9 Tips For Settling Disaster Home Insurance Claims
A large majority of this post is taken from Bernice Ross’ previous work on Inman.
This week’s headlines have crowed as Hurricane Ida made landfall and wildfires rage in California.
“More than 940,000 homes in the Louisiana, Alabama and Mississippi coastal areas faced potential storm surge damage, according to an analysis by CoreLogic ahead of the storm,” Inman’s Matt Carter reported this week as Hurricane Ida made landfall.
While flood damage is overwhelming on the East Cost, the West Coast is bracing for more fire damage as the massive Caldor fire rages.
“The Caldor fire had burned more than 177,000 acres as of late Monday morning and was only 14 percent contained, according to state officials. It is currently the second largest active wildland blaze in California, after the Dixie Fire, and will ultimately end up being one of the largest 20 fires ever in recorded state history,” Inman’s Jim Dalrymple reported.
Trying to build back after something as catastrophic as these events are for homeowners is no easy feat.
In 1994, I sustained over $100,000 of damage to my house from the Northridge earthquake. My insurance company gave me the run-around for three years until I hired a public insurance adjuster who finally got them to settle.
Whether it’s a hurricane, flood, tornado, earthquake or fire, it can take years to resolve a major insurance claim and restore a property.
As evidenced by the aforementioned headlines, now is an excellent time for agents to review this must-have guide for dealing with insurance loss.
What do public insurance adjusters do?
Scott Friedson, a public insurance adjuster (PA) and the CEO of Insurance Claim Recovery Support described what a PA does: “Like your CPA who attends your IRS audit on your behalf, a good PA will be your advocate with the insurance company and will negotiate on your behalf to settle your insurance claim.”
9 tips for those dealing with loss
If your clients have sustained loss from a current natural disaster, here’s what you should advise them to do according to Friedson. Or, feel free to save this article for future use.
1. Be safe
In places where there is high humidity, (New Orleans, Florida, and Houston) it only takes 3-5 days before serious mold problems begin to develop. If your property has been flooded or has sustained any other type of major water damage, you will need a respirator and a face mask to safely enter the property.
The flood waters also carry serious bacteria and viruses that can put your life at risk as well as the risk of being electrocuted by downed power lines that are not visible. As much as you may want to go home, avoid moving back in until after any mold, asbestos or other toxic substances have been removed. Your safety and health come first.
2. Immediately notify the insurance company that you have a claim
By filing your claim right away, you are more likely to settle your claim quickly and to find a quality, local contractor. The sooner your claim is settled, the faster you can get your life back to normal. To file your claim, contact your local agent, call the special 800 number the company sets up, log into your online account, or visit a mobile claims center.
Flood insurance is separate from your homeowner’s policy and is issued through the National Flood Insurance Program (NFIP). If you have purchased flood insurance, your insurance agent will generally assist you in beginning the filing process.
Unfortunately, if your home was flooded and you did not purchase flood insurance through the National Flood Insurance Program (NFIP), you have no coverage. Nevertheless, there may be government assistance programs available. Visit DisasterAssistance.gov and FloodSmart.gov. for more information.
The good news is that if you purchased “comprehensive” coverage on your vehicle insurance and your vehicles sustained flood damage, they should be covered.
3. Establish the pre-loss and post-loss condition of your property
Ideally, you have already taken pictures and videos of every aspect of your home (especially the roof) as a routine part of keeping your home insurance up to date.
If you haven’t taken pictures or videos of your home in the past, take them now, and make a plan to update them annually!
The reason? If you change insurance carriers and have a claim, it’s common for your current insurance carrier to argue that your damage happened before their policy became active. Having a set of annual photos and videos provides documentation to support which insurance company is responsible for handling the claim.
If your home is damaged and you don’t have videos or photos, you can verify its pre-loss condition using holiday photos, MLS photos if your property has been listed, an inspection report or even a recent appraisal. If you have receipts for your furniture, appliances and any other work you have done, those are also useful.
After you have documented the condition of the property with photos and videos, Friedson advises that you can start the cleanup, but do not make any repairs.
