Author Archives: Public Adjuster Indiana

What is a Public Adjuster?

Public Adjuster meeting with people

What is the difference between a public adjuster and an insurance adjuster?

Indeed, just what is a public adjuster?  According to Wikipedia, a public adjuster is a professional claims handler that is an advocate for a policyholder when it comes to negotiating an insurance claim. In simple terms, you hire a public adjuster to defend your side of a claim when the insurance company’s adjuster recommend your claim be denied, or not paid in the amount you see should have been paid. 

When you have had significant damage to your business, home, or vehicle, you want your insurance claim to be filed and settled quickly so that business and life can go on as intended. As a policyholder, your first step is to identify who to hire as a representative for you, which you may think that would be an independent adjuster, which would be incorrect. 

An independent adjuster works for the insurance company, not for the client. They are hired to protect the insurance company’s bottom line and to legally represent the insurance carrier and their rights.

What is the role of a public adjuster?

As the policy holder, you want a public adjuster that has exclusively worked with insurance policyholders to process involved and typical insurance property claims. A public adjuster can assist with documentation, expediting and filing claims. They assist the policy hold with an entire claims process, legally representing the policyholder to the insurance company. They ensure a policyholder’s claim is handled fast, fair, and get the maximum financial compensation.

What does a public adjuster do?

A public adjuster works for the insurance client, representing the client to negotiate the best results possible. They will study the claim and what the cause of filing the claim was for, the client’s history with the insurance company and any insurance company before. 

Why you should hire a public adjuster?

Your first thought as an insurance client will probably be, “My insurance agent will take care of me and see that I am treated fairly with my insurance claim.”. You would be wrong in that thought though. If you think about it, your insurance agent is a salesperson for the insurance company and the insurance company is their employer. They are going to do what they can for their clients – to a certain level.  

So, is a public adjuster good to have on your side? Absolutely!  They will be the mediator between the insurance agent that sold your policy and you, the client with the insurance policy. They will make sure the insurance policy is followed to the final word that takes your best interest, not the best interest of the agent or their employer, the insurance company.

When should you hire a public adjuster?

When you have an unexpected property damage or property loss, your insurance company is going to have a team of experts on their side. A team of experts against you, the policy holder. As a policyholder, you have your obligations, making your premium payments, and you have your rights. One of your rights is having the ability to hire the services of a public adjuster that will be your advocate. 

So, do you need a public adjuster every time you have an insurance claim? Let’s hope not!  When do you need a public adjuster? Here are four times that you should consider hiring one: 

1. Documentation, Filing and Proving the Claim

There can be many complicating factors when filing an insurance claim and a public adjuster is the person that knows what you need to satisfy the insurance company requirements. 

Insurance claim scan quickly become challenging to navigate. Proving the value of what you lost and being reimbursed an amount equivalent to that amount.  A public adjuster will have the experience and knowledge how to handle your claim and ensure you receive an adequate and proper settlement.

2. Understanding the Insurance Policy Language and The Coverage

A public adjuster is going to work for you, not the insurance company. Their goal is to make sure you are financially covered for your loss, so they will work though the complex provisions and processes. They understand the clauses and legal terms that need to be addressed and answered so that you get the maximum settlement possible. 

3. Time Is Money 

When you have suffered a loss for your business or home, you’re stressed with all the responsibilities entailed with both, so time is money, especially if you own a business. Your time is needed in getting things back to normal, not dealing with paperwork. A public adjuster will take a lot of that off of you, allowing to take care of the family or the business, or both. 

Unfortunately, as the insured, the burden of proof is on you to prove you have coming what you feel you is right. A public adjuster will evaluate your insurance policy and determine the best strategy to present your claim. They will make sure everything is documented and detailed, negotiate with the insurance carrier for you, and keep you advised and informed. 

4. Insurance Company Taking Too Long

As a policy holder and claimant, you may feel that the insurance company isn’t answering and responding in a timely manner. Maybe you aren’t comfortable that they have evaluated your claim adequately and thoroughly. When the lengthy process of an insurance claim is longer than you think it should be, a public adjuster will step in and get the attention your claim deserves and that all related expenses are reimbursed as the policy dictates. 

agreement met

Is it a good idea to hire a public adjuster?

With the reasons listed above, it would be hard to say no to that question, but we’ll review the  pros and cons of a public adjuster: 

Advantages 

  1. Vast Range of Knowledge of Strict Insurance Standards: The only person that will have a knowledge and understanding of the strict standards insurance companies dictate is the policy writers. Public adjusters complete a rigorous training to be licensed and bonded to do what they do.  
  2. Your Advocate: Filing property damage claim is no picnic, even if you know you have coverage. The headache, the stress, it can be overwhelming when you’re involved. A public adjuster is an outsider looking through your window to see what the insurance company is missing. Any issues with why you’re filing a claim for certain items, the insurance adjuster is the objective third party and will negotiate on your behalf.  
  3. Higher Settlement: A public adjuster can often get a policyholders over 700% more in what their insurance settlement offer. 

 Disadvantages

  1. Only Major Claims: Most public adjusters will only handle a major claim that has expensive items and property involved with catastrophic property damage. Typically, if the claim is less than $10,000, you can’t find a public adjuster to take your case. 
  2. A Percentage of the Settlement: Public adjusters have to make a living like anyone. Most public adjusters are paid on a percentage of the claim settlement, which is why they work as hard as they do. The bigger the settlement, the more money they make. 
  3. The Process Is Timely: Most insurance claims that public adjusters handle are pretty quick to complete, but sometimes, they can run into issues that require some work to get around. They want to get you the most money possible without having to take the insurance company to court. 

On Public Adjusters

Are you not sure how to get a public adjuster? Ask other people that have used a public adjuster for referrals is the best method. You can also do a Google search for public adjuster services. You’ll get several to call and question their policies and if they believe you have a case. If you have an attorney, they recommend one to you as well. Call 833-312-5246 today for your public adjuster in Indianapolis, IN.

