Your Advocate in Property Insurance Claims
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Insurance Policy FAQ
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A replacement cost policy pays the reasonable and necessary expense incurred to repair or replace damaged property using current day labor rates and material costs, less the applicable deductible.
Two payments are usually made by the carrier for claims made under a replacement cost policy. The initial payment made is known as the actual cash value (ACV) payment. This is the cost to repair or replace the damaged property less the applicable depreciation of the materials currently on your home due predictable factors such as age and wear & tear. Once the work is completed, proof of completion is provided to the carrier and they will release the remaining recoverable depreciation.
Payments are split for two primary reasons. One, it deters contractor fraud by preventing the contractor from collecting all of the funds and skipping town without doing the prescribed repairs. Two, it incentivizes the insured to have the work completed and not pocket the money.
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An actual cash value policy pays the reasonable and necessary expenses incurred to replace your damaged property using current day labor rates and material costs, less the applicable depreciation for the materials on the home and the deductible.
One payment is usually made by the carrier for claims made under an actual cash value policy. The initial payment made is known as the actual cash value (ACV) payment. This is the cost to repair or replace the damaged property less the applicable deductible and depreciation applied to the damaged items currently on your home due to their age. The main difference between a replacement cost policy (RCV) and an actual cash value (ACV) policy, is that under the ACV policy the depreciation is non-recoverable. This means that you’ll be responsible for the deductible and value of the non-recoverable depreciation applied to your claim.
It’s important to read your policy. Some replacement cost policies automatically switch to actual cash value for roof surfaces after a set number of years. Also, you can add certain endorsements onto an existing policy to set the coverage for roof surfaces to actual cash value in exchange for reduced premiums. Cheaper premiums might be great for your pocketbook should you never have a loss, but if you do, this could be a very expensive mistake due to the lack of coverage.
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No. An insurance policy owes for the reasonable and necessary costs to repair or replace your damaged property, less your applicable deductible.The insurance deductible is the amount you contractually agreed to pay towards the repair/replacement of your damaged property before the insurance company pays the amount that exceeds the deductible. Agreeing to pay, or “eat” your deductible would require our company to knowingly submit a false (or inflated) invoice to your insurance carrier.
For example: Say you have damage to your roof. The insurance carrier calculates the replacement cost to be $10,000 and you have a $1,000 deductible. The carrier’s total payment obligation to you is $9,000. $10,000 - $1,000 = $9,000. If a contractor agreed to waive your deductible, they would have to invoice the carrier for $10,000, even though they did the work for only $9,000. The reasonable and necessary costs you incurred to replace your damaged roof were only $9,000. If they invoiced truthfully and correctly, providing the carrier with their $9,000 invoice, the carrier would subtract your applicable deductible from this amount and issue you a payment of only $8,000.
Knowingly invoicing an insurance carrier for inflated amounts is insurance fraud and is a crime.
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This is a seemingly confusing coverage that’s actually quite simple once you boil it down. The most important word to emphasize is additional.
ALE coverage pays for the additional expenses you incur should your property become uninhabitable after a loss. It does not pay for the expenses you were incurring before the loss such as your mortgage or utility bills.
For example: Say on average you were spending $200 a week on groceries, but now because of the loss, you’re staying in a hotel and having to eat out instead. On average, you’re now spending $450 a week. The insurance should reimburse you for the additional expenses. $450 - $200 = $250.
Regarding accommodations. The carrier will authorize a hotel stay for short term accommodations or temporary housing for longer term repairs. The accommodations should be of roughly the same quality as you’d have at home, no more, no less.
For mileage, say you normally commuted 30 miles to and from work. Now, because of having to be relocated due to your loss, you have to commute 50 miles. The carrier would owe you for the excess. 50 miles - 30 miles = 20 miles.
These expenses must be reasonable and provable. This does not mean after a loss, eating five course meals, paying for other’s food besides you or your immediate family, staying at five star hotels or going on vacations. These are expenses that the carrier should not, and will not pay for.
