Sometimes answers are simple, YES!

A Public Adjuster is an Expert Private Adjuster helping the regular citizen that will always need help fighting with an insurance company to get paid fairly!

Call one of our Expert Today for a Free consultation and review!

Federal Flood Insurance – coverage for qualifying residents and businesses in flood prone regions through the National Flood Insurance Act, a federally subsidized flood insurance program enacted in 1968.

What is a Commercial Multiple Peril Policy? It is a policy that packages two or more insurance coverages protecting a company or enterprise from various liability or property risk exposures. Frequently includes wind, water,  fire, allied lines, various other coverages, and liability coverage. These coverages would be included in specific other annual statement lines if written individually for the enterprise.

Do you need a Commercial Multiple Peril Policy? You should ask an experienced commercial insurance agent.

If you have a loss related to this type of policy you should contact a Public Adjuster or Private Adjuster that only works for you, not the insurance company for an evaluation.

What is a Coinsurance Policy?

A coinsurance policy provision is most commonly found in
commercial property insurance policies and requires the policyholder
to carry insurance equal to a specified percentage of the property’s value—often
80% or more.

If the property is underinsured, the insurance company may reduce the
claim payment by applying a coinsurance penalty, even when the loss is
otherwise covered. This means the policyholder may be required to share in the loss
because the coverage limit did not meet the policy’s coinsurance requirement.

Coinsurance is one of the most common reasons commercial property claims are
underpaid. Accurate valuation, proper damage scoping, and careful policy
review are critical to avoiding unnecessary penalties and ensuring the claim is paid
fairly.

What is Business Interruption Insurance?

Business interruption insurance covers the loss of income a business may
suffer when property damage forces operations to slow down or temporarily stop. This
coverage is commonly triggered by events such as fire, water damage, hurricanes, or
other covered property losses.

Business interruption claims may include lost revenue, ongoing operating
expenses, and certain extra expenses incurred to reduce downtime or
continue operations. These losses are frequently underpaid or delayed because they
require detailed financial documentation and clear proof of how the damage impacted
normal business operations.

Proper claim preparation, documentation, and valuation are critical to recovering the
full amount owed under a business interruption claim.

What is a builders risk insurance policy?

A Builders Risk Policy is coverage for provided to insureds against loss to buildings in the course of construction. The coverage also includes equipment and machinery used during construction and the materials essential to the construction.

Call Experienced Public Adjusters if you have questions about a claim related to a builders risk insurance claim! We offer free insurance claim reviews and free home inspections.

Blanket coverage – coverage for property and liability that extends to more than one location, class of property or employee. Please make sure you have an insurance agent that is experienced and knowledgeable about the different types of policies. The last thing you want to do is have a devastating loss and then you call Experienced Public Adjusters and we have to advise you that you do not have insurance coverage or adequate coverage.

RESIDENT PUBLIC ADJUSTER LICENSE

GLOSSARY OF INSURANCE TERMS

This page provides a glossary of insurance terms and definitions that are commonly used in the insurance business. New terms will be added to the glossary over time.

The definitions in this glossary are developed by the NAIC Research and Actuarial Department staff based on various insurance references. These definitions represent a common or general use of the term. Some words and/or phrases may be defined differently by other entities, or used in a context such that the definition shown may not be applicable.

A

Accident – an unexpected event or circumstance without deliberate intent.

Accident Insurance – insurance for unforeseen bodily injury.

Accident Only – an insurance contract that provides coverage, singly or in combination, for death, dismemberment, disability, or hospital and medical care caused by or necessitated as a result of accident or specified kinds of accident.

Accident Only or AD&D – policies providing coverage, singly or in combination, for death, dismemberment, disability, or hospital and medical care caused by or necessitated as a result of accident or specified kinds of accidents. Types of coverage include student accident, sports accident, travel accident, blanket accident, specific accident or accidental death and dismemberment (AD&D).

Accidental Bodily Injury – unexpected injury to a person.

Accidental Death & Dismemberment – an insurance contract that pays a stated benefit in the event of death and/or dismemberment caused by accident or specified kinds of accidents.

Accumulation Period – period of time insured must incur eligible medical expenses at least equal to the deductible amount in order to establish a benefit period under a major medical expense or comprehensive medical expense policy.

Actual Cash Value – repayment value for indemnification due to loss or damage of property; in most cases it is replacement cost minus depreciation

Actuarial Report – (PC Insurance)a document or other presentation, prepared as a formal means of conveying to the state regulatory authority and the Board of Directors, or its equivalent, the actuary’s professional conclusions and recommendations, of recording and communicating the methods and procedures, of assuring that the parties addressed are aware of the significance of the actuary’s opinion or findings and that documents the analysis underlying the opinion. (In Life and Health) this document would be called an “Actuarial Memorandum.”

Actuary – business professional who analyzes probabilities of risk and risk management including calculation of premiums, dividends and other applicable insurance industry standards.

Adjuster – a person who investigates claims and recommends settlement options based on estimates of damage and insurance policies held.

Admission – hospital inpatient care for any medical condition.

Admitted Assets – insurer assets which can be valued and included on the balance sheet to determine financial viability of the company.

Admitted Company – an insurance company licensed to do business in a state(s), domiciled in an alternative state or country.

Advance Premiums – occur when a policy has been processed, and the premium has been paid prior to the effective date. These are a liability to the company and not included in written premium or the unearned premium reserve.

Adverse Selection – the social phenomenon whereby persons with a higher than average probability of loss seek greater insurance coverage than those with less risk.

Advisory Organization – a group supported by member companies whose function is to gather loss statistics and publish trended loss costs.

Affiliate – a person or entity that directly, or indirectly, through one or more other persons or entities, controls, is controlled by or is under common control with the insurer.

Agent – an individual who sells, services, or negotiates insurance policies either on behalf of a company or independently.

Aggregate – the maximum dollar amount or total amount of coverage payable for a single loss, or multiple losses, during a policy period, or on a single project.

Aggregate Cost Payments – method of reimbursement of a health plan with a corporate entity that directly provides care, where (1) the health plan is contractually required to pay the total operating costs of the corporate entity, less any income to the entity from other users of services, and (2) there are mutual unlimited guarantees of solvency between the entity and the health plan that put their respective capital and surplus at risk in guaranteeing each other.

Aircraft – coverage for aircraft (hull) and their contents; aircraft owners’ and aircraft manufacturers liability to passengers, airports and other third parties.

ALAE – an estimate of the claims settlement associated with a particular claim or claims.

Alien Company – an insurance company formed according to the laws of a foreign country. The company must conform to state regulatory standards to legally sell insurance products in that state.

Allied Lines – coverages which are generally written with property insurance, e.g., glass, tornado, windstorm and hail; sprinkler and water damage; explosion, riot, and civil commotion; growing crops; flood; rain; and damage from aircraft and vehicle, etc.

All-Risk – also known as open peril, this type of policy covers a broad range of losses. The policy covers risks not explicitly excluded in the policy contract.

Alternative Workers’ Compensation – other than standard workers’ compensation coverage, employer’s liability and excess workers’ compensation (e.g., large deductible, managed care).

Ambulatory Services – health services provided to members who are not confined to a health care institution. Ambulatory services are often referred to as “outpatient” services.

Annual Statement – an annual report required to be filed with each state in which an insurer does business. This report provides a snapshot of the financial condition of a company and significant events which occurred throughout the reporting year.

Annuitant – the beneficiary of an annuity payment, or person during whose life and annuity is payable.

Annuities – Immediate Non-variable – an annuity contract that provides for the fixed payment of the annuity at the end of the first interval of payment after purchase. The interval may vary, however the annuity payouts must begin within 13 months.

Annuity – a contract providing income for a specified period of time, or duration of life for a person or persons.

Appraisal – an estimate of value.

Arbitration – a binding dispute resolution tactic whereby a conciliator with no interest in the outcome intercedes.

Assessed Value – estimated value for real or personal property established by a taxing entity

Asset – probable future economic benefits obtained or controlled by a particular entity as a result of past transactions or events. An asset has three essential characteristics: It embodies a probable future benefit that involves a capacity, singly or in combination with other assets, to contribute directly or indirectly to future net cash inflows; A particular entity can obtain the benefit and control others’ access to it; and The transaction or other event-giving rise to the entity’s right to or control of the benefit has already occurred.

Asset Risk – in the risk-based capital formula, risk assigned to the company’s assets.

Assigned Risk – A governmental pool established to write business declined by carriers in the standard insurance market.

Assisted Living Care – a policy or rider that provides coverage only while a policyholder is confined to an assisted living facility and meets the policy requirements for coverage.

Assumed Reinsurance – the assumption of risk from another insurance entity within a reinsurance agreement or treaty.

Authorized Company – an insurer licensed or admitted to do business in a particular state.

Authorized Control Level Risk Based Capital – theoretical amount of capital plus surplus an insurance company should maintain.

Authorized Reinsurance – reinsurance placed with a reinsurer who is licensed or otherwise allowed to conduct reinsurance within a state.

Auto Liability – coverage that protects against financial loss because of legal liability for motor vehicle related injuries (bodily injury and medical payments) or damage to the property of others caused by accidents arising out of ownership, maintenance or use of a motor vehicle (including recreational vehicles such as motor homes). Commercial is defined as all motor vehicle policies that include vehicles that are used primarily in connection with business, commercial establishments, activity, employment, or activities carried on for gain or profit. No Fault is defined by the state concerned.

Auto Physical Damage – motor vehicle insurance coverage (including collision, vandalism, fire and theft) that insures against material damage to the insured’s vehicle. Commercial is defined as all motor vehicle policies that include vehicles that are used in connection with business, commercial establishments, activity, employment, or activities carried on for gain or profit.

Automobile Liability Insurance – coverage for bodily injury and property damage incurred through ownership or operation of a vehicle.

B

Balance Sheet – accounting statement showing the financial condition of a company at a particular date.

BCEGS – Building Code Effectiveness Grading Schedule – classification system for assessment of building codes per geographic region with special emphasis on mitigation of losses from natural disasters.

Beneficiary – an individual who may become eligible to receive payment due to will, life insurance policy, retirement plan, annuity, trust, or other contract.

Benefits (Medical & Hospital Expenses) – total expenditures for health care services paid to or on behalf of a member.

Blanket coverage – coverage for property and liability that extends to more than one location, class of property or employee.

Boatowners/Personal Watercraft – covers damage to pleasure boats, motors, trailers, boating equipment and personal watercraft as well as bodily injury and property damage liability to others.

Bodily Injury – physical injury including sickness or disease to a person.

Boiler & Machinery or Equipment Breakdown & Machinery – coverage for the failure of boilers, machinery and other electrical equipment. Benefits include (i) property of the insured, which has been directly damaged by the accident; (ii) costs of temporary repairs and expediting expenses; and (iii) liability for damage to the property of others. Coverage also includes inspection of the equipment.

Bonds – a form of debt security whereby the debt holder has a creditor stake in the company. Obligations issued by business units, governmental units and certain nonprofit units having a fixed schedule for one or more future payments of money; includes commercial paper, negotiable certificates of deposit, repurchase agreements and equipment trust certificates.

Book Value – original cost, including capitalized acquisition costs and accumulated depreciation, unamortized premium and discount, deferred origination and commitment fees, direct write-downs, and increase/decrease by adjustment.

Broker – an individual who receives commissions from the sale and service of insurance policies. These individuals work on behalf of the customer and are not restricted to selling policies for a specific company but commissions are paid by the company with which the sale was made.

Builders’ Risk Policies – typically written on a reporting or completed value form, this coverage insures against loss to buildings in the course of construction. The coverage also includes machinery and equipment used in the course of construction and to materials incidental to construction.

Burglary and Theft – coverage for property taken or destroyed by breaking and entering the insured’s premises, burglary or theft, forgery or counterfeiting, fraud, kidnap and ransom, and off-premises exposure.

Business Auto – coverage for motor vehicles, other than those in the garage business, engaged in commerce. Business auto filings include singularly or in any combination coverage such as the following: Auto Liability, PIP, MP, Uninsured Motorist and/or Underinsured Motorists (UM/UIM); Specified Causes of Loss, Comprehensive, and Collision.

Business Interruption – loss of income as a result of property damage to a business facility.

Business owners Policy – business insurance typically for property, liability and business interruption coverage.

C

Calendar Year Deductible – in health insurance, the amount that must be paid by the insured during a calendar year before the insurer becomes responsible for further loss costs.

Capital and Surplus – a company’s assets minus its liabilities.

Capital and Surplus Requirement – statutory requirement ordering companies to maintain their capital and surplus at an amount equal to or in excess of a specified amount to help assure the solvency of the company by providing a financial cushion against expected loss or misjudgments and generally measured as a company’s admitted assets minus its liabilities, determined on a statutory accounting basis.

Capital Gains (Loss) – excess (deficiency) of the sales price of an asset over its book value. Calculated on the basis of original cost adjusted, as appropriate, for accrual of discount or amortization of premium and for depreciation.

Capitation Arrangement – a compensation plan used in connection with some managed care contracts where a physician or other medical provider is paid a flat amount, usually on a monthly basis, for each subscriber who has elected to use that physician or medical provider. Capitated payments are sometimes expressed in terms of a “per member/per month” payment. The capitated provider is generally responsible, under the conditions of the contract, for delivering or arranging for the delivery of all contracted health services required by the covered person.

Captive Agent – an individual who sells or services insurance contracts for a specific insurer or fleet of insurers.

Captive Insurer – an insurance company established by a parent firm for the purpose of insuring the parent’s exposures.

Carrying Value (Amount) – the SAP book value plus accrued interest and reduced by any valuation allowance and any nonadmitted adjustment applied to the individual investment.

Cash – a medium of exchange.

Cash Equivalent – short-term, highly liquid investments that are both (a) readily convertible to known amounts of cash, and (b) so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Investments with original maturities of three months or less qualify under this definition.

Casualty Insurance – a form of liability insurance providing coverage for negligent acts and omissions such as workers compensation, errors and omissions, fidelity, crime, glass, boiler, and various malpractice coverages.

Catastrophe Bonds – Bonds issued by an insurance company with funding tied to the company’s losses from disasters, or acts of God. A loss exceeding a certain size triggers a reduction in the bond value or a change in the bond structure as loss payments are paid out of bond funds.

Catastrophe Loss – a large magnitude loss with little ability to forecast.

Ceded Premium – amount of premium (fees) used to purchase reinsurance.

Ceding Company – an insurance company that transfers risk by purchasing reinsurance.

Centers for Medicare & Medicaid Services (CMS) – U.S. governmental agency responsible for the licensing of federally qualified HMOs. This was formerly the Health Care Financing Administration.

Change in Valuation Basis – a change in the interest rate, mortality assumption or reserving method or other factors affecting the reserve computation of policies in force.

Chartered Life Underwriter (CLU) – a professional designation awarded by the American College to persons in the life insurance field who pass a series of exams in insurance, investment, taxation, employee benefit plans, estate planning, accounting, management, and economics.

Chartered Property Casualty Underwriter (CPCU) – a professional designation awarded by the American Institute of Property and Casualty Underwriters to persons in the property and liability insurance field who pass a series of exams in insurance, risk management, economics, finance, management, accounting, and law. Designates must also have at least three years experience in the insurance business or related field.

Claim – a request made by the insured for insurer remittance of payment due to loss incurred and covered under the policy agreement.

Claims Adjustment Expenses – costs expected to be incurred in connection with the adjustment and recording of accident and health, auto medical and workers’ compensation claims.

Claims-made Form – A type of liability insurance form that only pays if the both event that causes (triggers)the claim and the actual claim are submitted to the insurance company during the policy term

Class Rating – a method of determining rates for all applicants within a given set of characteristics such as personal demographic and geographic location.

Coinsurance – A clause contained in most property insurance policies to encourage policy holders to carry a reasonable amount of insurance. If the insured fails to maintain the amount specified in the clause (Usually at least 80%), the insured shares a higher proportion of the loss. In medical insurance a percentage of each claim that the insured will bear.

Collar – an agreement to receive payments as the buyer of an Option, Cap or Floor and to make payments as the seller of a different Option, Cap or Floor.

Collateral Loans – unconditional obligations for the payment of money secured by the pledge of an investment.

Collateralized Bond Obligations (CBOs) – an investment-grade bond backed by a pool of low-grade debt securities, such as junk bonds, separated into tranches based on various levels of credit risk.

Collateralized Mortgage Obligations (CMOs) – a type of mortgage-backed security (MBS) with separate pools of pass-through security mortgages that contain varying classes of holders and maturities (tranches) with the advantage of predictable cash flow patterns.

Combinations – a special form of package policy composed of personal automobile and homeowners insurance.

Combined Ratio – an indication of the profitability of an insurance company, calculated by adding the loss and expense ratios.

Commencement Date – date when the organization first became obligated for any insurance risk via the issuance of policies and/or entering into a reinsurance agreement. Same as “effective date” of coverage.

Commercial Auto – coverage for motor vehicles owned by a business engaged in commerce that protects the insured against financial loss because of legal liability for motor vehicle related injuries, or damage to the property of others caused by accidents arising out of the ownership, maintenance, use, or care-custody & control of a motor vehicle. This includes Commercial Auto Combinations of Business Auto, Garage, Truckers and/or Other Commercial Auto.

Commercial Earthquake – earthquake property coverage for commercial ventures.

Commercial Farm and Ranch – a commercial package policy for farming and ranching risks that includes both property and liability coverage. Coverage includes barns, stables, other farm structures and farm inland marine, such as mobile equipment and livestock.

Commercial Flood – separate flood insurance policy sold to commercial ventures.

Commercial General Liability – flexible & broad commercial liability coverage with two major sub-lines: premises/operations sub-line and products/completed operations sub-line.

Commercial Mortgage-Backed Securities – a type of mortgage-backed security that is secured by the loan on a commercial property.

Commercial Multiple Peril – policy that packages two or more insurance coverages protecting an enterprise from various property and liability risk exposures. Frequently includes fire, allied lines, various other coverages (e.g., difference in conditions) and liability coverage. Such coverages would be included in other annual statement lines, if written individually. Include under this type of insurance multi-peril policies (other than farmowners, homeowners and automobile policies) that include coverage for liability other than auto.

Commercial Package Policy – provides a broad package of property and liability coverages for commercial ventures other than those provided insurance through a business owners policy.

Commercial Property – property insurance coverage sold to commercial ventures.

Commission – a percentage of premium paid to agents by insurance companies for the sale of policies.

Community Rating – a rating system where standard rating is established and usually adjusted within specific guidelines for each group on the basis of anticipated utilization by the group’s employees.

Company Code – a five-digit identifying number assigned by NAIC, assigned to all insurance companies filing financial data with NAIC.

Completed Operations Liability – policies covering the liability of contractors, plumbers, electricians, repair shops, and similar firms to persons who have incurred bodily injury or property damage from defective work or operations completed or abandoned by or for the insured, away from the insured’s premises.

Comprehensive (Hospital and Medical) – line of business providing for medical coverages; includes hospital, surgical, major medical coverages; does not include Medicare Supplement, administrative services (ASC) contracts, administrative services only (ASO) contracts, federal employees health benefit plans (FEHBP), medical only programs, Medicare and Medicaid programs, vision only and dental only business.

Comprehensive General Liability (CGL) – coverage of all business liabilities unless specifically excluded in the policy contract.

Comprehensive Personal Liability – comprehensive liability coverage for exposures arising out of the residence premises and activities of individuals and family members. (Non-business liability exposure protection for individuals.)

Comprehensive/Major Medical – policies that provide fully insured indemnity, HMO, PPO, or Fee for Service coverage for hospital, medical, and surgical expenses. Coverage excludes Short-Term Medical Insurance, the Federal Employees Health Benefit Program and non-comprehensive coverage such as basic hospital only, medical only, hospital confinement indemnity, surgical, outpatient indemnity, specified disease, intensive care, and organ and tissue transplant coverage.

Concurrent Causation – property loss incurred from two or more perils in which only one loss is covered but both are paid by the insurer due to simultaneous incident.

Conditions – requirements specified in the insurance contract that must be upheld by the insured to qualify for indemnification.

Condos – homeowners insurance sold to condominium owners occupying the described property.

Construction and Alteration Liability – covering the liability of an insured to persons who have incurred bodily injury or property damage from alterations involving demolition, new construction or change in size of a structure on the insured’s premises.

Contingency Reserves – required by some jurisdictions as a hedge against adverse experience from operations, particularly adverse claim experience.

Contingent Liability – the liability of an insured to persons who have incurred bodily injury or property damage from work done by an independent contractor hired by the insured to perform work that was illegal, inherently dangerous, or directly supervised by the insured

Continuation of Care Requirement – statutory or contractual provision requiring providers to deliver care to an enrollee for some period following the date of a Health Plan Company’s insolvency.

Continuing Care Retirement Communities – senior housing arrangements that in addition to housing include some provision for skilled nursing care.

Contract Reserves – reserves set up when, due to the gross premium structure, the future benefits exceed the future net premium. Contract reserves are in addition to claim and premium reserves.

Contractual Liability – liability coverage of an insured who has assumed the legal liability of another party by written or oral contract. Includes a contractual liability policy providing coverage for all obligations and liabilities incurred by a service contract provider under the terms of service contracts issued by the provider.

Convertible Term Insurance Policy – an insurance policy that can be converted into permanent insurance without a medical assessment. The insurer is required to renew the policy regardless of the health of the insured subject to policy conditions.

Coordination of Benefits (COB) – provision to eliminate over insurance and establish a prompt and orderly claims payment system when a person is covered by more than one group insurance and/or group service plan.

Copay – a cost sharing mechanism in group insurance plans where the insured pays a specified dollar amount of incurred medical expenses and the insurer pays the remainder.

Corrective Order – commissioner’s directive of action to be completed by an insurer.

Covered Lives – The total number of lives insured, including dependents, under individual policies and group certificates.

Credit – individual or group policies that provide benefits to a debtor for full or partial repayment of debt associated with a specific loan or other credit transaction upon disability or involuntary unemployment of debtor, except in connection with first mortgage loans.

Credit – Assumption Agreement – an insurance certificate issued on an existing insurance contract indicating that another insurer has assumed all of the risk under the contract from the ceding insurance company.

Credit – Credit Default – coverage purchased by manufacturers, merchants, educational institutions, or other providers of goods and services extending credit, for indemnification of losses or damages resulting from the nonpayment of debts owed to them for goods or services provided in the normal course of their business.

Credit – Involuntary Unemployment – makes loan/credit transaction payments to the creditor when the debtor becomes involuntarily unemployed.

Credit Accident and Health (group and individual) – coverage provided to or offered to borrowers in connection with a consumer credit transaction where the proceeds are used to repay a debt or an installment loan in the event the consumer is disabled as the result of an accident, including business not exceeding 120 months duration.

Credit Disability – makes monthly loan/credit transaction payments to the creditor upon the disablement of an insured debtor.

Credit Health Insurance – policy assigning creditor as beneficiary for insurance on a debtor thereby remitting balance of payment to creditor should the debtor become disabled.

Credit Involuntary Unemployment – credit insurance that provides a monthly or lump sum benefit during an unpaid leave of absence from employment resulting from specified causes, such as layoff, business closure, strike, illness of a close relative and adoption or birth of a child. This insurance is sometimes referred to as Credit Family Leave.

Credit Life Insurance – policy assigning creditor as beneficiary for insurance on a debtor thereby remitting balance of payment to creditor upon death of debtor.

Credit Personal Property Insurance – insurance written in connection with a credit transaction where the collateral is not a motor vehicle, mobile home or real estate and that covers perils to the goods purchased through a credit transaction or used as collateral for a credit transaction and that concerns a creditor’s interest in the purchased goods or pledged collateral, either in whole or in part; or covers perils to goods purchased in connection with an open-end transaction.

Credit Placed Insurance – insurance that is purchased unilaterally by the creditor, who is the named insured, subsequent to the date of the credit transaction, providing coverage against loss, expense or damage to property as a result of fire, theft, collision or other risks of loss that would either impair a creditor’s interest or adversely affect the value of collateral. “Creditor Placed Home” means “Creditor Placed Insurance” on homes, mobile homes and other real estate. “Creditor Placed Auto” means insurance on automobiles, boats or other vehicles.

Credit Risk – part of the risk-based capital formula that addresses the collectability of a company’s receivables and the risk of losing a provider or intermediary that has received advance capitation payments.

Creditor-Placed Auto – single interest or dual interest credit insurance that is purchased unilaterally by the creditor, who is the named insured, subsequent to the date of the credit transaction, providing coverage against loss to property that would either impair a creditor’s interest or adversely affect the value of collateral on automobiles, boats, or other vehicles.

Creditor-Placed Home – single interest or dual interest credit insurance purchased unilaterally by the creditor, who is the named insured, subsequent to the date of the credit transaction, providing coverage against loss to property that would either impair a creditor’s interest or adversely affect the value of collateral on homes, mobile homes, and other real estate.

Crop – coverage protecting the insured against loss or damage to crops from a variety of perils, including but not limited to fire, lightening, loss of revenue, tornado, windstorm, hail, flood, rain, or damage by insects.

Crop-Hail Insurance – coverage for crop damage due to hail, fire or lightning.

D

Date of Issue – date when an insurance company issues a policy.

Declarations – policy statements regarding the applicant and property covered such as demographic and occupational information, property specifications and expected mileage per year .

Deductible – Portion of the insured loss (in dollars) paid by the policy holder

Deferred Annuity – annuity payment to be made as a single payment or a series of installments to begin at some future date, such as in a specified number of years or at a specified age.

Demutualization – conversion of a mutual insurance company to a capital stock company.

Dental Insurance – policies providing only dental treatment benefits such as routine dental examinations, preventive dental work, and dental procedures needed to treat tooth decay and diseases of the teeth and jaw.

Dental Only – line of business providing dental only coverage; coverage can be on a stand-alone basis or as a rider to a medical policy. If the coverage is as a rider, deductibles or out-of-pocket limits must be set separately from the medical coverage. Does not include self-insured business as well as FEHBP or Medicare and Medicaid programs.

Derivative – securities priced according to the value of other financial instruments such as commodity prices, interest rates, stock market prices, foreign or exchange rates.

Difference In Conditions (DIC) Insurance – special form of open-peril coverage written in conjunction with basic fire coverage and designed to provide protection against losses not reimbursed under the standard fire forms. Examples are flood and earthquake coverage.

Direct Incurred Loss – loss whereby the proximate cause is equivalent to the insured peril.

Direct Loss – Damage to covered real or personal property caused by a covered peril.

Direct Writer – an insurance company that sells policies to the insured through salaried representatives or exclusive agents only; reinsurance companies that deal directly with ceding companies instead of using brokers.

Direct Written Premium – total premiums received by an insurance company without any adjustments for the ceding of any portion of these premiums to the Reinsurer.

Directors & Officers Liability – liability coverage protecting directors or officers of a corporation from liability arising out of the performance of their professional duties on behalf of the corporation.

Disability Income – a policy designed to compensate insured individuals for a portion of the income they lose because of a disabling injury or illness.

Disability Income – Long-Term – policies that provide a weekly or monthly income benefit for more than five years for individual coverage and more than one year for group coverage for full or partial disability arising from accident and/or sickness.

Disability Income – Short-Term – policies that provide a weekly or monthly income benefit for up to five years for individual coverage and up to one year for group coverage for full or partial disability arising from accident and/or sickness.

Dividend – a refund of a portion of the premium paid by the insured from insurer surplus.

Domestic Insurer – an insurance company that is domiciled and licensed in the state in which it sells insurance.

Dual Interest – insurance that protects the creditor’s and the debtor’s interest in the collateral securing the debtor’s credit transaction. “Dual Interest” includes insurance commonly referred to as “Limited Dual Interest.”

Dwelling Property/Personal Liability – a special form of package policy composed of dwelling fire and/or allied lines, and personal liability insurance.

E

Early warning system – a system designed by insurance industry regulators of identifying practices and risk-related trends that contribute to systemic risk by measuring insurer’ financial stability.

Earned Premium – portion of insured’s prepaid premium allocated to the insurance company’s loss experience, expenses, and profit year- to -date.

Earthquake – property coverages for losses resulting from a sudden trembling or shaking of the earth, including that caused by volcanic eruption. Excluded are losses resulting from fire, explosion, flood or tidal wave following the covered event.

EBNR – Earned but not reported – premium amount insurer reasonably expects to receive for which contracts are not yet final and exact amounts are not definite.

EDP Policies – coverage to protect against losses arising out of damage to or destruction of electronic data processing equipment and its software.

Effective Date – date at which an insurance policy goes into force.

Elevators and Escalators Liability – liability coverage for bodily injury or property damage arising from the use of elevators or escalators operated, maintained or controlled by the insured.

Employee Benefit Liability – liability protection for an employer for claims arising from provisions in an employee benefit insurance plan provided for the economic and social welfare of employees. Examples of items covered are pension plans, group life insurance, group health insurance, group disability income insurance, and accidental death and dismemberment.

Employee Retirement Income Security Act of 1974 (ERISA) – a federal statute governing standards for private pension plans, including vesting requirements, funding mechanisms, and plan design.

Employers Liability – employers’ liability coverage for the legal liability of employers arising out of injuries to employees. This code should be used when coverage is issued as an endorsement, or as part of a statutory workers’ compensation policy.

Employment Practices Liability Coverage – liability insurance for employers providing coverage for wrongful termination, discrimination, or sexual harassment of the insured’s current or former employees.

Encumbrance – outstanding mortgages or other debt related to real estate and any unpaid accrued acquisition or construction costs.

Endorsement – an amendment or rider to a policy adjusting the coverages and taking precedence over the general contract.

Enrollment – The total number of plans, not the total number of covered lives, providing coverage to the enrollee and their dependents.

Environmental Impairment Liability (EIL) – coverage for negligence or omission resulting in pollution or environmental contamination.

Environmental Pollution Liability – liability coverage of an insured to persons who have incurred bodily injury or property damage from acids, fumes, smoke, toxic chemicals, waste materials or other pollutants.

Equity Indexed Annuity – a fixed annuity that earns interest or provides benefits that are linked to an external reference or equity index, subject to a minimum guarantee.

Errors and Omissions Liability | Professional Liability other than Medical – liability coverage of a professional or quasi professional insured to persons who have incurred bodily injury or property damage, or who have sustained any loss from omissions arising from the performance of services for others, errors in judgment, breaches of duty, or negligent or wrongful acts in business conduct.

Event Cancellation – coverage for financial loss because of the cancellation or postponement of a specific event due to weather or other unexpected cause beyond the control of the insured.

Excess and Umbrella Liability – liability coverage of an insured above a specific amount set forth in a basic policy issued by the primary insurer; or a self insurer for losses over a stated amount; or an insured or self insurer for known or unknown gaps in basic coverages or self insured retentions.

Excess of Loss Reinsurance – loss sharing mechanism where an insurer pays all claims up to a specified amount and a reinsurance company pays any claims in excess of stated amount.

Excess Workers’ Compensation – either specific and/or aggregate excess workers’ compensation insurance written above an attachment point or self-insured retention.

Expense Ratio – percentage of premium income used to attain and service policies. Derived by subtracting related expenses from incurred losses and dividing by written premiums.

Experience Rating – rating system where each group is rated entirely on the basis of its own expected claims in the coming period, with retrospective adjustments for prior periods. This method is prohibited under the conditions for federal qualification.

Exposure – risk of possible loss.

Extra Expense Insurance – a type of property insurance for extraordinary expenses related to business interruption such as a back-up generator in case of power failure.

F

Face Amount – the value of a policy to be provided upon maturity date or death.

Facultative Reinsurance – reinsurance for a specific policy for which terms can be negotiated by the original insurer and reinsurer.

FAIR Plan – Fair Access to Insurance Requirements – state pools designed to provide insurance to property owners who are unable to obtain property insurance through conventional means.

Fair Value – the amount at which an asset (or liability) could be bought (or incurred) or sold (or settled) in a current transaction between willing parties, that is, other than in a forced or liquidation sale. Quoted market prices in active markets are the best evidence of fair value and shall be used as the basis for the measurement, if available. If a quoted market price is available, the fair value is the product of the number of trading units times market price.

Farmowners Insurance – farmowners insurance sold for personal, family or household purposes. This package policy is similar to a homeowners policy, in that it has been developed for farms and ranches and includes both property and liability coverage for personal and business losses. Coverage includes farm dwellings and their contents, barns, stables, other farm structures and farm inland marine, such as mobile equipment and livestock.

Federal Flood Insurance – coverage for qualifying residents and businesses in flood prone regions through the National Flood Insurance Act, a federally subsidized flood insurance program enacted in 1968.

Federally Reinsured Crop – crop insurance coverage that is either wholly or in part reinsured by the Federal Crop Insurance Corporation (FCIC) under the Standard Reinsurance Agreement (SRA). This includes the following products: Multiple Peril Crop Insurance (MPCI); Catastrophic Insurance, Crop Revenue Coverage (CRC); Income Protection and Revenue Assurance.

Fees Payable – fees incurred but not yet paid.

FEMA – Federal Emergency Management Agency – an independent agency, tasked with responding to, planning for, mitigating and recovery efforts of natural disasters.

Fidelity – a bond or policy covering an employer’s loss resulting from an employee’s dishonest act (e.g., loss of cash, securities, valuables, etc.).

Financial Guaranty – a surety bond, insurance policy, or an indemnity contract (when issued by an insurer), or similar guaranty types under which loss is payable upon proof of occurrence of financial loss to an insured claimant, obligee or indemnitee as a result of failure to perform a financial obligation or any other permissible product that is defined as or determined to be financial guaranty insurance.

Financial Reporting – insurance companies are required to maintain records and file annual and quarterly financial statements with regulators in accordance with statutory accounting principles (SAP). Statutory rules also govern how insurers should establish reserves for invested assets and claims and the conditions under which they can claim credit for reinsurance ceded.

Financial Responsibility Law – a statute requiring motorists to show capacity to pay for automobile-related losses.

Financial Statement – balance sheet and profit and loss statement of an insurance company. This statement is used by the NAIC, and by State Insurance Commissioners to regulate an insurance company according to reserve requirements, assets, and other liabilities.

Fire – coverage protecting the insured against the loss to real or personal property from damage caused by the peril of fire or lightning, including business interruption, loss of rents, etc.

Fire Legal Liability – coverage for property loss liability as the result of separate negligent acts and/or omissions of the insured that allows a spreading fire to cause bodily injury or property damage of others. An example is a tenant who, while occupying another party’s property, through negligence causes fire damage to the property.

Flood – coverage protecting the insured against loss or damage to real or personal property from flood. (Note: If coverage for flood is offered as an additional peril on a property insurance policy, file it under the applicable property insurance filing code.)

Foreign Insurer – an insurance company selling policies in a state other than the state in which they are incorporated or domiciled.