How do I know I’m getting the best deal on flood insurance?

water coming in to basement

What is flood insurance?

One thing that every homeowners knows they need is homeowner’s insurance. What is included in that insurance can depend on many factors. The things that are typically covered are fire, injury, roof damage, storm damage, and wind damage. What isn’t always covered is flood insurance. Claim assistance is available with most major insurance companies, and that is when you find out if you have flood insurance – or don’t. 

In the United States, natural disasters result in flooding 90% of the time, typically in low lying areas. What many homeowners and renters do not realize, their policy does not have flood insurance specifically. So, any damages and losses from a flood are not covered. 

The majority of flood insurance is obtained through Federal Emergency Management Agency, commonly referred to as FEMA through an insurer.  Flood insurance coverage is for direct physical losses from a flood and losses from flood related destruction caused by currents or waves of water that has exceeded cyclical levels. Or destruction caused by the accompanying flash flood, severe storm, abnormal tide surge or other parallel situation that resulted in flooding.

Is all flood insurance through FEMA?

No, but it is managed and monitored by FEMA. Anyone interested in buying flood insurance should contact their insurance provider first. If they participate in the NFIP program, the flood insurance will be issued by the National Flood Insurance Program (NFIP) and managed and monitored by the Federal Emergency Management Agency (FEMA). Flood insurance is backed through this program by the federal government in effort to minimize the impact that flooding has on businesses, homes, and public structures.

Before 1968, if your business or home was damaged or devastated by flood, you were on your own to rebuild and replace because most insurance companies didn’t offer flood insurance. If a company did offer flood insurance, it was expensive and unaffordable for most. This is when the federal government stepped in to take care of the American people and created the National Flood Insurance Program. 

One goal of this program was to offer flood zone coverage that was government subsidized and making it reasonably priced for individuals. The second goal of this program was to educate communities and the residents the dangers of building in flood prone areas and to educate them to avoid possible flooding.

Not every insurer works with the NFIP program though, so your business owner, homeowners or renter’s policy may be through one company and your flood insurance through another. While that seems to be confusing, it also keeps you from having to shop around for the best rate. Why? Because the federal government through FEMA monitors the rates and there is truly little difference in premium quotes for identical policies.

Confused? Call your insurance agent for more information and inquire if the community you live participates in the NFIP offered by FEMA.  Once you have this policy I place, there are numbers you’ll be given in case you need flood insurance claim assistance.

What is not covered under flood insurance?

It will depend which of the types of flood insurance you purchase through the National Flood Insurance Program, where there are two type of flood insurance coverage offered: 

  1. Building Property: This is required for homes that are in located in a flood zone and coverage is for the dwelling only up to $250,000.  
  2. Personal Property: This coverage is recommended, but not required even in flood zones, and provides coverage for contents of your dwelling up to $100,000. 

Flood insurance is expensive, as much as $700 a year according to FEMA and for homes in flood zones, the premiums can be as much as $2,000. On a good note, the federal government subsidizes some of that amount and as with any insurance plan, the deductible you choose will determine the premium amount, and don’t forget there is a thirty-day waiting period before your flood insurance goes into effect. If you are in the need to file a claim, there is flood insurance claim assistance available to walk you through the process.

Once you have flood insurance policy, don’t breathe relief until after you have filed a claim.  Flood insurance claim denial or underpayment are always possible, like any insurance policy. Being backed by the federal government helps with the premiums but doesn’t guarantee claim payment. 

The following are typical reasons a flood claim is denied, which can be explained in more detail by flood insurance claim assistance representative of NFIP or FEMA: 

  • The 30-day waiting period is still in effect
  • Proof of loss deadline to file has expired
  • Movement of the earth caused the flood
  • Adjuster deemed there was pre-existing damage
  • Your basement is covered in your flood policy 

Who can buy flood insurance?

Anyone can purchase flood insurance if they are in a community that participate in the Federal Emergency Management Agency’s program, NFIPA.  To purchase a new flood insurance policy, call your current insurance company or an independent agent in your area that participates with the NFIP.

How can I avoid paying flood insurance?

You can purchase an elevation certificate; some insurance companies will require one if you’re requesting to drop your flood insurance. This certificate shows that your building or home is at an elevation compared to the estimated floodwater height that could be reached in a major flood for structures in a high-risk flood zone.

slab water leaking through

Will FEMA help with no flood insurance?

If you are in a disaster area that has been federally recognized as such, you may quality for a an IHP grant. disaster area in order to qualify for a FEMA grant, IHP, (Individuals and Households Program). This program provides relief for those without flood insurance, and to assistance for those with flood insurance in paying for expenses that are disaster-related but not covered by their flood insurance policy. A representative of NFIP can provide you flood insurance claim assistance to get as much help as possible.

Do you need flood insurance?  Talk to your insurance agent. If your community doesn’t participate in the NFIP by FEMA, there is a good chance that is felt there isn’t a need for it. If you’re not near a large body of water or in a low-lying area, flood insurance may not be needed. Your insurance agent should be able to provide you answers and information. For help with flood insurance claims, call 833-312-5246 today.

What Does Disputing a Claim Mean?

dispute insurance claim

What Does Disputing a Claim Mean?

When an insurance dispute occurs, it happens because an insurance company and a policyholder do not agree on the terms of a settlement. This disagreement may occur because the insurance company has denied the claim completely, or because the insurance company is offering less than the claimant believes is due to them due to the extent of the damages that have occurred. Finally, this can also occur because the insurance company is delaying payout without a valid explanation. Whatever the cause, when a dispute is opened, it must be resolved to the extent that both parties are satisfied.

How Do I Write a Letter of Dispute to My Insurance Company?

If you need to write a letter of dispute to your insurance company, you will need to find the proper methods and ways of conveying your thoughts. The first thing that you should do is look into the insurance benefit guide book. The information can also be contained in their policy information. You should check to see if there is a time limit for disputing the claim. If for some reason you can’t find the information you are looking for, you can always call the insurance company’s computer service department and ask about the statute of limitations. 

It is important to note that when the customer plans to dispute a claim that not sign any paperwork or accept any money from the insurance company. If they do so, they can’t seek out a different adjuster or a lawyer. The letter that the customer writes should state that the customer does not agree with the result and that they plan to dispute it. The customer should also state that they plan to file an appeal. The letter should be addressed to the specific customer service representative who handles denials.

What Happens if I Don’t Respond to an Insurance Claim?

If you fail to cooperate by responding to an insurance claim, your insurance company may decide to deny you coverage. Since you are the person initiating the claim, you may feel like the process should be easier since you are cooperating with the insurance company. In all instances of working with the insurance company, it is important that you work with them fully. This is in order to ensure that you have a good level of communication throughout all insurance processes.

Why Do Insurance Companies Lowball?

Many individuals find themselves needing 2nd opinions and dispute insurance claim help. This is because many insurance companies do not provide assistance upon the first appeal for help. A lowball offer happens when an insurance company offers less for a claim than is needed. You will need compensation for medical bills, lost wages, and other covered damages. If that happens, it will be urgent for you to file an appeal and to work with a public adjuster in order to ensure that you are not being taken advantage of by your insurance company. While many insurance companies deny that they lowball their customers, the people who pay them for coverage, reports run contrary to this presumption.

What Should You Not Say to Your Insurance Company After an Accident?

In order to make sure that you are not incidentally falling into a trap with your insurance company, it will be important for you to consider how you are presenting your claim. If you have a justifiable claim with your insurance company, it is important for you to know how to accurately present yourself. Here is a list of pieces of advice for individuals who need to file a claim after an accident.

  • “I don’t have a lawyer.” Indicating that you do not have legal representation is a bad thing to do. It exposes yourself as being vulnerable.
  • Names of other people involved in the incident. Your insurance policy will cover you, but not other individuals. The statement that you make should be brief and concise.
  • Avoid admitting fault for an accident. It is up to the laws of the land to determine who is at fault. 
  • “This is my official statement.” If you make any mistakes or slip-ups in your “official statement” it could go badly for you.

It is always best to consult with a professional when handling a serious insurance claim.

How to Dispute Insurance Claim

If you are disputing a home insurance claim or settlement offer, it will be important for you to follow the proper protocol. The first step is to contact your insurance agent or company. Review the claim you originally filed. The next step is to consider an independent appraisal if your insurer won’t pay any more than they offered. The final thing that you can do is file a complaint and hire an attorney. You should only consider this last step if your claim amount is high enough.

Can You Dispute Insurance Claim

If you believe that you deserve a different amount than your claims adjuster, then you should dispute the claim. You should consider your timing very carefully when you are going to launch your dispute. This is because your timing can determine the future of your insurance claim.

Building Insurance Claim Dispute

When disputing the claim it is important for you to have all of your documents and evidence handy. It should be clear what the policy states, what it will cover, and what bills remain to be paid. It may be appropriate to hire a lawyer or a public adjuster if the dispute is egregious in scope. You can also follow up with a supervisor, a letter, and you can also complain to your state’s insurance department.

dispute insurance claim

How to Dispute Medical Insurance Claim Denial

The first thing that you should do is find out why the health insurance claim was denied. Read your health insurance policy and learn the deadlines for appealing your health insurance claim denial. If all of this seems like a lot of work, please rest assured that this is true. Perseverance is your friend and will help in addition to evidence and documentation.

If you need help to dispute insurance claim in Indianapolis, IN, our team can help. Please give us a call at 833-312-5246 for high-quality assistance.

How to Claim Theft to Home Insurance

man breaking in to home with a crowbar

Theft Covered Home Insurance

Having something stolen from your home is a traumatizing experience. For all of us, our homes are a refuge where we’re supposed to feel safe and our things are secure. When you’re a victim of theft, it can leave you feeling exposed and not knowing what to do. After reporting a theft at home to the police and exhausting other legal recourse, what else can you do to protect yourself against the effects of stolen property? Have you ever wondered, “Does insurance cover home theft?” Let’s take a look at how you may be able to recover some of your losses with the right insurance policy.

When you are a victim of theft, and even before you something’s stolen, you need to know if you’ve got theft covered home insurance. Most homeowner’s insurance policies offer protection against things like weather damage, fires, but they also cover things like vandalism and even theft. Theft prevention home insurance solutions are widely available but vary from policy to policy.

The main issue with a theft home insurance claim is how much of a deductible you’ll have to pay and how much of the value of stolen goods the policy will cover. Your property coverage will have specified limits that payout on a percentage of damaged or stolen goods. That means in many cases you won’t be able to recover the full amount if something’s taken from you.

If you look at your policy, you should be able to find an explanation of the Actual Cash Value (ACV), which lays out how much it will cover. One thing you can do to get larger payout amounts is to upgrade your policy to Replacement Cost Value (RCV). That will compensate you for how much it costs to replace what was taken. Be aware, though, that it will also likely increase your policy cost.

How Long Do You Have to File an Insurance Claim for Theft?

Ideally, you’ll file an insurance claim for theft insurance as soon as possible. Certainly, your priority is to file a police report in hopes of catching the thief and recovering your actual stolen property. Getting your policy to cover the lost goods is, however, a good consolation prize. Most policies encourage you to file a claim quickly, and some specify that you have 48 to 72 hours to report the loss to your insurance provider after the damage occurred. You need to understand whether that time frame starts from the time the theft occurred or from the time you discovered an item was stolen.

When in doubt, get some theft claim help. You can call your insurance provider directly to ask about the process you should follow to ensure your claim is accepted and approved.

What Is the Difference Between a Dwelling Policy and a Homeowners Policy?

Understanding the difference between a dwelling policy and a homeowner’s policy is very important. Don’t make the mistake of confusing the two. On the most basic level, a dwelling policy covers only the actual home structure. That means is something happens to the roof or a wall, the policy will cover repairs. It does not, however, cover anything inside the property. That means your furniture, jewelry, electronics, or any other valuables are not covered under dwelling policies.

Homeowner’s insurance policies, on the other hand, cover the contents of the home. That means all of your possessions. This is in addition to the structure, so with a homeowner’s insurance policy, you get structural coverage and protection for your possessions.

Why would someone choose only a dwelling policy? Well, they’re usually cheaper, so a lot of property owners who have rental properties or vacation homes use them. They opt for the more affordable option because they don’t store personal valuables in those properties or whatever is in there isn’t that important to them (or has low replacement costs).

theft occuring in the home

Is There a Deductible for Theft?

The simple answer is yes. You’re going to pay a deductible on any theft insurance claim. A common deductible on a homeowner’s insurance policy is around $500. That’s a lot to pay if your TV was stolen, but not such a big deal if your wedding ring was taken. However, you also need to know that most policies will put a reimbursement cap on certain items. Here’s a list of some common items that most insurance companies recognize for theft claims:

  • Cash – Only up to a certain limit
  • Jewelry
  • Antiques
  • Art
  • Coins
  • Tools
  • Bicycles
  • Electronics

This is just a general list. You should read your homeowner’s insurance policy to fully understand what’s covered and what’s not protected under theft insurance. Another thing to keep in mind is that, for example, if you have a very valuable art piece of diamond ring stolen, the insurance payout limit will likely be far less than the worth of the item. It’s worth considering adding a separate policy to specifically cover those items in case they’re stolen. That way you’ll have peace of mind knowing you’re fulling protected with theft insurance. Call 833-312-5246 today for your theft claim help needs in Indianapolis, IN.

Can I dispute an insurance claim?

couple panicking over filing a home insurance claim as they file it

What do I need to know about filing a homeowners insurance claim?

No homeowner ever wants to deal with homeowners’ insurance and claims because that would mean that something has happened.  A claim may make your insurance rate increase or possibly the insurance company may cancel your policy. So, a homeowner will decide if it is worth filing a house insurance claim or not, or maybe pay for whatever the issue is out of pocket.

Your home has been damaged by high winds and violent storms. Or perhaps a visitor fell off your porch. Maybe you were robbed. These and other types of unfortunate events strike, then you should feel confident that when you file home insurance claims, you will be taken care of by your insurance company.  So, do you know how to file a claim and what to expect once you do?

Your homeowner’s insurance policy is a contract between you and the insurance company. There are many home insurance claims do’s and don’ts you should know so you aren’t left holding the bag (or holding your wallet open). Before disaster strikes, you should review your homeowner’s insurance policy, so you have a general idea of what it covers and what isn’t and who is responsible for what.

Here, we have a few steps that are recommended by those in the insurance industry for a starting point.

  • If it’s a crime, file a police report. If your home has been robbed or vandalized, your first call should to the local law enforcement. Get the name and badge number of any officer that shows up and request a copy of the report. These are details that your insurance company will require. or burglarized, report it to the police. Get a police report and the names of all law enforcement officers that you speak with as you may need to provide the details of the event to your insurer.
  • Complete all claim forms promptly. Once you have contacted your insurance company, they will ask questions and possibly send you claim forms. Law requires them to send these to you within a time frame. The more complete you fill them out and the faster you send them back, the faster your claim will get settled and the faster you’ll get your house insurance claim check, which insurance companies are required by law to send immediately after the claim has been approved by them and accepted by you.
  • If you must relocate, keep all receipts. If you cannot stay in your home because of damage, save all receipts and note on each one what the receipt was for. Thorough record-keeping will support your home insurance claims.
  • Ask questions. Never hesitate to ask your agent, the insurance company claims department, or the insurance adjuster questions. If you don’t feel you’re getting the right response and treatment from your insurance company, call the state insurance board.
  • Call your insurance company next. Explain the situation and ask if you’re covered, how long can you file your claim after the incident, and what is your deductible? Ask how long it takes a claim to process home insurance claims, and will they send somebody out to get an estimate for repair or do you get that yourself? How long will it take to process my claim? Will I need to get estimates for repairs to structural damage?
  • Prepare for the insurance adjuster. The insurance company will assign a claims adjuster to come and inspect the damage or situation. This is a representative of your insurance company that is sent to inspect the situation and interview you. They then will make the determination how much the insurance company should pay for repairs or replacement. Get prepared for their visit and show them all the structural damage and a list of items that were damaged.
  • Temporarily make repairs. Before you do make repairs, take pictures and/or a videotape of the damage, and make a list of everything. Then make reasonable and temporary steps that will protect your property from more damage. Throw nothing away until after the adjuster has been there and save all receipts for items you’ve purchased for repairs and survival.

Do I have a right to a second opinion?

Yes! For whatever reason, they feel obligated to take the insurance company adjuster’s word and accept the payment.  The insurance company isn’t the only one that can have an adjuster look at your property, you can hire your own for a second opinion. There are independent insurance adjusters that work home insurance claims they have experience in the industry and know the ropes.

Why is it important to get a second opinion?

You’ve been loyal making your homeowner’s insurance payments, so you’d like to believe that when the time comes that you have to file any home insurance claims, they would be as loyal and prompt to you, right? Well, guess what?

Insurance companies are a business and like any business, they are cutting expenses where they can, and the bulk of their expenses come are paying home insurance claims. So, their adjuster they send out will look for the least expensive way for them to settle. Remember, your claim isn’t the only one they have coming in, especially if the weather has been bad with storms and winds.

When their offer to settle your home insurance claims isn’t acceptable to you, getting a second opinion is smart. That opinion may not be as much, or they may agree with the first one. But then there is always the chance they find in your favor too.

How do second opinions work?

If home insurance claims are denied, or the homeowner doesn’t feel the offer is fair, they may dispute the findings. Sometimes, you can simply provide documentation and pictures, and the company will review and revise its offer. Other times, it is more complicated and requires an outside adjuster to review the case.

