How the Claims Representation Process Works

A natural disaster or major home damage will be a stressful event for any homeowner. Public adjusters are private insurance claims specialists who act on the behalf of homeowners to assess damage, investigate, document and negotiate with the insurance company. Therefore, they play a key role in protecting the insurance holders’ interest through ensuring a fair claim settlement amount. Below introduces how the claim representation process works.

The First Meeting
After the initial phone call with explanation of what happened, public adjustors typically arrange for a face-to-face meeting with the homeowner(s). This meeting involves a policy review that will focus on the limits, coverage, exclusions and provisions. The public adjuster will explain the potential outcomes of the claims process and how to obtain the best financial results. Once the homeowner signs an official authorization of representation, the public adjuster will inform the insurance company and begin the claims process. As part of this process, the public adjuster will offer a customized strategy to protect their clients’ interests while maximizing the financial outcome.

The Investigation
The next step is an investigation, which isn’t just limited to an in-depth policy review and inspection of the damages. It also involves a variety of unique actions. For example, investigations involve reviewing recent court cases, legal opinions and even decisions from the state’s insurance department. It may even involve comparing current and past insurance policies to ensure fairness and legal compliance. In fact, a standard homeowner’s insurance policy may be out of compliance with recent state or federal legislation.

The investigation process involves in-depth documentation which results in a final portfolio that will be submitted to the insurance company. The documentation may include the previous legal paperwork, but will also include property evaluations, construction estimates, engineering documents, verified inventory sheets and even technical articles. In the end, the public adjuster will prepare a detailed damage estimate and submit it with other supporting documentation to the insurance company.

Negotiation and Settlement
The public adjuster acts on behalf of the policyholder and continually communicates with the insurance company through the negotiation and settlement process. This may involve providing additional documentation, answering complex technical questions and even attending meetings with the insurance company. Insurance companies typically question the value or legitimacy of certain claims. However, detailed and solid documentation will avoid most of these problems. The public adjuster will assist the policyholder in accepting the best settlement.

In conclusion, public adjustors offer a smooth claims process through meeting with clients, investigating, documenting, negotiating and settling with the insurance company. Learn more about public adjusters, here:

The Four Benefits of using a Public Insurance Adjuster

Every year when disaster or tragedy strikes, there are dedicated public insurance adjusters who assist their clients with protecting their policyholder rights and obtaining a fair value for insurance claims. Below explains the top four benefits of using a public insurance adjuster.

Dedicated Advocates
Public adjusters are responsible to evaluate and determine the values of settling covered claims or damages. They can independently research, document and negotiate a settlement on behalf of the insured with the insurance company. Therefore, public adjusters represent the policy holder and not the insurance company. Most states oversee how public insurance adjusters are paid. In fact, the majority of public adjusters are simply paid a percentage based on the total settlement. Public adjusters are both legal and insurance experts that protect the interest of their clients for an appropriate fee.

Licensed Professional
Almost all states have licensing regulations for public insurance adjusters. These professionals advocate for insurance policyholders during the insurance claim process. In fact, attorneys and insurance brokers are the only other two professionals who can legally represent the insurance policy holder during a claim process. Public adjusters must pass an exam and criminal background check. They must also maintain a bond and continuing education. The National Association of Insurance Commissioners (NAIC) oversees the licensing procedures and qualifications for public adjusters. Learn more, here:

Expertise and Experience
Public insurance adjusters not only understand the complex nuances of insurance policies and regulations, they also have intimate experience of how the insurance world works. That is, they know the ins and outs of the insurance claim process and are already familiar with the insurance company. As a result, they can apply their expertise and experience to obtain the best results for their clients. Public adjusters are also required to maintain continuing education and as a result, they are well trained and up to date on current insurance regulations.

Save Time and Money
Insurance claim settlement processes are very time consuming and frustrating. Insurance policies, laws and regulations are very complex and confusing. However, public insurance adjusters understand the complex rules, processes and documentation requirements. They are also experts in providing detailed damage estimates. As a result, they are able to quickly organize the policy holder’s claim, process the paperwork and expedite the claims process. This will save the policy holder time, while reducing worries and frustration.

In conclusion, public insurance adjusters are dedicated advocates and licensed professionals. They will apply their expertise and experience to save their clients time and money. Learn more about the typical services a public insurance adjuster company offers, here: