12/24/2024
If you feel like your insurance company should pay a claim but they won't, you have options.
The most effective is to hire a public adjuster. They usually charge 10% of the difference between the claim total and what the insurance company paid. So, if you have a $5,000 claim and they only paid $2000, you would pay 10% of $3000, which would be $300. I know this is an added cost, but this is the price to ensure your claim is paid. Check with your public adjuster for their cost.
Public adjusters come out, inspect the property, take photo documentation, provide an estimate, and then file a claim against your insurance. Then you wait 3 months for your insurance to make a decision. They can still deny the claim after the public adjuster sends them paperwork. Then, an attorney can get involved to sue your insurance, but this is very rare.
Hiring a public adjuster can have consequences. Your insurance can fire you at renewal time. They will stop talking to you about your claim and only speak to the adjuster.
I know hiring a public adjuster is an added cost and might seem like overkill. You shouldn't have to force your insurance to pay but as the claim gets bigger, they will attempt to nickel and dime you out of money. A $5000 claim can be ridiculously slashed in half. With a bigger claim, they will attempt to reduce their accountability by reducing the price of things needing to be replaced. Recently we saw them deny replacing nail down, hand sanded floors. These floors are expensive as they are created personally for the home they are installed in. They wanted to only pay for regular wood floors. It was a difference of over $20000. That is huge.
Public adjusters usually only work on home and car claims, but I have heard of a limited few who handle medical claims.
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