The following are steps that you should follow to have your home insurance claims reviewed for a 2nd opinion on insurance claim:

  1. Review and know your policy.
  2. Ask for an explanation of why your claim was denied or was less than expected.
  3. Have your documents and pictures collected together.
  4. Request an independent second appraisal by a person familiar with home insurance claims.
  5. Be sure your home shows that you have all the paperwork and receipts where you have done everything a responsible homeowner should.
  6. File a home insurance claims appeal.
  7. File a home insurance claims complaint if the appeal wasn’t successful.
mold from leak on ceiling

Does insurance pay for 2nd opinions?

No, when home insurance claims settlements are offered to the homeowner and they are not happy with the offer, or they denied the claim, the homeowner pays for a second opinion.  This is something to keep in mind, that is money out of your pocket that may or may not get you more money.  This is often one reason homeowners accept what their insurance company offers.

Your home is an important investment to you and your mortgage company. You’ve paid into your homeowners’ insurance and it should take care of you as you intended.  However, if they don’t handle your home insurance claims as you think they should be, you may have it reviewed again. Always read your policy when you first get it and ask questions then, so you know what you have and what you won’t have. Dial 833-312-5246 today for your 2nd opinion on your home insurance claim in Indianapolis, IN.

What is a Claim Dispute?

dispute insurance claim

What is a Claim Dispute?

Are you involved in a claim dispute? Claim disputes are more common than you would think. Claim disputes occur because an individual and an insurance provider have a disagreement. The dispute could be over medical bills, home repairs, damage to the home or car, what needs to be done and how much it costs, and much more. A dispute could occur over which part of the claim is covered by the insurance provider. It’s crucial for people to understand that this process is rarely fair. The insurance company has a lot, if not all, of the power. Insurance dispute claims usually involve technical and legal issues.

How Do I Dispute an Insurance Claim Denial?

Are you wondering where to start on your insurance claim dispute? Please feel free to read over the following list to discover more about this important process.

  1. Review the claim. The evidence that has been provided to support the claim has a huge impact on the kind of coverage that is extended. Looking at the insurance paperwork, see if any of the damage is covered in any of the articles. By increasing the amount of documentation that is submitted that is relevant to the claim, individuals have a higher likelihood of fairness when it comes to the coverage amount.
  2. Contact the insurance agent. After analyzing and submitting further evidence to support your insurance claim, speak with your insurance adjuster. At this point, it’s important to remember that an adjuster from the company calculated the estimate, not the agent who you will be speaking to themselves. Be cordial and listen to what they say.
  3. Ask if the claim can be reviewed again. Submit that you have new evidence for the claim, and outline any relevant articles in your contract. Perhaps a mistake was made by the adjuster. Mistakes happen. Ask for another review. After another review is made, the settlement number may not change.
  4. Consider an independent appraisal. If your insurance company still refused to change the settlement amount, it’s important to seek out other options. Be sure to select an insurance adjuster who is affordable and located in your area.
  5. Your last option is to file a complaint and hire an attorney. This course of action should be undertaken if the claim amount is high enough.

How Long Do I Have to Dispute an Insurance Claim?

After the incident, an individual has two years to settle a car accident case. If the individual is not able to settle the case within that two year time period, then they will have to file suit to preserve the claim. In the state of Indiana, an individual has 180 days to file a Notice of Claim to protect the individual’s right to file a lawsuit when a government entity is involved. 

How Do I Complain About an Insurance Claim?

You have a right to be upset about the result of an insurance claim. Please review the following bullet points to learn more.

  • Compose a letter. All insurance consumer complaints against insurance companies must be received in writing. 
  • Two ways. There are two ways that a complaint can be submitted to the IDOI. There is an online form that is available, or the form may be printed off and mailed or faxed to the Consumer Services division.
  • 72 hours. The complaint that is filed will be processed within 72 hours of receipt.

Can an Insurance Company Refuse to Pay a Claim?

As previously mentioned, dealing with the insurance company is not necessarily a level playing field. While an individual may have a valid claim, many insurance companies have a “deny first” policy. This is particularly true for larger claims. Persistence is key. An individual can file an appeal several times. It is important for each of these processes to have appropriate and accurate documentation. The stronger and more numerous the documentation, the harder it is for the insurance company to dismiss the appeals out of hand.

When to Dispute Insurance Claim

If you need 2nd opinions and dispute insurance claim help, it’s important to know where to turn. Insurance of all kinds is regulated independently. Insurance is regulated by each of the states and by the District of Columbia. While it is true that there are slight differences between each of the states, there are a few underlying principles that unite the regulations. For instance, insurance companies must precisely represent what is in the policy. Insurance companies are forbidden from asking an individual to fill out unnecessary paperwork in order to have the claim processed.

How to Dispute Insurance Claim Settlement

As previously mentioned, there is a rigorous protocol that must be followed. To begin with, the claimant must review the policy thoroughly and locate exactly the terms that apply to the claim. Next, he or she must find, locate, and create evidence that supports their claim. There is an appeals process, which can be used to justify the claimant’s need for more financial compensation for their damages.

Dispute Letter for Health Insurance Claim

If you are writing a claim appeal letter, it’s integral that you supply all your evidence and documentation. The letter must be addressed to the director of claims unless an exception applies. The situation must be described in your own words, and you must be persuasive in determining how the procedure should be covered. The evidence must be presented in an accurate and thorough manner.

dispute insurance claim

Building Insurance Claim Dispute

While it is true that managing your insurance company or the adjuster can be frustrating and time-consuming, it’s worthwhile for you to get the coverage you need for your damages. Please be sure to follow all the recourses available.

Scheduling an appointment to dispute insurance claim has never been easier. Our staff at Hope Public Adjusters are ready to take your phone call at 833-312-5246. Discover more about how we can help you dispute insurance claim in Indianapolis, IN!

What should you do if your house is struck by lightning?

