Most Claims are Underpaid or Denied.

Do these excuses by your insurance company look familiar?

Underpayments:

  • Narrow Policy Interpretation:Insurers may interpret policy language narrowly to exclude certain damage or repairs.
  • Paying Actual Cash Value (ACV) instead of Replacement Cost:They might pay the depreciated value of the damage rather than the full cost of repair or replacement.
  • Underestimating Labor Costs:Adjusters might estimate materials correctly but underestimate labor costs, leading to an underpaid claim.
  • Delaying Payments: Insurers can earn interest on withheld funds, so they may delay payments.
  • Unreasonable Depreciation: They may apply unreasonable depreciation to reduce payouts.
  • Reliance on Outdated Price Lists: Using outdated price lists can lead to underpayments.

Claim Denials:

  • Policy Exclusions: Damage caused by events not covered by the policy, like floods or earthquakes, may be denied.
  • Lack of Documentation:Insufficient evidence of damage or incomplete paperwork can lead to denials.
  • Disputes over Cause of Damage:Insurers might dispute the cause of damage, especially if other factors are involved.
  • Failure to Mitigate Damage: Not taking immediate action to prevent further damage after an incident.
  • Missed Deadlines: Filing the claim too late or not meeting other time-sensitive. We are here to make sure no deadline is reached .
  • Pre-existing Damage: Insurance companies may deny claims for damage that was present before the event.
  • Failure to Maintain Property : Insurers may deny claims if the policyholder has not properly maintained the property.We're sure the policyholder will disagree.
  • Damage not meeting the deductible: If the cost of repairs is less than the deductible, the insurance company may not pay out the claim. In this scenario our team will evaluate further.

What to Do if Your Claim is Underpaid or Denied:

We Will Review Your Policy:
Understand your policy's terms and conditions, including coverage, exclusions, and limitations.

You Must Gather Documentation:
Collect photos, videos, and any other evidence of the damage and your attempts to mitigate further damage.

We Will Contact Your Insurance Company:
Explain the situation and provide any relevant documentation or evidence to support your claim.

Seek Appraisal or Mediation:
If you're unable to resolve the issue with the insurance company, consider seeking mediation or arbitration.

Consult with an Attorney:
If we believe your claim has been wrongfully denied or underpaid, we can consider consulting with an attorney specializing in insurance claims.