Post-Loss FAQ
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First thing’s first! Make sure you and your loved ones are safe. The documentation process isn’t as important as you or your family’s safety after a loss. After this step, if you can do so safely, begin documenting the damages to your home or property. Insurance policies include a section titled Duties After Loss. It’s important to follow all of these steps carefully, as failure to do so could result in the denial of your claim. Report the damage to your carrier promptly! Take the proper steps to prevent further loss to your property. These are duties you must perform under the terms of your insurance policy. If a pipe bursts, make sure the water gets shut off to stop the flow of water. If a tree fell on your house, call a tree service to come and remove the debris. If there’s a hole in your roof, have a reputable contractor come out and tarp it. Keep your receipts! These are reimbursable expenses.
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Not always! To pretend otherwise. would be disingenuous. If the loss is fairly straightforward, it’s best to work with the carrier adjuster to come with an amicable resolution to your claim.
If you simply don’t have the time to deal with the claims process or there’s a large discrepancy between what you believe you’re owed and what has been offered, this is where we shine.
One difference between a public adjuster and a contractor is that public adjusters specialize (and are legally allowed to) review your specific insurance policy and discuss the language in it with the carrier.
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This is one of the most frequently asked questions we get and the answer unfortunately isn’t very straightforward.
The reality is there is no set timeline we can give you as the claim is influenced by a number of factors including, but not limited to: the workload of the carrier adjuster, the amount of claims in the surrounding area, the severity of the damage, the discrepancy in the carrier’s estimate versus our estimate, the amount of additional data/information we have to collect, the need for multiple inspections, whether or not experts have to be involved and whether or not alternative claim resolutions have to be utilized such as appraisal.
How to be Prepared FAQ
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Losses, especially catastrophic ones can be complicated to resolve. Insurance carriers have to inspect the loss, get measurements of the affected areas and then try and determine the reasonable amount needed to repair or replace the damaged property.
After large fire or catastrophic tornado, it’s sometimes hard to determine what the structure looked like before the loss as well as the quality of the items that were there so that you may be properly indemnified. Without the proper documentation, these issues can take a long time to iron out.
A good rule of thumb is to set a repeating reminder in your calendar to photograph your property every six months or so. Interior and exterior. This way, you’ll have demonstrable proof of your property’s existing condition should a loss occur. This prevents any confusion of whether or not damage was pre-existing to the loss or not. It also helps the adjuster determine what items were existing in your home and makes the estimating process a lot more efficient.
If you’ve had a major renovation or addition to your house, keep a booklet of the products you had installed, their manufacturer, their relative costs and plans for any work done. After a large loss, having this information on hand will drastically speed up the claims process.
When purchasing personal property of considerable value, keep the receipts! This helps you quickly fill out any contents forms and leaves no ambiguity on what the item needing replaced is, how old it was and how much it cost.
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Contact your insurance agent!
To have the best coverage available, ask your agent if you have replacement cost coverage for all of your home, including your roof.
Ensure that you have replacement cost coverage for your personal property. Some policies have replacement cost for your home or business property and only pay the actual cash value for any personal or business property damaged. Replacement cost coverage to these items can be added by endorsement to your policy in exchange for slightly increased premiums.
Certain items such as jewelry and artwork have special limits of liability in the policy. If you have items of this nature with a worth totaling more than their respective limits in the policy, ensure that these items are scheduled in the policy. This means that each item will have its own policy page and replacement cost value should it be damaged or stolen. Should you not have these items scheduled and they are lost or damaged, you will only be reimbursed up to the limit of liability in the policy which can be as low as $1500-$2500.
If you aren’t certain if you have the proper amount of coverage or believe you are underinsured, consider having your property appraised. This prevents being underinsured and being penalized by a coinsurance penalty.
Services we offer
Estimates
Our team delivers well-priced, reliable estimates with fast turnaround times to keep your claim moving. With expertise in Xactimate and Symbility, we ensure precision and efficiency in every project.
Public Adjusting
Serving Kentucky, Indiana, Ohio, North Carolina, and South Carolina, we are dedicated to seeking full indemnification for your loss. With a standard fee of just 10% of the total settlement amount, we handle every aspect of your claim so you can focus on moving forward.
Consulting
For claims that fall outside public adjusting, we offer expert guidance to help you navigate the process. From reviewing documents to providing strategic advice, we empower you to achieve the best possible outcome for your claim.