Doing so constitutes “spoilage of evidence.” The insurance company has the right to investigate the loss. Move furniture away from walls or other places where there is damage to make viewing it easier.
4. Know whether your policy requires you to mitigate damages
To “mitigate damages” means taking steps to prevent any further damage. For example, if there’s a hole in the roof, you must have the roof tarped until you can have it repaired. In the case where there is substantial water damage, contact a water damage specialist to remove the wet sheetrock, insulation, drywall, carpets, flooring, etc. Please note that with severe flooding, the water may seep up the walls and even across the ceiling.
If you own an older home, there may be asbestos in the flooring, inside the walls, and near stoves, fireplaces, and heaters. Asbestos removal is highly regulated due to the health issues it poses. Only hire people who are experienced experts in this area. Improper removal, whether it’s mold or asbestos, can cause serious illness as well resulting in even more expensive remediation.
The good news is that most states require insurers to reimburse mitigation expenses within 30 days.
5. Find out: What are the provisions for ‘loss of use’ and ‘displacement’ in your policy?
If your home has major damage, you might not be able to live there while it is being repaired. Most insurance policies provide for living expenses, but these seldom last beyond one year. This often means that the homeowner is in a race to finish their repairs before their living expense money runs out. Again, if you didn’t purchase flood insurance, you’re not covered for flood-related living expenses.
When you do contract to have the work done, Friedson recommends that homeowners only work with vetted local contractors who are willing to warrant their work. If you hire one of the transient contractors who show up after major disasters and there’s an issue with their work, you have little or no recourse when they leave the area.
6. Examine your policy: Do you have ‘cash’ or ‘replacement value’?
Regardless of whether your home is damaged or not, check your current insurance policy to determine if you have “cash” or “replacement” value when you have a claim.
A “cash value” policy only pays on the depreciated value of your property. A “replacement value” policy provides you with the full cost of replacement and is the best choice. If you don’t have replacement value coverage, it’s smart to add it now.
For example, if you have a 20-year roof that is five years old and you have a “cash value” policy, your roof would have depreciated 25 percent. If you had to replace the roof, you would only receive 75 percent of the replacement cost less the deductible. If you have “replacement value,” the deductible is your only cost.
Also, any settlement check you receive will be made out to you and to your mortgage lender. The lender will visit the property to verify that the work has been completed before they countersign the check.
7. Avoid lawsuits
If you file a lawsuit, your attorney will be working on a contingency basis while the insurance company attorneys bill hourly.
In other words, the insurance attorneys have no incentive to settle because the longer they drag out the process, the more money they make. Their goal is to wear you down with depositions, examinations of your financials and constant delays. The bottom line, go the PA route first, and only litigate when there is no other option.
8. Cost of hiring a PA
State regulations determine the fees PAs can charge. In most states, the maximum is 10 percent of the entire claim. If the homeowner has been partially reimbursed before hiring the PA, the PA can charge a higher percentage of the remaining balance, but it can never exceed 10 percent of the total claim.
9. Avoid bad apples
As in any profession, there are good and bad apples. To avoid hiring the wrong PA, here’s what to do:
- Ask the PA whether he or she ever does any work for an insurance company. If the answer is yes, hire someone else who doesn’t have a conflict of interest.
- Interview at least three PAs, and ask for references.
- Ask the PA how long the process takes.
- Ask what is the average length of their files (number of pages). Some PAs do little or nothing because they’re setting the homeowner up to be referred to an attorney.
- Also, inquire about what percentage of their cases are settled and what percentage go to litigation or appraisal (a process Friedson recommends that homeowners avoid.)
A major insurance loss means your life will be disrupted for many months to come. Friedson advises that give your insurance company the chance to do the right thing. Most companies will try their best to do so. If that’s not happening, however, consider hiring a PA to get the settlement you deserve.
Bernice Ross, President and CEO of BrokerageUP and RealEstateCoach.com, is a national speaker, author and trainer with over 1,000 published articles. Learn about her broker/manager training programs designed for women, by women, at BrokerageUp.com and her new agent sales training at RealEstateCoach.com/newagent.