed. They need to view each type of material being used to ensure the insured is not upgrading what they had. Surely the insured can upgrade, but, the insured pays for the difference between what they had and what they are upgrading to. That’s the reason they wish to see all items listed separately. Here’s an example of a detailed, line-item insurance repair estimate;

Insurance Advice - Line Item Est. ExampleAlthough the numbers in the example are fictitious; it shows the basics of a Line Item, Detailed, Insurance Damage Estimate. Each of the line-items has been separated in complete detail. The estimate also breaks-down the descriptions, quantities, unit costs, and totals for each item as well. This type of detail is required and needed, so the insurance companies can compare and review each of the items unit costs with their adjusters numbers. Submitting the claim estimate in the format requested by your insurance company will result in a much faster settlement of the claim.

In events when their is an insurance dispute; by issuing a more detailed estimate – provides a much smoother, less time consuming process. It’s much more difficult for your insurance company to dispute an insurance claim estimate that is presented in the exact format that they have requested.

Watch out for yourself, protect and educate yourself, and always seek insurance advice by obtaining a second opinion. This should be the first thought on any and all insurance claim damages you happen to incur. If you fail to look out for yourself… Nobody Will?

(C) Joe Brennan is President and owner/operator of Insurance Claims Group, Inc., a national independent adjusting, appraisal, and umpiring firm. We will answer your claim questions FREE as part of our FREE Insurance Claim Consulting Service – Ph: 919-669-9111 . Insurance Claim Help and questions about Independent Appraiser Services is available by visiting Insurance Claims Group | Insurance Appraisal Services | Insurance Appraisal Process | Insurance Appraisal Umpire | Fire Insurance Claims

Independent Appraiser Provides A Few Tornado Claim Tips

Posted by admin | Posted in Home Owners Insurance Claims, Insurance Appraisal Services, Insurance Claims Help | Posted on 31-01-2010-05-2008

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Winter and spring storms can often include tornado activity in many southern states.  In a recent news interview even an insurance company adjuster admits that many damages from tornadoes are often overlooked.  Policyholders should educate themselves of the various items to look for and how to detect subtle damage which could be very costly and show up months or years after the tornado is long gone.

Many Huntsville, AL neighborhoods were affected by an EF-2 tornado on Thursday Jan, 28th 2010.  Most of the damage created by tornadoes and high winds are pretty hard to miss, but even insurance adjusters can miss storm damages, if they fail to look closely.

A thorough inspection by a insurance claim consultant or independent insurance appraiser is suggested.  Too many policyholders take their adjusters word for it, without getting a second opinion.  This should almost never happen.  Protect yourself and your home by educating yourself on these few wind damage inspection tips.

  • Plumbing:  High winds can shake or rack your home or building.  Policyholders should turn on all faucets in bathrooms and kitchens, then open all cabinets after a few minutes to check the plumbing lines for leaks.  Flush all toilets and run all baths and showers as well.  Look at the ceilings below for water stains.
  • Roofing/Siding:  Look for flying debris that may have cracked, gauges or ripped in to your siding.  High winds can also rip and tear your roof shingles allowing water entry.
  • Windows & Gutters:  Wind and flying debris can crack window glass, rip screens, and dent gutters.
  • Brick & Foundations:  Check for cracking and separation.  Wind can also cause uplift to foundations.  Check the perimeter of crawlspaces.  Severe damages can be hidden.
  • Interior:  High winds can cause stress cracks in corners of walls, and above doors and windows.  Check for settling of floors by using a level.  Over the following few days and weeks, keep an eye out for water stains or yellowing on the walls and ceilings, which could indicate hidden roof leaks.

Insurance companies and their engineers have even been sued for failing to recognize many of these types of damages for insurance claims following high winds and tornadoes.  CNN reported ”State Farm Penalized in Suit Over Tornado Claims :”

State Farm acted “recklessly” and “with malice” in handling insurance claims from dozens of families whose homes were damaged when a wave of tornadoes, including the strongest in recorded history, swept through Oklahoma in 1999, a jury has decided.

The verdict…delivered millions to the lead plaintiffs…

The jury in the District Court of Grady County, Oklahoma, awarded Donald and Bridget Watkins almost $13 million in total damages for their part in the class action suit against the nation’s largest insurer….

As we are all well aware tornadoes have very strong winds.  Even tornadoes that do not actually “touch-down” can cause significant pressure on buildings.  Such winds will push and pull on the structures causing fasteners and building parts to become compromised.

Above all, as stated, call an insurance claim consultant or independent insurance appraiser to inspect your property and be sure your home is safe.  Feel free to call Insurance Claims Group, Inc. at 919-669-9111 to have all your questions answered.

(C) Joe Brennan is President and owner/operator of Insurance Claims Group, Inc., a national independent adjusting, appraisal, and umpiring firm. We will answer your claim questions FREE as part of our FREE Insurance Claim Consulting Service – Ph: 919-669-9111 . Insurance Claim Help and questions about Independent Appraiser Services is available by visiting Insurance Claims Group | Insurance Appraisal Services | Insurance Appraisal Process | Insurance Appraisal Umpire | Fire Insurance Claims