Lightning strike on a house

When the storm strikes

One thing a homeowner never wants to deal with is lightning damage to the house.  Because lightning damage can ignite and cause your house to burn, or possibly you’ll only have damage from lightning. Hopefully, if you have lightning damage and insurance that will pay for repairs or replacement.

Ice particles colliding within a cloud and breaking apart is how lightning is formed. Positive charges are acquired by the smaller particles and negative charges are acquired by the larger particles. When the wind updrafts, it pushes the small particles up, charging the cloud with the positive current and the negative charges stay at the bottom. As these two charges separate, it creates a large electric potential inside the cloud and between the cloud and Earth. The discharge between the cloud and the Earth is what we see as lightning.

Where does lightning strike the most?

Because of the atmospheric and humidity creating the perfect condition, the eastern Dominican Republic and northwestern Venezuela have the greatest amount of lightning on earth.  As of 2018, results from studies in America showed that Florida had the most negative flasher per square mile and Texas had the highest flash count. Rounding out the list of the top 5 was Oklahoma, Kansas, and Nebraska in that order. 

Lightning damage has been astonishing and shocking in the United States. Some miracles have been given to somebody or something is struck and of course, there has been lightning damage that resulted in death, destruction, and fires. 

What damage is caused by lightning?

There are 300 kilovolts in a bolt of lightning that can reach a temperature of 50,000 degrees Fahrenheit. With that amount of heat and powered combined, the lightning damage to the human body or a structure can be surmountable. Five ways that the human body can be affected, damaged by lightning are:

  1. A Direct Strike: This is the least common but doesn’t cause just lightning damage, it is the deadliest. This happens when lightning moves through the human body. In a direct strike, the lightning current travels directly through the body. The current of the lightening goes across the skin, burning it. Other sections travel through the cardio and the nervous systems, causing brain and heart damage.
  2. A Side Flash: This kind of lightning strike contacts an object nearby and jumps over to a person close to it. The person is usually seeking shelter from a tree or other tall objects.
  3. A Ground Current: When lightning strikes a tree or other object, and some of the current moves along across the ground, striking a person, it is considered a ground current. This type of lightning is related to most deaths and injuries, as well as lightning damage. It is important to know that it also travels through conductive material like a garage floor.
  4. A Conduction: A conduction lightning strike is lightning traveling through metal wires, plumbing, or other conductive objects, and strikes a human. Lightning is not attracted to metal but is a conductor and as such, happens indoors around doors, windows, and electrical outlets.
  5. The Streamers: These occur when the positive streamers extend up from the ground and the ions that are negatively charged, create a field of electricity across the ground, creating a step leader with lightning strikes. Once this occurs, other streamers discharge. The streamers can come out of the ground, trees, or a human.

Structure wise, lightning damage can consist of the following:

  • Fire: The biggest damaging result of lightning is flammable materials such as wood and other materials that explode easily with exposure to high heat from lightning. The current from lightning can travel through pipelines and wires, burning them up instantly, resulting in lightning damage to property.
  • Power surge: If lightning goes through electrical wiring, the surge is explosive and cause lightning damage to any appliance or electrical item that is plugged in.
  • Shock wave: Destructive shock waves can happen from lightning strikes. Shock wave lightning damage can fracture brick, concrete, and stone chimneys. 

Is lightning DC or AC?

Lightning is an electric discharge that appears as a flash or spark that consists of several consecutive strokes, each following another in the same track, at intervals of a few 100ths of a second. What we see is a phenomenon that lasts on a few seconds consisting of several high magnitude strokes. Hence, lightning is not AC or DC, but an impulse signal or a series of impulse signals.

Is lightning damage covered by insurance?

Yes, unless your policy has it listed as an exclusion. Typically, lightning strikes, any lightning damage or resulting fires are covered as perils without any exclusions. This includes your home or outside structure, like the roof, that is covered within your policy, your personal property such as appliances, electronics, furnishings, and other interior possessions. 

rain on a roof

Can you claim for lightning damage?

Yes, and you should be aware there is a procedure that will take place once you file a claim for lightning damage with your homeowner’s insurance: 

  • A claims adjuster will be required to inspect the damage.
  • If the cost to repair exceeds your deductible, you will need to decide to proceed with the claim.
  • If you proceed with the claim, you will receive a settlement offer for repairs.
  • The settlement is sent in two increments with the first one intended to start repairs and the second for any remaining costs when repairs are complete.  
  • If your home and personal property are both damaged, you will receive a check for each one and a separate check for additional living expenses that you have incurred. 

Lightning can be a beautiful thing to watch – from a distance. During a lightning storm, it always best to unplug your electrical devices, stay away from doors, windows and off the telephone. If you’re outdoors, find a low-lying area, such as a ditch, and not under a tree. If lightning strikes your home in Indianapolis, IN, call Hope Public Adjusters today at 833-312-5246!

What is Fire Damage?

Fire Damage Can Wreak Havoc on A Home.

What is Fire Damage?

Fire damage is a very specific term that refers to the physical damage that is done to a property as a result of burning. This damage could occur either directly from the flames, or because of smoke and other corrosive substances emitted by the fire. With regard to insurance coverage, fire damage is usually offered, or covered, by property insurance. There are notably six types of fire damage, and each of these types includes the materials involved and the substances. For example, Class A fire damage involves flammable solids, such as paper, cloth, wood, and plastics.

How Do You Fix Fire Damage?

The first step to fixing fire damage is to assess the damage caused by the fire. For this step, take a pen and paper, and be sure to organize your results room by room. For instance, for the dining room, you would use ‘Dining Room’ as a header, and establish how many materials and fixtures are damaged and destroyed. A professional expert can then come in and confirm your findings. The second step is isolating unsafe areas of the home. After a fire is extinguished, there’s the double duty of establishing how much water damage has resulted from putting the fire out. The next step is water removal, which is the process of removing all the remaining water and drying affected areas. The fourth step is smoke and soot removal. For this process, it is best to secure a professional service.

The fifth step is the sanitization and property cleanup. For this final, crucial step you will need to get a professional estimate from a company skilled in this process. Experience and efficiency is key to getting your home or property back on track.

