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THE CLAIMS PROCESs
The claims process involves coverage
and how that coverage applies. Endorsements
often add coverage. If you can't locate copies of
your endorsements ask your agent for copies or call
our office we'll be glad to let you know how they
apply.
While the adjuster is out at your
home you'll notice he will take dimensions of your
home or foundation. This is to insure that you are
Insured to Value. You must carry an amount of
insurance (limit) to 80% of replacement cost
to be eligible for Replacement Cost Coverage.
Typically you can figure replacement cost by taking
the (living space) square footage (length X width)
and multiplying that figure times $125.00 per square
foot. Your adjuster will determine his rate per
square foot. If you are not insured to value you
would suffer a co-insurance penalty at which point
you would call us. Don't worry this doesn't happen
very often. This is a good way to figure what you
should have for coverage. Your policy should have
inflation guard coverage which keeps your limits on
the home updated or increased.

The biggest misconception is that
since you have Replacement Cost Coverage and
your home or business is a Total Loss
(Limit Loss) you don't need a Public Adjuster.
If you've checked the Construction process link you
found a minimum of $10,000 additional coverage you
either didn't know about or were not told about.
If you did know it was there, then perhaps you don't
need a Public Adjuster. Your Company Adjuster won't tell
you!
Replacement Cost Coverage
applies to both your Building and Contents (Cov
C). Replacement cost is payable only when the
building is actually repaired or rebuilt or you
actually replace the items. All losses are figured
at (ACV) or Actual Cash Value. This is
replacement cost less depreciation. Your building
and the repairs will be depreciated along with any
contents loss. Once the repairs or replacement takes
place you must furnish proof or receipts that these
items have been repaired/replaced and then you get
the holdback or monies withheld.
If you still
owe a mortgage, your mortgagee will be listed on any
checks issued on the building (Cov A). Make certain
your contractor is aware of this arrangement and
discuss with your adjuster, how this money withheld
will be issued. Your contents must be replaced
within 180 days from the date of loss to apply for
these benefits. (See the contents inventory link)
All of this creates problems with your contractor,
your bank, and your pocket book.
Most towns/cities have ordinances
towards dangerous structures. Some require that
buildings damaged to 50% of their assessed value
must be raised or demolished. Check with your
building department as soon as possible after the
fire to see what they will be requiring. They also
have code issues and variance issues. Do you know
what is or isn't covered? You may also ask about an
abatement since you are no longer in your building.
Coverage B. Other Structures: Are structures separated by clear space; detached
garages, sheds, swimming pools just to name a few.
Does an electrical service line to a pool from your
service panel make the pool attached or detached?
Often times there are problems determining this
coverage.
Coverage C. Contents:
Your furniture, jewelry, household goods are all
part of Coverage C. Like your building, your contents
will be paid at ACV. Household goods depreciation is
figured on a lifetime scale. Electronics usually 10
years etc. You have 180 days to replace these items
to apply for replacement cost benefits. (See
contents inventory)
Coverage D. Additional Living
Expenses:
This is coverage for the additional costs you
incur because you are not able to live in your home.
Be leery of the adjuster who offers you a trailer so
that you can be close to your possessions and watch
your home. This is a common occurrence where
adjusters will be looking for the best interest of
the company. Did your adjuster offer this?
By putting a trailer on site the cost would be
roughly $700.00 per month. That's what you would be
paid per month for Additional Living Expenses. To
stay in a hotel would cost about $1,000.00 per week
plus meals, laundry and any other expense. To
some people the trailer is a good idea, just
question the motive of the adjuster. Living in a
trailer especially with children gets smaller and
smaller. Nothing makes an insurance company move
quicker to settlement then paying hotel bills.
In some cases the adjuster may come
out with a contractor to write an estimate.
You have the absolute right to hire the
contractor of your choice. The insurance
carrier must come to an agreement with that
contractor. In the event that doesn't happen you may
invoke the "appraisal" (conditions section) provision of your policy. "Your
contractor and the insurance company's contractor,
(The contractor brought to your home by the
adjuster) agree
on a third party contractor. Any agreement
between two contractors is binding. The contractor
will accompany the adjuster to help in two ways;
control the cost, (He'll be paid for his time by
the company) and keep costs down. As long as
he keeps his costs down, the insurance company will
call him in on other claims. This is a good
relationship for the contractor, not you.
Once
this estimate is received by the adjuster, he will
prepare a reserve report. A reserve report is
used by the company to take whatever money they
think it will cost to settle your claim and invest
that money until your claim settles.
That way they gain interest on your money or
pay less on the claim. That's how big business works.
Once this report is filed, should the reserve exceed
what was originally reported the company is losing
money. The adjuster also looks like he didn't do his
job (saving money) and the claim begins to get
difficult. Bring in your own contractor or a Public
Adjuster as soon as possible.
Another misconception is that an
insurance company can cancel your policy for hiring
a Public Adjuster. That's just not so. We are bonded
and licensed by The State of New Hampshire Insurance
Department to protect your best interest. You can be
cancelled for having 2 losses in the same calendar
year, misrepresentation, concealment, increase in
hazard or non payment of premiums.
Most people also do not understand
the relationship between your agent and your
insurance company. Your agent is a
broker for your insurance company. He/she
sells you the insurance companies policy and makes
commission on that policy based upon
loss ratio. Loss ratio is how many losses they
have with that insurance company. The more losses
the less commission. When shopping for insurance,
your agent is the key. Will he represent your best
interest or just collect your premium dollar.
Service is key.
Insurance should be like grocery
shopping, you feel you're paying too much and you
probably are. Shop around. Now is the time after your many years of loyalty for
your insurance company for them to step up and come through for
you. You're in Good Hands, Like A Good Neighbor are
all good mottos but you need more than that. If they
don't come through for you, we certainly will. Call
us at anytime with any questions you may have during
the claims process. We're here to help and we will.
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