How Much Does It Cost to Fix Fire Damage?

Averages matter. The overall average for fire damage repair and restoration costs is approximately $3,500 and $5,000 to recover after a small fire. Big projects usually entail big price tags. If the roof needs to be replaced or a kitchen or bathroom was destroyed, replacing those fixtures safely and efficiently will drive up the overall cost of fire damage restoration.

Is it Safe to Stay in a House with Smoke Damage?

It is absolutely imperative for homeowners to be aware that a home with smoke damage could have negative impacts on their health. Breathing in soot or fumes caused by a fire can have disastrous consequences for your lungs and your overall health. It is not healthy whatsoever to live in a house with smoke damage even if the smoke is entirely cleared. This is because there are health and safety hazards that need to be properly evaluated in order to determine the next steps of fire restoration and safe home living.

Is the Smell After a Fire Dangerous?

The lingering smoke odors that occur after a fire are harmful to humans and animals. Gases from wood smoke cause a “campfire” smell that includes acetic acid, benzene, carbon monoxide formaldehyde, formic acid, and plenty of other noxious chemicals. There is a science to smoke odor removal, and the science stipulates that there are millions of sensory neurons. It’s important to remember that aside from the carbon particle, lingering smoke odors represent a range of harmful substances.

Can Fire Smoke Damage Your Eyes

The eyes, ears, nose, and throat all are conduits to your lungs and organs. Thus, it will remain important to keep those parts of your body away from harmful substances, such as smoke. Exposure to smoke can cause irritation. Symptoms include burning sensations, redness, and tearing. Smoke does harm your eyes. Once you get your home back in order, you may decide to re-evaluate your water heater. Tankless water heaters supply hot water on demand and can satisfy the needs of the home in an efficient manner.

How to Clean Fire Damage

If you’re wondering how to clean fire damage, there is help. Please browse through the following list of how to clean fire damage to learn more.

  • Receive permission from a fire marshal to safely re-enter your home. This step is critical if your home has endured a fire that has evacuated the home.
  • Assess what items can be saved, and what needs to be tossed.
  • Open up your windows and doors in order to allow fresh air to circulate throughout the home.
  • Dry wet items before trying to clean any remaining smoke damage.
  • With the room properly ventilated, you can clean with cleaning products. Cleaning products can contain harmful chemicals, which is why it’s important to select ones that have effective, non-harmful ingredients. With an effective cleaner and open windows, you take steps to ensure your health is not negatively impacted.
  • Wear safety goggles and heavy duty gloves. This step is crucial. Protecting yourself is the most important step in the fire damage cleaning process.

After a fire happens, it can be difficult to know where to turn. If your insurance company is not cooperating, there is fire and smoke damage insurance claims help. Make sure to contact your reputable public adjuster to get the coverage you desperately need. 

How Does Fire Damage Concrete

When a fire is exposed to concrete at high heat, extensive damage can occur. This is because of the extreme temperature of the fire that shocks concrete. Through prolonged exposure to fire, the steel beams contained within concrete can weaken, leading to building structure integrity loss.

Fire Damage Can Ravage Your Home

What is Fire Damage Restoration

Fire damage restoration is the process of restoring your home or property to its full potential after a fire. As is the case with water damage restoration, the quicker that efficient help is administered, the better. The first twenty-four to forty-eight hours after a fire or flood are known as the “golden hours” of recovery. After this short time period, water and fire damage becomes more difficult to curtail or control.

Our company can help you with your fire damage. Our staff at Hope Public Adjusters are ready to take your phone call at 833-312-5246. Discover more about what we can do for your fire damage in Indianapolis, IN!

Is a Water Leak Covered By Homeowners Insurance?

Sudden Burst Pipe Can Result in the Need for a Water Damage Insurance Claim

Water Damage and Insurance Claims

There is possibly no worse feeling than finding water where it doesn’t belong. Or watching the water come back up the toilet when it’s supposed to be going down. Sudden and accidental water damage can happen at any time. What can help make the situation easier is knowing that when this type of water damage occurs, it will almost always be covered by insurance. It’s important to note here that any water damage to your property will be covered. The pipe, plumbing, toilet, or whatever caused the damage most likely will not be covered. Any water damage insurance claim process can be daunting, especially if you can’t be in the home to take care of things. That’s why we want to work with you. Anyone with Hope Public Adjusters can help you through the entire claims process in any way that we can. We can offer advice and tips to help make the process feel smooth and effortless or give us a call at 833-312-5246 for help with water damage insurance claim in Indianapolis, IN. Keep reading to see the type of help we can offer you.

Leaking Pipe Can Mean the Need for Water Damage Insurance Claim

Water Damage Insurance Claim Tips

The water damage insurance claim process can seem overwhelming, but it doesn’t have to be. There is one person that you should be able to rely on during that time and that is the adjuster.  When you work with an insurance claims adjuster in Indianapolis, IN, they are your number one resource during the process. This person can offer you the correct information you need to make an informed decision. If you are about to start the claims process for your property, we do have a few tips we’d like to share with you.

  • Document Everything: The number one tip we have for every homeowner is to document everything. This includes taking multiple pictures of the damaged area, writing down everything you do if you patch a leak, and more. Making these notes will not only help the process go more smoothly but can also help your adjuster identify the problem more easily. 
  • Negotiate: Believe it or not, but you don’t have to accept an insurance check if it is not enough. The assigned adjuster may send so much money for repairs, but if repairman gets in there and finds it will cost more time and money, you can renegotiate. 
  • Use Your Benefits: Most homeowners insurance packages come with several benefits that you might not be aware of. If your home is unlivable due to an excess of water, your insurance provider will pay for a hotel stay. They are obligated to actually match your way of living to the best of their abilities. 

When filing a water damage claim with insurance, the most important tip that we can stress is to be as honest and detailed as you possibly can. Providing your claims adjuster with clear, detailed photos can make a world of difference in the process. Where you might find this difficult to do is when you need any kind of slab leak repair. Even in that case, being as detailed as you possibly can about where the problem is happening, what you’ve done in response and more will make the claims process that much easier for you.

Frequently Asked Questions

  • What kind of water damage does insurance cover?
    • Your insurance will usually cover damage to your property caused by a leaking pipe or a burst pipe. Basically, if water damage occurs to your property because of a leaking pipe, the property will be covered. The pipe itself is usually not covered by insurance.
  • How do I file a claim for water damage?
    • Start by turning off the main source of water to your home. If you can see where the problem is, put a temporary patch over the area to prevent further damage. Then contact your insurance provider and give as much detail as you possibly can about the leak, where it is, what caused it and what you have done for a patch.
  • Is a plumber liable for water damage?
    • If it can be confirmed that a plumber incorrectly or inadequately worked on your pipes, and those actions thus resulted in water damage, then yes. The plumber would be legally liable to correct the issue. 
  • Does insurance pay for water damage?
    • Insurance will usually cover water damage when it has occurred suddenly or accidentally. This could be from a burst pipe, a toilet backing up, or a leak in an area of your home that you don’t frequent often. 
  • What do you do if you have a water leak?
    • If you have a water leak, the first thing you need to do is turn off the water source. Doing so will prevent further damage to your property and your pipes. Once that is done you can either contact a plumber or your insurance provider for assistance.
Adjuster Working on Water Damage Insurance Claim

Connect With Us Today for More Information and Quality Services

Rely on Hope Public Adjusters when you need assistance with a water damage insurance claim in Indianapolis, IN. Call us at 833-312-5246 to get started. 

Is Storm Damage Covered By Insurance?

A Picture of a Hail Damaged Roof That Has Been Marked Up By an Insurance Adjuster.

Who Is Liable for Storm Damage?

Every year Indianapolis, IN is affected by storms. When severe storms pass through, they can leave a ton of damage in their wake. Homes are prone to damage when a severe storm strikes, with the most vulnerable areas being the roof, windows, siding, and more. When your home has been damaged, it’s important to get repairs or replacements as soon as possible. While this is really important, it can cost a lot of money. Fortunately, if you have homeowners insurance, you can file an insurance claim for storm damage.

Many homeowners who have insurance typically ask if storm damage is covered by their insurance. Your insurance provider will be able to cover the cost of damages depending on the type of storm that has affected your home. For example, hail, lightning, and wind are covered by your insurance. If an earthquake or flood is involved, then your insurance company will not cover the cost of those types of damages. Because roofs are usually the areas of your home that get the brunt of the damage, a lot of people ask, “Does insurance cover roof replacement?” Again, it depends on how it was damaged. Most insurance companies will cover perils such as fires, hail, and wind that damaged your roof.

How Do Storm Damage Insurance Claims Work?

The first thing you need to do after a severe storm is to file a claim with your insurance provider. Once the claim has been filed by your insurance company, they will send out an insurance adjuster to inspect your property. The areas that the adjuster will look at are the exterior of your home, as well as the roof. If they see that there was sufficient damage due by the storm, they can submit their inspection report to the insurance company, and from there the insurance company can decide whether or not they will cover the cost of repairs or replacements.

In order for all of this to happen, you have to file a storm damage insurance claim. The problem is that a lot of homeowners don’t know how to file an insurance claim. Knowing how to file a storm damage insurance claim will make the process a lot smoother. Here are the steps to filing a claim.

  • Know Your Coverage: Before you file a claim, its imperative that you know what your insurance covers.
  • Inspect Home for Damage: Just because a severe storm has passed through doesn’t necessarily mean your home was harmed. Inspect the exterior of your home (and roof if you have the proper safety gear) to see if there are damages.
  • Gather Evidence: If there are signs of storm damage, you will want to document it by taking pictures. This will be important evidence to have.
  • Call Your Insurance Provider: When you call your insurance company they generally give you a claims number and agent to work with. They can help you through the entire process.
  • Hire a Contractor: If your claim goes through and you accept the amount they give you, call someone to repair your roof and the exterior of your home.

Does Insurance Cover Storm Damage to Roof?

The biggest area of your home that suffers the most damage is usually the roof. When it comes to your insurance coverage, you are probably wondering if it will cover storm damage to your roof. Your insurance company will more than likely cover the cost of roof damages due to a severe storm, but it will depend on what type of storm-damaged your roof. It’s important to note that the kind of coverage you have for your roof will be based on the age of your roof.

Hail Storm Roof Damage Insurance Claim

Hail damage is covered by your homeowner’s insurance, but there are a few things that help determine whether if the damage will be covered. The age of the roof plays a huge role in whether your hail storm damage roof insurance claim will be covered. If your roof is less than 10 years old, then the damage will likely be covered in full; for roofs that are older than 10 years old, they may only give you money based on the depreciated value of your roof.

Wind Storm Roof Damage Insurance Claim

Wind damage, as well as fallen trees due to severe winds, will be covered by your insurance company. Just like hail damage, your storm damage insurance claim might not be covered in full based on the age of the roof. It’s important to note that not all insurance companies follow this policy, but it’s important you know what your insurance company will provide and what the fine print says.

What Type of Water Damage Is Covered By Homeowners Insurance?

A Picture of an Insurance Adjuster Looking at a Clipboard.

Can I File an Insurance Claim for a Leaking Roof?

There are only a few things that insurance companies will cover in terms of water damage. Rain, snow, roof leaks (if the leaks are due to storm damage and not lack of maintenance), mold, burst pipes, water from extinguishing a fire. Water damage that your insurance company will not cover is from flooding, plumbing pipes that weren’t maintained, or pipe backups. If you have filed a storm damage insurance claim in Indianapolis, IN for roof storm damage repair and it has been denied, call the public adjusters at Hope Public Adjusters. We have an insurance claims adjuster who is able to help you with your insurance claim! Dial 833-312-5246 to get in touch with us today.