Foreign Investment – an investment in a foreign jurisdiction, or an investment in a person, real estate or asset domiciled in a foreign jurisdiction. An investment shall not be deemed to be foreign if the issuing person, qualified primary credits source or qualified guarantor is a domestic jurisdiction or a person domiciled in a domestic jurisdiction, unless: a) The issuing person is a shell business entity; and b) The investment is not assumed, accepted, guaranteed or insured or otherwise backed by a domestic jurisdiction or a person, that is not a shell business entity, domiciled in a domestic jurisdiction.

Foreign jurisdiction – a jurisdiction outside of the United States, Canada or any province or political subdivision of the foregoing.

Fraternal Insurance – a form of group coverage or disability insurance available to members of a fraternal organization.

Fronting – an arrangement in which a primary insurer acts as the insurer of record by issuing a policy, but then passes the entire risk to a reinsurer in exchange for a commission. Often, the fronting insurer is licensed to do business in a state or country where the risk is located, but the reinsurer is not.

G

Generally Accepted Accounting Principles (GAAP) – an aggregate of the accounting standards, principles and best practices for the preparation of financial statements allowing for consistency in reporting.

Gramm-Leach Bliley Act (GLBA) – act, repealing Glass-Steagal Act of 1933, allows consolidation of commercial banks, investment institutions and insurance companies. Established a framework of responsibilities of federal and state regulators for these financial industries. It permits financial services companies to merge and engage in a variety of new business activities, including insurance, while attempting to address the regulatory issues raised by such combinations.

Goodwill – the difference between the cost of acquiring the entity and the reporting entity’s share of the book value of the acquired entity.

Gross Paid-in and Contributed Surplus – amount of capital received in excess of the par value of the stock issued.

Gross Premium – the net premium for insurance plus commissions, operating and miscellaneous commissions. For life insurance, this is the premium including dividends.

Group Accident and Health – coverage written on a group basis (e.g., employees of a single employer and their dependents) that pays scheduled benefits or medical expenses caused by disease, accidental injury or accidental death. Excludes amounts attributable to uninsured accidents and health plans and the uninsured portion of partially insured accident and health plans.

Group Annuities – Deferred Non- Variable and Variable – an annuity contract that provides an accumulation based on both (1) funds that accumulate based on a guaranteed crediting interest rates or additional interest rate applied to designated considerations, and (2) funds where the accumulation vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. The contract provides for the initiation of payments at some designated future date.

Group Annuities – Deferred Variable – an annuity contract that provides an accumulation based fund where the accumulation varies in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. Must include at least one option to have the accumulation vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder and may include at least one option to have the series of payments vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. This annuity contract provides for the initiation of payments at some designated future date.

Group Annuities – Immediate Non-Variable and Variable – an annuity contract that provides an accumulation based on both (1) funds that accumulate based on a guaranteed crediting interest rates or additional interest rate applied to designated considerations, and (2) funds where the accumulation vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. The contract provides for the initiation of payments at some interval that may vary, however the annuity payouts must begin within 13 months.

Group Annuities – Immediate Variable – an annuity contract that provides for the first payment of the annuity at the end of the fixed interval of payment after purchase. The interval may vary, however the annuity payouts must begin within 13 months. The amount varies with the value of equities (separate account) purchased as investments by the insurance companies.

Group Annuities – Unallocated – annuity contracts or portions thereof where the Insurer purchases an annuity for the retirees.

Group Annuity – a contract providing income for a specified period of time, or duration of life for a person or persons established to benefit a group of employees.

Group Health – health insurance issued to employers, associations, trusts, or other groups covering employees or members and/or their dependents, to whom a certificate of coverage may be provided.

Group Code – a unique three to five digit number assigned by the NAIC to identify those companies that are part of a larger group of insurance companies.

Group Credit – Life – contracts sold in connection with loan/credit transactions or other credit transactions, which do not exceed a stated duration and/or amount and provide insurance protection against death.

Group Health Organizations – Health Maintenance (HMO) – a plan under which an enrollee pays a membership fixed fee in advance in return for a wide range of comprehensive health care services with the HMO’s approved providers in a designated service area.

Guaranty Fund – funding mechanism employed by states to provide funds to cover policyholder obligations of insolvent reporting entities.

H

Hard Market – a market characterized by high demand and low supply.

Hazard – circumstance which tends to increase the probability or severity of a loss.

Health – Excess/Stop Loss – this type of insurance may be extended to either a health plan or a self-insured employer plan. Its purpose is to insure against the risk that any one claim will exceed a specific dollar amount or that an entire plan’s losses will exceed a specific amount.

Health Insurance – a generic term applying to all types of insurance indemnifying or reimbursing for losses caused by bodily injury or illness including related medical expenses.

Health Maintenance Organization (HMO) – a medical group plan that provides physician, hospital, and clinical services to participating members in exchange for a periodic flat fee.

Health Plan – written promise of coverage given to an individual, family, or group of covered individuals, where a beneficiary is entitled to receive a defined set of health care benefits in exchange for a defined consideration, such as a premium.

Hold-Harmless Agreement – A risk transfer mechanism whereby one party assumes the liability of another party by contract

Homeowners Insurance – a package policy combining real and personal property coverage with personal liability coverage. Coverage applicable to the dwelling, appurtenant structures, unscheduled personal property and additional living expense are typical. Includes mobile homes at a fixed location.

Hospital Indemnity Coverage – coverage that provides a pre-determined, fixed benefit or daily indemnity for contingencies based on a stay at a hospital or intensive care facility.

Hull Insurance – coverage for damage to a vessel or aircraft and affixed items.

I

Incontestability Provision – a life insurance and annuity provision limiting the time within which the insurer has the legal right to void the contract on grounds of material misrepresentation in the policy application.

Incurred But Not Reported (IBNR) – (Pure IBNR) claims that have occurred but the insurer has not been notified of them at the reporting date. Estimates are established to book these claims. May include losses that have been reported to the reporting entity but have not yet been entered into the claims system or bulk provisions. Bulk provisions are reserves included with other IBNR reserves to reflect deficiencies in known case reserves. IBNR can sometimes include estimates of incurred but Not Enough Reported (IBNER)

Incurred Claims – paid claims plus amounts held in reserve for those that have been incurred but not yet paid.

Incurred Losses – sustained losses, paid or not, during a specified time period. Incurred losses are typically found by combining losses paid during the period plus unpaid losses sustained during the time period minus outstanding losses at the beginning of the period incurred in the previous period.

Indemnity, Principle of – a general legal principle related to insurance that holds that the individual recovering under an insurance policy should be restored to the approximate financial position he or she was in prior to the loss. Legal principle limiting compensation for damages be equivalent to the losses incurred.

Independent Adjuster – freelance contractor paid a fee for adjusting losses on behalf of companies.

Independent Agent – a representative of multiple insurance companies who sells and services policies for records which they own and operate under the American Agency System.

Independent Contractor – an individual who is not employed for a company but instead works for themselves providing goods or services to clients for a fee.

Index Annuity – an interest bearing fixed annuity tied to an equity index, such as the Dow Jones Industrial Average or S & P 500.

Individual Annuities – Deferred Variable – an annuity contract that provides an accumulation based fund where the accumulation varies in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. Must include at least one option to have the accumulation vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder and may include at least one option to have the series of payments vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. This annuity contract provides for the initiation of payments at some designated future date.

Individual Annuities – Immediate Variable – an annuity contract that provides for the first payment of the annuity at the end of the fixed interval of payment after purchase. The interval may vary, however the annuity payouts must begin within 13 months. The amount varies with the value of equities (separate account) purchased as investments by the insurance companies.

Individual Annuities – Special – contracts with certain noteworthy attributes.

Individual Annuities- Deferred Non-Variable and Variable – an annuity contract that provides an accumulation based on both (1) funds that accumulate based on a guaranteed crediting interest rates or additional interest rate applied to designated considerations, and (2) funds where the accumulation vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. The contract provides for the initiation of payments at some designated future date.

Individual Annuities- Deferred Non-Variable – an annuity contract that provides an accumulation based on funds that accumulate based on a guaranteed crediting interest rate or additional interest rate. This annuity contract provides for the initiation of payments at some designated future date.

Individual Annuities- Immediate Non-Variable – an annuity contract that provides for the fixed payment of the annuity at the end of the first interval of payment after purchase. The interval may vary, however the annuity payouts must begin within 13 months.

Individual Annuities- Immediate Non-Variable and Variable – an annuity contract that provides an accumulation based on both (1) funds that accumulate based on a guaranteed crediting interest rates or additional interest rate applied to designated considerations, and (2) funds where the accumulation vary in accordance with the rate of return of the underlying investment portfolio selected by the policyholder. The contract provides for the initiation of payments at some interval that may vary, however the annuity payouts must begin within 13 months.

Individual Health – health insurance where the policy is issued to an individual covering the individual and/or their dependents in the individual market. This includes conversions from group policies.

Individual Credit – Credit Disability – makes monthly loan/credit transaction payments to the creditor upon the disablement of an insured debtor.

Individual Credit – Life – contracts sold in connection with loan/credit transactions or other credit transactions, which do not exceed a stated duration and/or amount and provide insurance protection against death.

Industrial Life – Industrial life insurance, also called “debit” insurance, is insurance under which premiums are paid monthly or more often, the face amount of the policy does not exceed a stated amount, and the words “industrial policy” are printed in prominent type on the face of the policy.

Inland Marine – coverage for property that may be in transit, held by a bailee, at a fixed location, a movable good that is often at different locations (e.g., off road constructions equipment), or scheduled property (e.g., Homeowners Personal Property Floater) including items such as live animals, property with antique or collector’s value, etc. This line also includes instrumentalities of transportation and communication, such as bridges, tunnels, piers, wharves, docks, pipelines, power and phone lines, and radio and television towers.

Insurable Interest – A right or relationship in regard to the subject matter of the insured contract such that the insured can suffer a financial loss from damage, loss or destruction to it. (Bickelhaupt and Magee )

Insurance – an economic device transferring risk from an individual to a company and reducing the uncertainty of risk via pooling.

Insurance Holding Company System – consists of two or more affiliated persons, one or more of which is an insurer.

Insurance Regulatory Information System (IRIS) – a baseline solvency screening system for the National Association of Insurance Commissioners (NAIC) and state insurance regulators established in the mid-1970s.

Insurance to Value – Amount of insurance purchased vs. the actual replacement cost of the insured property expressed as a ratio.

Insured – party(ies) covered by an insurance policy.

Insurer – an insurer or reinsurer authorized to write property and/or casualty insurance under the laws of any state.

Intermediary – a person, corporation or other business entity (not licensed as a medical provider) that arranges, by contracts with physicians and other licensed medical providers, to deliver health services for a health insurer and its enrollees via a separate contract between the intermediary and the insurer.

International – includes all business transacted outside the U.S. and its territories and possessions where the appropriate line of business is not determinable.

Internet Liability Insurance/Cyber Insurance – coverage for cyber commerce including copyright infringement, libel, and violation of privacy.

Investment grade – the obligation has been determined to be in one of the top four generic lettered rating classifications by a securities rating agency acceptable to the commissioner, that the obligation has been identified in writing by such a rating agency to be of investment grade quality, or, if the obligation has not been submitted to any such rating agency, that the obligation has been determined to be investment grade (Class 1 and Class 2) by the Securities Valuation Office of the National Association of Insurance Commissioners.

Investment Income Accrued – investment income earned as of the reporting date but not legally due to be paid to the reporting entity until subsequent to the reporting date.

Investment Income Due – investment income earned and legally due to be paid to the reporting entity as of the reporting date.

Investment Income Gross – shall be recorded as earned and shall include investment income collected during the period, the change in investment income due and accrued, the change in unearned investment income plus any amortization (e.g., discounts or premiums on bonds, origination fees on mortgage loans, etc.)

Irrevocable Beneficiary – a life insurance policy beneficiary who has a vested interest in the policy proceeds even during the insured’s lifetime because the policy owner has the right to change the beneficiary designation only after obtaining the beneficiary’s consent.

J

Joint and Last Survivor Annuity – retirement plan that continues to payout so long as at least one, of two or more, annuitants is alive.

Joint Underwriting Association (JUA) – a loss-sharing mechanism combining several insurance companies to provide extra capacity due to type or size of exposure.

Joint-Life Annuity – an annuity contract that ceases upon the death of the first of two or more annuitants.

K

Key-Persons Insurance – a policy purchased by, for the benefit of, a business insuring the life or lives of personnel integral to the business operations.

Kidnap/Ransom Insurance – coverage for ransom or extortion costs and related expenses.

L

Lapse – termination of a policy due to failure to pay the required renewal premium.

Level Premium Insurance – life insurance policy for which the cost is equally distributed over the term of the premium period, remaining constant throughout.

Liability – a certain or probable future sacrifice of economic benefits arising from present obligations of a particular entity to transfer assets or to provide services to other entities in the future as a result of a past transactions(s) or event(s). three essential characteristics: a)    It embodies a present duty or responsibility to one or more other entities that entails settlement by probable future transfer or use of assets at a specified or determinable date, on occurrence of a specified event, or on demand; b)    The duty or responsibility obligates a particular entity, leaving it little or no discretion to avoid the future sacrifice; and c)    The transaction or other event obligating the entity has already happened.

Life – Endowment – insurance that pays the same benefit amount should the insured die during the term of the contract, or if the insured survives to the end of the specified coverage term or age.

Life – Flexible Premium Adjustable Life – a group life insurance that provides a face amount that is adjustable to the certificate holder and allows the certificate holder to vary the modal premium that is paid or to skip a payment so long as the certificate value is sufficient to keep the certificate in force, and under which separately identified interest credits (other than in connection with dividend accumulation, premium deposit funds or other supplementary accounts) and mortality and expense charges are made to individual certificates while providing minimum guaranteed values.

Life Settlements – a contract or agreement in which a policyholder agrees to sell or transfer ownership in all or part of a life insurance policy to a third party for compensation that is less than the expected death benefit of a policy.

Lifetime Disability Benefit – a provision in some disability income policies to recoup lost wages for the term of disability or remainder of insured’s life in case of permanent disability.

Limited Benefit – policies that provide coverage for vision, prescription drug, and/or any other single service plan or program. Also include short-term care policies that provide coverage for less than one year for medical and other services provided in a setting other than an acute care unit of the hospital.

Limited Payment Life Insurance – a form of whole-life insurance with a pre-defined number of premiums to be paid.

Limited Policies – health insurance coverage for a certain ailment, such as cancer.

Limits – maximum value to be derived from a policy.

Line of Business – classification of business written by insurers.

Liquor Liability – coverage for the liability of an entity involved in the retail or wholesale sales of alcoholic beverages, or the serving of alcoholic beverages, to persons who have incurred bodily injury or property damage arising from an intoxicated person.

Living benefits rider – a rider attached to a life insurance policy providing long term care for the terminally ill.

Lloyd’s of London – association offering membership in various syndicates of wealthy individuals organized for the purpose of writing insurance for a particular hazard.

Loan-backed Securities – pass-through certificates, collateralized mortgage obligations (CMOs), and other securitized loans not included in structured securities where payment of interest and/or principal is directly proportional to the interest and/or principal received by the issuer from the mortgage pool or other underlying securities.

Long Duration Contracts – contracts, excluding financial guaranty contracts, mortgage guaranty contracts and surety contracts, that fulfill both of the following conditions: (1) the contract term is greater than or equal to thirteen months and (2) the insurer can neither cancel nor increase the premium during the contract term.

Long-Term Care – policies that provide coverage for not less than one year for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than an acute care unit of a hospital, including policies that provide benefits for cognitive impairment or loss of functional capacity. This includes policies providing only nursing home care, home health care, community based care, or any combination. The policy does not include coverage provided under comprehensive/major medical policies, Medicare Advantage, or for accelerated heath benefit-type products.

Long-Term Disability Income Insurance – policy providing monthly income payments for insureds who become disabled for an extensive length of time, typically two years or longer.

Loss – physical damage to property or bodily injury, Including loss of use or loss of income

Loss Adjustment Expense (LAE) – expected payments for costs to be incurred in connection with the adjustment and recording of losses. Can be classified into two broad categories: Defense and Cost Containment (DCC) and Adjusting and Other (AO). Can also be separated into (Allocated Loss Adjustment Expense) and (Unallocated Loss Adjustment Expense for ratemaking purposes.

Loss Frequency – incidence of claims on a policy during a premium period.

Loss of Use Insurance – policy providing protection against loss of use due to damage or destruction of property.

Loss Payable Clause – coverage for third party mortgagee in case of default on insured property, secured by a loan, that has been lost or damaged.

Loss Ratio – the percentage of incurred losses to earned premiums.

Loss Reserve – the amount that insurers set aside to cover claims incurred but not yet paid.

Loss Reserves – an estimate of liability or provision in an insurer’s financial statement, indicating the amount the insurer expects to pay for losses incurred but not yet reported or reported claims that haven’t been paid.

Losses Incurred – Includes claims that have been paid and/or have amounts held in reserve for future payment

Losses Incurred But Not Reported (IBNR) – An estimated amount set aside by the insurance company to pay claims that may have occurred, but for some reason have not yet been reported to the insurance company.

M

Major Medical – a hospital/surgical/medical expense contract that provides comprehensive benefits as defined in the state in which the contract will be delivered.

Malpractice – alleged misconduct or negligence in a professional act resulting in loss or injury.

Managed Care – system of health care delivery that attempts to influence the utilization, quality, and cost of services provided.

Mandated benefits – insurance required by state or federal law.

Manufacturers Output Policies – provides broad form coverage of personal property of an insured manufacturer including raw material, goods in process, finished goods and goods shipped to customers.

Margin Premium – a deposit that an organization is required to maintain with a broker with respect to the Futures Contracts purchased or sold.

Market Value – fair value or the price that could be derived from current sale of an asset.

Mechanical Breakdown Insurance – premiums attributable to policies covering repair or replacement service, or indemnification for that service, for the operational or structural failure of property due to defects in materials or workmanship, or normal wear and tear. (May cover motor vehicles, mobile equipment, boats, appliances, electronics, residual structures, etc.)

Medicaid – policies issued in association with the Federal/State entitlement program created by Title XIX of the Social Security Act of 1965 that pays for medical assistance for certain individuals and families with low incomes and resources.

Medical & Hospital Expenses (Benefits or Claims) – total expenditures for health care services paid to or on behalf of members.

Medical Malpractice – insurance coverage protecting a licensed health care provider or health care facility against legal liability resulting from the death or injury of any person due to the insured’s misconduct, negligence, or incompetence, in rendering or failure to render professional services.

Medical Only – line of business that provides medical only benefits without hospital coverage. An example would be provider-sponsored organizations where there is no coverage for other than provider (non-hospital) services. Does not include self-insured business, FEHBP, Medicare and Medicaid programs, or dental only business.

Medical Professional Liability – insurance coverage protecting a licensed health care provider or health care facility against legal liability resulting from the death or injury of any person due to the insured’s misconduct, negligence, or incompetence in rendering professional services. Medical Professional Liability is also known as Medical Malpractice.

Medicare – a state assistance program, passed under Title XVIII of the Social Security Amendments of 1965, to provide hospital and medical expense insurance to those over 65 years of age.

Medicare + Choice – a major initiative in the Balanced Budget Act of 1997 (also called Medicare Part C), under which Medicare beneficiaries may select from among several managed care options or a Medicare system.

Medicare Advantage Plan – an HMO, PPO, or Private Fee-For Service Plan that contracts with Medicare Advantage Prescription Drug Plan also includes drug benefits. The plan may provide extra coverage such as vision, hearing, dental, and/or health and wellness programs. Medicare pays a fixed amount for insured’s care every month to the companies offering Medicare Advantage plans.

Medicare Cost – contract with Center for Medicare and Medicaid Services (CMS) for Medicare coverage. These contracts with CMS provide reimbursement through pre-determined monthly amount per member based on a total estimated budget. The beneficiary may use providers outside the provider network. Does not include stand alone Medicare Part D Plans.

Medicare Part D – Stand-Alone – stand-alone Part D coverage written through individual contracts; stand-alone Part D coverage written through group contracts and certificates; and Part D coverage written on employer groups where the reporting entity is responsible for reporting claims to the Centers for Medicare & Medicaid Services (CMS).

Medicare Supplement – Insurance coverage sold on an individual or group basis to help fill the “gaps” in the protections granted by the federal Medicare program. This is strictly supplemental coverage and cannot duplicate any benefits provided by Medicare. It is structured to pay part or all of Medicare’s deductibles and co-payments. It may also cover some services and expenses not covered by Medicare. Also known as Medigap” insurance.

Medigap – supplementary private health insurance products to Medicare insurance benefits.

Minimum Premium Plan – an arrangement under which an insurance carrier will, for a fee, handle the administration of claims and insure against large claims for a self-insured group. The employer self-funds a fixed percentage (e.g. 90%) of the estimated monthly claims, and the insurer covers the remainder.

Mobile Homes – Homeowners – homeowners insurance sold to owners occupying the described mobile home.

Mobile Homes under Transport – coverage for mobile homes while under transport for personal or commercial use.

Modified Guaranteed – an annuity that contains a provision that adjusts the value of withdrawn funds based on a formula in the contract. The formula reflects market value adjustments.

Member – A person who has enrolled as a subscriber or an eligible dependent of a subscriber and for whom the health organization has accepted the responsibility for the provision of health services as may be contracted for.

Moral Hazard – personality characteristics that increase probability of losses. For example not taking proper care to protect insured property because the insured knows the insurance company will replace it if it is damaged or stolen.

Morale Hazard – negligence or disregard on the part of the insured which could lead to probable loss.

Morbidity – the frequency or severity of disease or illness within a subset of the population.

Morbidity Risk – the potential for a person to experience illness, injury, or other physical or psychological impairment, whether temporary or permanent. Morbidity risk excludes the potential for an individual’s death, but includes the potential for an illness or injury that results in death.

Morbidity Table – a statistical record of the rate of illness among the defined age groups.

Mortality Table – chart that shows the death rates of a particular population at each age displayed as the number of deaths per thousand.

Mortgage – a note used to secure a loan for real property.

Mortgage Guaranty – insurance that indemnifies a lender for loss upon foreclosure if a borrower fails to meet required mortgage payments.

Mortgage Insurance – a form of life insurance coverage payable to a third party lender/mortgagee upon the death of the insured/mortgagor for loss of loan payments.

Mortgage-Backed Securities – a type of asset-backed security that is secured by a mortgage or collection of mortgages. These securities must also be grouped in one of the top two ratings as determined by an accredited credit rating agency, and usually pay periodic payments that are similar to coupon payments. Furthermore, the mortgage must have originated from a regulated and authorized financial institution.

Multi-Peril Insurance – personal and business property coverage combining several types of property insurance in one policy.

Municipal Bond Guarantee Insurance – coverage sold to municipalities to guarantee the principle payment on bonds issued.

Municipal Liability – liability coverage for the acts of a municipality.

Municipal obligation bond – any security, or other instrument, including a state lease but not a lease of any other governmental entity, under which a payment obligation is created, issued by or on behalf of a governmental unit to finance a project servicing a substantial public purpose, and 1) Payable from tax revenues, but not tax allocations, within the jurisdiction of such governmental unit; 2) Payable or guaranteed by the United States of America or any agency, department or instrumentality thereof, or by a state housing agency; 3) Payable from rates or charges (but not tolls) levied or collected in respect of a non-nuclear utility project, public transportation facility (other than an airport facility) or public higher education facility; or 4) With respect to lease obligations, payable from future appropriations.

Mutual Insurance Company – a privately held insurer owned by its policyholders, operated as a non-profit that may or may not be incorporated.

Mutual Insurance Holding Company – a company organized as a mutual and owning a capital stock insurer or insurers for the benefit of pooling risk for many people, typically those in the same industry.

N

Named Insured – the individual defined as the insured in the policy contract. .

Named Peril Coverage – insurance for losses explicitly defined in the policy contract.

National Association of Insurance Commissioners (NAIC) – the U.S. standard-setting and regulatory support organization created and governed by the chief insurance regulators from the 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally. NAIC members, together with the central resources of the NAIC, form the national system of state-based insurance regulation in the U.S.

Negligence – failure to exercise reasonable consideration resulting in loss or damage to oneself or others.

Net Admitted Assets – total of assets whose values are permitted by state law to be included in the annual statement of the insurer.

Net Income – total revenues from an insurer’s operations less total expenses and income taxes

Net Premiums Earned – premiums on property/casualty or health policies that will not have to be returned to the policyholder if the policy is cancelled.

NFIP – National Flood Insurance Program – flood insurance and floodplain management for personal and business property administered under the National Flood Act of 1968. Encourages participation by private insurers through a flood insurance pool .

Nonadmitted Assets – assets having economic value other than those which can be used to fulfill policyholder obligations, or those assets which are unavailable due to encumbrances or other third party interests and should not be recognized on the balance sheet.

Nonadmitted Insurer – insurance company not licensed to do business within a given state.

Non-controlled stock insurers – insurers in which a parent company has: 1) a financial interest represented by the direct or indirect ownership of less than 50% of voting shares, and 2) does not have the ability to exercise control over the insurer, e.g., through voting stock or management contract

Non-proportional Reinsurance – reinsurance that is not secured on individual lives for specific individual amount of reinsurance, but rather reinsurance that protects the ceding company’s overall experience on its entire portfolio of business, or at least a broad segment of it. The most common forms of non-proportional reinsurance are stop loss and catastrophe.

Notional Value – the principal value upon which future payments are based in a derivative transaction as at a specific period in time (the “as of” reporting date) in the reporting currency.

Nationally Recognized Statistical Rating Organization (NRSRO) – refers to rating organizations so designated by the SEC whose status has been confirmed by the Securities Valuation Office. Examples are: Moody’s Investors Service, Inc., Standard & Poor’s (S&P), A.M. Best Company (A.M. Best) and Fitch Ratings and Dominion Bond Rating Service (DBRS).

Nuclear Energy Liability – coverage for bodily injury and property damage liability resulting from the nuclear energy material (whether or not radioactive) on the insured business’s premises or in transit.

O

Occurrence – an accident , including injurious exposure to conditions, which results, during the policy period in bodily injury or property damage neither expected or intended from the standpoint of the insured. (Bickelhaupt and Magee)

Ocean Marine – coverage for ocean and inland water transportation exposures; goods or cargoes; ships or hulls; earnings; and liability.

Officer – a president, vice-president, treasurer, actuary, secretary, controller and any other person who performs for the company functions corresponding to those performed by the foregoing officers.

Option – an agreement giving the buyer the right to buy or receive, sell or deliver, enter into, extend or terminate, or effect a cash settlement based on the actual or expected price, level, performance or value of one or more Underlying Interests.

Other Accident and Health – accident and health coverages not otherwise properly classified as Group Accident and Health or Credit Accident and Health (e.g., collectively renewable and individual non-cancelable, guaranteed renewable, non-renewable for stated reasons only, etc.). Include all Medicare Part D Prescription Drug Coverage, whether sold on a stand-alone basis or through a Medicare Advantage product and whether sold directly to an individual or through a group.

Other Considerations – Unallocated annuity considerations and other unallocated deposits that incorporate any mortality or morbidity risk and are not reported as direct premiums, direct annuity considerations or deposit-type contract funds.

Other Liability – coverage protecting the insured against legal liability resulting from negligence, carelessness, or a failure to act resulting in property damage or personal injury to others.

Other Underwriting Expenses – allocable expenses other than loss adjustment expenses and investment expenses.

Owner Occupied – homeowners insurance sold to owners occupying the described property.

P

Package Policy – two or more distinct policies combined into a single contract.

Par Value – the nominal or face value of a stock or bond.

Peril – the cause of property damage or personal injury, origin of desire for insurance. “Cause of Loss”

Permanent Life Insurance – policy that remains active for the life of the insured.

Personal Auto Policy – coverage designed to insure private passenger automobiles and certain types of trucks owned by an individual or husband and wife.

Personal Earthquake – earthquake property coverage for personal, family or household purposes.

Personal Flood – separate flood insurance policy sold for personal, family or household purposes.

Personal GAP Insurance – credit insurance that insures the excess of the outstanding indebtedness over the primary property insurance benefits in the event of a total loss to a collateral asset.

Personal Injury Liability – liability coverage for those who have been discriminated against, falsely arrested, illegally detained, libeled, maliciously prosecuted, slandered, suffered from identity theft, mental anguish or alienation of affections, or have had their right of privacy violated.

Personal Injury Protection Coverage/PIP – automobile coverage available in states that have enacted no-fault laws or other auto reparation reform laws for treatment of injuries to the insured and passengers of the insured.

Personal Property – single interest or dual interest credit insurance (where collateral is not a motor vehicle, mobile home, or real estate) that covers perils to goods purchased or used as collateral and that concerns a creditor’s interest in the purchased goods or pledged collateral either in whole or in part; or covers perils to goods purchased in connection with an open-end credit transaction.

Pet Insurance Plans – veterinary care plan insurance policy providing care for a pet animal (e.g., dog or cat) of the insured owner in the event of its illness or accident.

Policy – a written contract ratifying the legality of an insurance agreement.

Policy Dividend – a refund of part of the premium on a participating life insurance policy. Amount of payment is determined by subtracting the actual premium expense from the premium charged. The payment can be taken as cash, applied to a purchase an increment of paid-up insurance, left on deposit with the insurance company or applied to purchase term insurance for one year.

Policy Period – time period during which insurance coverage is in effect.

Policy Reserve – the amount of money allocated specifically for the fulfillment of policy obligations by a life insurance company; reserves are in place to safeguard that the company is able to pay all future claims.

Policyholders Surplus – assets in excess of the liabilities of a company or net income above any monies indebted to legal obligation.

Pollution – environmental contamination.

Pool – an association organized for the purpose of absorbing losses through a risk-sharing mechanism thereby limiting individual exposures.

Preferred Provider Organization (PPO) – arrangement, insured or uninsured, where contracts are established by Health Plan Companies (typically, commercial insurers, and, in some circumstances, by self-insured employers) with health care providers. The Health Plans involved will often designate these contracted providers as “preferred” and will provide an incentive, usually in the form of lower deductibles or co-payments, to encourage covered individuals to use these providers. Members are allowed benefits for non-participating provider services on an indemnity basis with significant copayments and providers are often, but not always, paid on a discounted fee for service basis.

Preferred Risk – insured, or applicant for insurance, who presents likelihood of risk lower than that of the standard applicant.

Premises and Operations – policies covering the liability of an insured to persons who have incurred bodily injury or property damage on an insured’s premises during normal operations or routine maintenance, or from an insured’s business operations either on or off of the insured’s premises.

Premium – Money charged for the insurance coverage reflecting expectation of loss.

Premiums Earned – the portion of premium for which the policy protection or coverage has already been given during the now-expired portion of the policy term.

Premiums Net – is the amount calculated on the basis of the interest and mortality table used to calculate the reporting entity’s statutory policy reserves.

Premiums Written – total premiums generated from all policies (contracts) written by an insurer within a given period of time.

Primary Insurance – coverage that takes precedence when more than one policy covers the same loss.

Prior Approval Law – a state regulatory requirement for pre-approval of all insurance rates and forms.

Private Passenger Auto (PPA) – filings that include singularly or in any combination coverage such as the following: Auto Liability, Personal Injury Protection (PIP), Medical Payments (MP), Uninsured/Underinsured (UM/UIM); Specified Causes of Loss, Comprehensive, and Collision.

Producer – an individual who sells, services, or negotiates insurance policies either on behalf of a company or independently.

Product Liability – insurance coverage protecting the manufacturer, distributor, seller, or lessor of a product against legal liability resulting from a defective condition causing personal injury, or damage, to any individual or entity, associated with the use of the product.

Professional Errors and Omissions Liability – coverage available to pay for liability arising out of the performance of professional or business related duties, with coverage being tailored to the needs of the specific profession. Examples include abstracters, accountants, insurance adjusters, architects, engineers, insurance agents and brokers, lawyers, real estate agents, stockbrokers.

Property – coverage protecting the insured against loss or damage to real or personal property from a variety of perils, including but not limited to fire, lightening, business interruption, loss of rents, glass breakage, tornado, windstorm, hail, water damage, explosion, riot, civil commotion, rain, or damage from aircraft or vehicles.

Pro-rata (proportional) Reinsurance – portion of the losses and premium reinsurer shares with the ceding entity.

Protected Cell – an insurance-linked security retained within the insurance or reinsurance company and is used to insulate the proceeds of the securities offering from the general business risks of the insurer, granting an additional comfort level for investors of the securitized instrument.

Protection and Indemnity (P&I) Insurance – a broad form of marine legal liability insurance coverage.

Provider Sponsored Network (PSN) – formal affiliations of providers, sometimes called “integrated delivery systems”, organized and operated to provide an integrated network of health care providers with which third parties, such as insurance companies, HMOs, or other Health Plan Companies, may contract for health care services to covered individuals. Some models of integration include Physician Hospital Organizations, Management Service Organizations, Group Practices Without Walls, Medical Foundations, and Health Provider Cooperatives.

Provisions – contingencies outlined in an insurance policy.

Proximate Cause – event covered under insured’s policy agreement.

Public Adjuster – independent claims adjuster representing policyholders instead of insurance companies.

Pure Premium – that portion of the premium equal to expected losses void of insurance company expenses, premium taxes, contingencies, or profit margin.

Pure Risk – circumstance including possibility of loss or no loss but no possibility of gain.

Q

Qualified Actuary – a person who meets the basic education, experience and continuing education requirements (these differ by line of business) of the Specific Qualification Standard for Statements of Actuarial Opinion, NAIC Property and Casualty Annual Statement, as set forth in the Qualification Standards for Actuaries Issuing Statements of Actuarial Opinion in the United States, promulgated by the American Academy of Actuaries, and is in good standing of the American Academy of Actuaries who has been approved as qualified for signing casualty loss reserve opinions by the Casualty Practice Council of the American Academy of Actuaries.

R

Rate – value of insured losses expressed as a cost per unit of insurance.

Risk Based Capital (RBC) Ratio – ratio used to identify insurance companies that are poorly capitalized. Calculated by dividing the company’s capital by the minimum amount of capital regulatory authorities have deemed necessary to support the insurance operations.

Rebate – a refund of part or all of a premium payment.

Reinsurance – a transaction between a primary insurer and another licensed (re) insurer where the reinsurer agrees to cover all or part of the losses and/or loss adjustment expenses of the primary insurer. The assumption is in exchange for a premium. Indemnification is on a proportional or non-proportional basis.

Reinsurer – company assuming reinsurance risk.

Renewable Term Insurance – insurance that is renewable for a limited number of successive terms by the policyholder and is not contingent upon medical examination.

Renters Insurance – liability coverage for contents within a renter’s residence. Coverage does not include the structure but does include any affixed items provided or changed by the renter.

Replacement Cost – the cost of replacing property without a reduction for depreciation due to normal wear and tear.

Reported Losses – Includes both expected payments for losses relating to insured events that have occurred and have been reported to the insurance company, but not yet paid.

Reserve – A portion of the premium retained to pay future claims

Reserve Credit – reduction of reserve amounts for reinsurance ceded. Reductions may include the claim reserve and/or the unearned premium reserve.

Residence – the domicile location of a member as shown by his or her determination as a resident.

Residual Market Plan – method devised for coverage of greater than average risk individuals who cannot obtain insurance through normal market channels.

Retention – a mechanism of internal fund allocation for loss exposure used in place of or as a supplement to risk transfer to an insurance company.

Retention Limit – maximum amount of medical and hospital expense an insurer will carry on its own. The limit can be for an individual claim and/or for the insurers total claims, depending upon the terms of the reinsurance contract.

Retrocession – the portion of risk that a reinsurance company cedes or amount of insurance the company chooses not to retain.

Retrospective Rating – the process of determining the cost of an insurance policy based on the actual loss experience determined as an adjustment to the initial premium payment.

Rider – an amendment to a policy agreement.

Risk – Uncertainty concerning the possibility of loss by a peril for which insurance is pursued.

Risk Retention Act – a 1986 federal statute amending portions of the Product Liability Risk Retention Act of 1981 and enacted to make organization of Risk Retention Groups and Purchasing Groups more efficient.

Risk Retention Group – group-owned insurer organized for the purpose of assuming and spreading the liability risks to its members.

S

Salvage – value recoverable after a loss.

Statutory Accounting Principles (SAP) – a set of accounting principles set forth by the National Association of Insurance Commissioners used to prepare statutory financial statements for insurance companies.

Securitization of Insurance Risk – a method for insurance companies to access capital and hedge risks by converting policies into securities that can be sold in financial markets.

Security – a share, participation, or other interest in property or in an enterprise of the issuer or an obligation of the issuer.

Self-Insurance – type of insurance often used for high frequency low severity risks where risk is not transferred to an insurance company but retained and accounted for internally.

Separate Account – segregated funds held and invested independently of other assets by an insurer for the purpose of a group retirement fund.

Short-term Disability – a company standard defining a period of time employees are eligible for short-term disability coverage, typically for 2 years or less.

Short-Term Medical – policies that provide major medical coverage for a short period of time, typically 30 to 180 days. These policies may be renewable for multiple periods.

Situs of Contract – the jurisdiction in which the contract is issued or delivered as stated in the contract.

Social Insurance – compulsory insurance plan administered by a federal or state government agency with the primary emphasis on social adequacy.

Soft Market – a buyer’s market characterized by abundant supply of insurance driving premiums down.

Special revenue bond – any security, or other instrument under which a payment obligation is created, issued by or on behalf of a governmental unit to finance a project serving a substantial public purpose and not payable from the sources in connection with the payment of municipal obligation bonds.

Specified Disease Coverage – coverage that provides primarily pre-determined benefits for expenses of the care of cancer and/or other specified diseases.

Specified/Named Disease – policies that provide benefits only for the diagnosis and/or treatment of a specifically named disease or diseases. Benefits can be paid as expense incurred, per diem or as a principal sum.

Standard Risk – a person who, according to a company’s underwriting standards, is considered a normal risk and insurable at standard rates. High or low risk candidates may qualify for extra or discounted rates based on their deviation from the standard.

State Children’s Health Insurance Program – policies issued in association with the Federal/State partnership created by title XXI of the Social Security Act.

State of Domicile – the state where a company’s home office is located.

State Page – Exhibit of Premiums and Losses for each state a company is licensed. The state of domicile receives a schedule for each jurisdiction the company wrote direct business, or has amounts paid, incurred or unpaid.

Statement Type – refers to the primary business type under which the company files its annual and quarterly statement, such as Life, Property, Health, Fraternal, Title.

Statement Value – the Statutory Accounting Principle book value reduced by any valuation allowance and non-admitted adjustment applied to an individual investment or a similar group of investments, e.g., bonds, mortgage loans, common stock.

Statutory Accounting – method of accounting standards and principles used by state regulatory authorities to measure the financial condition of regulated companies and other insurance enterprises. This method tends to be more conservative than the Generally Accepted Accounting Principles used by most businesses. Compliance with solvency and other standards is determined using financial documents prepared in accordance with Statutory Accounting Principles.

Stock Insurance Company – business owned by stockholders.

Stop Loss/Excess Loss – individual or group policies providing coverage to a health plan, a self-insured employer plan, or a medical provider providing coverage to insure against the risk that any one claim or an entire plan’s losses will exceed a specified dollar amount.

Structured Securities – loan-backed securities that have been divided into two or more classes of investors where the payment of interest and/or principal of any class of securities has been allocated in a manner that is not proportional to interest and/or principal received by the issuer from the mortgage pool or other underlying securities.

Structured Settlements – periodic fixed payments to a claimant for a determinable period, or for life, for the settlement of a claim.

Subrogation – situation where an insurer, on behalf of the insured, has a legal right to bring a liability suit against a third party who caused losses to the insured. Insurer maintains the right to seek reimbursement for losses incurred by insurer at the fault of a third party.

Subrogation Clause – section of insurance policies giving an insurer the right to take legal action against a third party responsible for a loss to an insured for which a claim has been paid.

Subsequent Event – events or transactions that occur subsequent to the balance sheet date, but before the issuance of the statutory financial statements and before the date the audited financial statements are issued, or available to be issued.

Substandard Risk – (impaired risk) risks deemed undesirable due to medical condition or hazardous occupation requiring the use of a waiver, a special policy form, or a higher premium charge.

Superfund – federal act mandating retroactive liability for environmental pollution where responsible party maintains accountability for environmental clean-up regardless of length of time since polluting event occurred.

Surety Bond – a three-party agreement whereby a guarantor (insurer) assumes an obligation or responsibility to pay a second party (obligee) should the principal debtor (obligor) become in default.

Surplus – insurance term referring to retained earnings.

Surplus Line – specialized property or liability coverage available via nonadmitted insurers where coverage is not available through an admitted insurer, licensed to sell that particular coverage in the state.

Swap – an agreement to exchange or net payments as the buyer of an Option, Cap or Floor and to make payments as the seller of a different Option, Cap or Floor.

T

Tenants – homeowners insurance sold to tenants occupying the described property.

Term – period of time for which policy is in effect.

Term Insurance – life insurance payable only if death of insured occurs within a specified time, such as 5 or 10 years, or before a specified age.

Third Party – person other than the insured or insurer who has incurred losses or is entitled to receive payment due to acts or omissions of the insured.

Title Insurance – coverage that guarantees the validity of a title to real and personal property. Buyers of real and personal property and mortgage lenders rely upon the coverage to protect them against losses from undiscovered defects in existence when the policy is issued.

Total Liabilities – total money owed or expected to be owed by the insurance company.

Total Revenue – premiums, revenue, investment income, and income from other sources.

Travel Coverage – covers financial loss due to trip cancellation/interruption; lost or damaged baggage; trip or baggage delays; missed connections and/or changes in itinerary; and casualty losses due to rental vehicle damage.

Treaty – a reinsurance agreement between the ceding company and reinsurer.

U

Unallocated Loss Adjustment Expense (ULAE) – loss adjustment expenses that cannot be specifically tied to a claim.

Umbrella and Excess (Commercial) – coverage for the liability of a commercial venture above a specific amount set forth in a basic policy issued by the primary insurer; or a self-insurer for losses over a stated amount; or an insured or self-insurer for known or unknown gaps in basic coverages or self-insured retentions.

Umbrella and Excess (Personal) – non-business liability protection for individuals above a specific amount set forth in a basic policy issued by the primary insurer; or a self-insurer for losses over a stated amount; or an insured or self-insurer for known or unknown gaps in basic coverages or self-insured retentions.

Unauthorized Reinsurance – reinsurance placed with a company not authorized in the reporting company’s state of domicile.

Underinsured Motorist Coverage – policy option for bodily injury or property losses caused by a motorist with coverage insufficient to cover total dollar amount of losses. Compensation for the injured party is equal to the difference between the losses incurred and the liability covered by the motorist at fault.

Underlying Interest – the asset(s), liability(ies) or other interest(s) underlying a derivative instrument, including, but not limited to, any one or more securities, currencies, rates indices, commodities, derivative instruments, or other financial market instruments.

Underwriter – person who identifies, examines and classifies the degree of risk represented by a proposed insured in order to determine whether or not coverage should be provided and, if so, at what rate.

Underwriting – the process by which an insurance company examines risk and determines whether the insurer will accept the risk or not, classifies those accepted and determines the appropriate rate for coverage provided.

Underwriting Risk – section of the risk-based capital formula calculating requirements for reserves and premiums.

Unearned Premium – amount of premium for which payment has been made by the policyholder but coverage has not yet been provided.

Unearned Premium Reserve – all premiums (fees) received for coverage extending beyond the statement date; appears as a liability on the balance sheet.

Universal Life Insurance – adjustable life insurance under which premiums and coverage are adjustable, company expenses are not specifically disclosed to the insured but a financial report is provided to policyholder’s annually.

Unpaid Losses – claims that are in the course of settlement. The term may also include claims that have been incurred but not reported.

V

Valued Policy – an insurance contract for which the value is agreed upon in advance and is not related to the amount of the insured loss.

Valued Policy Law – state legislation which specifies that the insured shall receive the face amount of the policy in the event of a total loss to a dwelling rather than the actual cash value regardless of the principle of indemnity.

Variable Annuity – an annuity contract under which the premium payments are used to purchase stock and the value of each unit is relative to the value of the investment portfolio.

Variable Life Insurance – life insurance whose face value and/or duration varies depending upon the value of underlying securities.

Variable Universal Life – combines the flexible premium features of universal life with the component of variable life in which excess credited to the cash value of the account depends on investment results of separate accounts. The policyholder selects the accounts into which the premium payments are to be made.

Viatical Settlements – contracts or agreements in which a buyer agrees to purchase all or a part of a life insurance policy.

Vision – limited benefit expense policies. Provides benefits for eye care and eye care accessories. Generally provides a stated dollar amount per annual eye examination. Benefits often include a stated dollar amount for glasses and contacts. May include surgical benefits for injury or sickness associated with the eye.

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W

Warrant – an agreement that gives the holder the right to purchase an underlying financial instrument at a given price and time or at a series of prices and times according to a schedule or warrant agreement.

Warranty – coverage that protects against manufacturer’s defects past the normal warranty period and for repair after breakdown to return a product to its originally intended use. Warranty insurance generally protects consumers from financial loss caused by the seller’s failure to rectify or compensate for defective or incomplete work and cost of parts and labor necessary to restore a product’s usefulness. Includes but is not limited to coverage for all obligations and liabilities incurred by a service contract provider, mechanical breakdown insurance and service contracts written by insurers.

Whole Life – life insurance that may be kept in force for a person’s entire life and that pays a benefit upon the person’s death, whenever that may be.

Whole Life Insurance – life insurance that may be kept in force for the duration of a person’s life and pays a benefit upon the person’s death. Premiums are made for same time period.

Workers’ Compensation – insurance that covers an employer’s liability for injuries, disability or death to persons in their employment, without regard to fault, as prescribed by state or federal workers’ compensation laws and other statutes.

Written Premium – the contractually determined amount charged by the reporting entity to the policyholder for the effective period of the contract based on the expectation of risk, policy benefits, and expenses associated with the coverage provided by the terms of the insurance contract.

X

Y

Z

https://www.naic.org/consumer_glossary.htm

Farm Owners Insurance is insurance sold for family, personal or household purposes. This package policy is similar to a regular homeowner’s policy, in that it was created for ranches and farms and includes both property coverage and liability coverage for personal losses and business losses. Coverage includes farm dwellings, agricultural buildings, their contents such as farm equipment, stables, barns, other farm structures, barn silo’s, and farm inland marine, such as mobile equipment and livestock.

Experienced Public Adjusters is willing to help you with any claim pertaining to Farm Owner’s Insurance Claim. We will at the least provide you free advice as a courtesy!

What is a Foreign Insurer? What is a Foreign Insurance Company?

A Foreign Insurer or Foreign insurance company is an insurance company like Pure Insurance, Federal Insurance-Chubb Limited for example selling policies in a state like Florida. It is an insurance company selling policies in states other than the state in which they are headquartered most of the time, but more importantly where they are incorporated.

What is an incurred loss? A insurance policy may state that they will only reimburse incurred costs. So what does an incurred cost mean? It means in laymen’s terms they want you to pay for it first and then they will reimburse you when you provide documentation to them to prove the incurred cost. An incurred Loss is a sustained loss that could be paid for or not paid for during a specified time period.

What is a Brittle Test?

To be valid, any brittle test must be random, representative, and repeatable. During a brittle test the shingle is loosened at its lower edge from the shingle below it. it is then raised and lowered 45 degrees three times.

On roofs that have borderline hail or wind damaged, it is important to perform a brittle test in order to determine whether or not the roof damage is repairable and may help you reach the 25% required to be deemed damaged from the peril (Wind or Hail) that will allow a total roof replacement. The test helps answer one simple question. Is this roof repairable!

Please see:

2017 Florida Building Code 706.1.1 25% Rule

If the shingle develops a crack or seem in it during the brittle test, then the shingle is too brittle to be repaired. If the shingle does not develop a crack or seem, then the shingle may be repaired.

For roofs with borderline damage, you can be assured the insurance carriers will attempt to repair the roof. In a case where the damaged shingles cannot be repaired, the roof must be replaced. This is why you need an Experienced Public Adjuster to advocate for you and represent you when the initial inspection occurs by the Field Adjusters sent out by the Insurance Carrier.

Do you have a new insurance claim, underpaid insurance claim, or a denied insurance claim? An Experienced Public Adjuster is ready to help you today! Call us now!

In 2022 and 2023 new legislation has effected how insurance companies have to pay insurance claims in regards to residential roofs. There is still a way to win. Call one of our public adjusters and when you hire us we will guide you through the process in order to help you maximize your insurance settlement.

What is property insurance?

Property insurance is a type of insurance provided to Condo Owners, Business Owners, Homeowners, Homeowners in Home Owners Associations, Condo Associations Master Policies, Homeowner Associations Masters Policies, Luxury Cars or Luxury Automobiles, Commercial Jets, Private Jets, Luxury Homes, Mansions, and much more. Property insurance includes damage caused by hail damage fire damage, smoke damage, wind damage, hail damage, the weight of ice and snow damage, ice dams, hurricane damage, storm damage, storm surge damage, plumbing leaks, lightning Damage, theft losses, vandalism and all perils or types of damage to properties covered by the property insurance policy purchased by the homeowner or business owner. Call a Public Adjuster or Private Adjuster to help you get paid fairly. 

Experienced Public Adjusters

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What is Long-Term Seepage vs. Sudden & Accidental Water Damage?

Sudden and accidental water damage typically refers to water damage that happens
quickly and unexpectedly—such as a burst pipe, an appliance supply line failure, or an overflow that
is discovered and addressed promptly.

Long-term seepage generally refers to water damage that occurs slowly over time—often
from a small, hidden leak behind a wall, under a sink, or beneath flooring. Insurance companies may
deny or limit payment by claiming the damage happened over weeks or months rather than as a sudden event.

Many water claims become disputes because the real issue is not whether water caused damage—it’s
when it started, how it spread, what areas are affected, and what repairs are required.
Proper documentation, moisture mapping, and a detailed repair scope are often necessary to prove the
cause and timeline and to support the correct scope of repairs.

If your water claim was denied or partially paid due to “seepage,”
it is often worth a professional review of the facts, documentation, and policy language.

Water Damage can occur in not just your home but in your business? What are some of the causes of water damage?

Water damage can occur for a variety of reasons that you have no control over and some that you can work toward preventing. Excess water that suddenly exists in your home or business can come from pipes that burst, or a plumbing leak in your plumbing system, as well as from natural disasters such as storm surge, a hurricane or a flood. Household appliances with supply lines or discharge pipes or plumbing can cause water to build up in areas that might not be noticeable or so noticeable that you have your entire house covered with water.

When Septic tanks overflow and cause raw sewage to back up into your home you will suffer water damage typically considered a category 3 water loss however they are not always covered by insurance policies. However, typically if you have a blockage in a sewer line coverage may be granted. (Each insurance policy must be inspected by to determine coverages and exclusions) Bathtubs, shower pan, toilet wax seals, and showers can have covered sudden water losses or long term seepage losses that you may not have noticed right away. It also could come from poorly construction or maintenance wear and tear over time. No matter what causes the loss you may not just have a water loss but you have to assume you have mold damage either visible or hidden. Keep in mind that toilet bowl wax seal leaks are not common to see, but you will notice an odd or bad smell. And plumbing leaks can be slow and hidden and take time to show their damages and by the time you discover them the damage can be really extensive. Make sure you call a Public Adjuster who will work for you in order to have someone on your side in the fight you should inspect to have with your insurance company to get paid fairly on your water damage claim and mold damage claim.

Federal Insurance Company

Always have a Public Insurance Adjuster be your representative in any insurance claim. It will not only relieve the burden and stress of the insurance process, but Experienced Public Adjusters are expert public adjusters and will help you recover a larger settlement!

What are some benefits of a Chubb Masterpiece Policy?

Their definition of “Reconstruction Cost” means the lesser of the amount required at the time of loss to repair, rebuild, at the same location, your house or any other permanent structure, using like design, and materials and workmanship of comparable kind and quality.

The wording is of “like design” and “materials” and “workmanship” of comparable “kind and quality” 

Some Chubb Masterpiece policyholders elect for the Extended Replacement Cost. “If the payment basis is extended replacement cost, we will pay the reconstruction cost. If the reconstruction cost of your house exceeds the amount of coverage for your house as shown in your Coverage Summary, we will pay up to 50% more than this amount of coverage if necessary, for the reconstruction cost. If the reconstruction cost of other permanent structure exceeds the amount of coverage for other permanent structures as shown in your Coverage Summary, we will pay up to 50% more than this amount of coverage, if necessary, for the reconstruction cost.”

These policies are issued by Federal Insurance Company a stock insurance company incorporated in Indiana.

Experienced Public Adjusters specializes in High Networth Homes, Luxury Homes, Custom Mansions, and Chubb Masterpiece Insurance Policies. We have been very successful and not only winning these claims but for an exponential amount versus what was paid as the first undisputed payment. We are experts at understanding the Chubb policy language, and how to use that language to get structure items coverage among other things that other insurance policies would not allow for. A Public Insurance Adjuster or Public Adjuster must be a highly trained and skilled individual in all aspects of 1st party property statutes, and insurance policy language. We are sometimes called “private adjusters” and that is because we only work for homeowners and business owners. We do not work for insurance companies that have but one goal to make a profit.

Call Experienced Public Adjusters Today for a free evaluation of your Chubb Insurance claim.

(407) 227-1963

Water damage can happen in a home or business because of many covered and uncovered insurance policy claims. Knowing the insurance policy you purchased is very important to know if you have any specific exclusion in regards to water damage or water losses. You may want to re-evaluate your policy or talk to your insurance agent who sold it to you. Water flooding or water damaging parts of your home or your business unexpectedly can cause more damage than you would ever think. Not only does water damage the things you can visibly see but it will sit inside your structure walls, attic, under floors, pool under the roofing shingles, and damage roof decking, and many more places. If you can think of a hidden place it can hide, it will also always look for its lowest point. And if water can be hidden so can the mold the is the result of sitting water especially in a high humidity environment.  Water damage in your home can be from a burst pipe, plumbing leak or plumbing leaks, pinhole copper pipe leak, cast iron pipe leak or burst, dishwasher discharge, or from the supply line, and the list can go on! 

Water Damage Statistics

• According to about 40 percent of homeowners in the United States, they have at least experienced one loss from water damage. Now that does not mean each has filed an insurance claim. 

Water losses are traditionally thought to come from pipes but you have to think also about the wind that creates openings in your home that cause damages. Take a Hurricane, Tropical Storm, or Hail Storm for example. All of those covered insurance perils in most cases will be covered under your insurance policy.

Our advice is to hire an Experienced Public Adjuster to make sure you have coverage, to locate the true cause of the loss, and to help you if you have a valid insurance claim to recover the money owed to you by your insurance company.

How do I know if I have black mold?

Black mold is often identified by sight or smell, but it cannot be confirmed
by appearance alone. Mold commonly grows in areas with ongoing moisture, such as behind walls,
under flooring, near plumbing leaks, or around air conditioning components.

Mold can appear in a variety of colors, including black, dark green, gray, or blue, and may
look spotty, clustered, fuzzy, or slimy depending on conditions. A persistent
musty or damp odor is often an early warning sign of hidden mold growth.

Because many types of mold look similar, the only way to confirm the presence and type of mold
is through professional inspection and, when necessary, testing. From an insurance perspective,
proper documentation of the moisture source and resulting damage is critical when pursuing a mold
or water-related claim.

Lloyd’s of London is an association offering particular membership in various syndicates of high-net-worth individuals organized for the purpose of writing insurance for a particular hazard. They also have insurance in different states for all types of typically commercial property insurance policies. Be careful to know file a claim without doing your research on what coverages you have available and it would be wise to hire a Public Adjuster.

Reinsurance is the insuring of risk by one insurance company with another.

A premium is your consideration a payment, usually monthly, yearly etc, for an insurance policy. Their consideration is the language and coverage’s offered in exchange for your premium.

Several mold species have been associated with allergy-like symptoms, asthma, including Alternaria, Cladosporium, Aspergillus, and Penicillium.  Humidity levels above 55 percent can allow mold to grow, although levels of 70 percent are more ideal for mold growth and can cause mold damage. Keeping your house air-conditioned in warm climates can help keep the humidity levels safe from mold. But not if you set your air conditioning at 90 degrees.

If you a pipe leak or water damage or moisture that is creating an atmosphere for mold to grow then you may have an insurance claim you need to call Experienced Public Adjusters. (888) 881-8416

Mold generally does not grow in cold environments. Warm, humid conditions are ideal for mold growth. Most molds need temperature of 70 degrees Fahrenheit or more to grow.

Evaluates electrical systems, products, components, and applications by designing and conducting research programs; applying knowledge of electricity and materials. Confirms system’s and components’ capabilities by designing testing methods; testing properties.

When filing and insurance claim when can hiring one become important to win your claim?

Lightning Strike

Power Surges

Power Outage

Call a Public Adjuster for an evaluation and they will guide you through the process. They will usually know when you may require and electrical engineer.

Obvious signs of mold in your home include cracking paint, water stains (brown stains on the ceiling), rust, warped ceilings, walls, and dust.

You can purchase test kits that allow you to test your home for mold, but we recommend calling in an expert instead. Certified mold testers are trained to locate all traces of mold in a home and they can also tell you what strains of mold are present. Do-it-yourself mold tests aren’t always accurate and many require you to send samples to a lab to find out what strains of mold are present, at significant extra cost. Hiring a professional for the job simply provides better results.

If you have a water claim that created mold or you do not know the cause of loss, call a Public Adjuster! Experienced Public Adjusters is here to help! (888) 881-8416

It can be dangerous. The degree of risk depends on numerous factors, including the type of mold (some strains are more hazardous to your health than others, although it’s not good for you to be inhaling any type of mold spores), the amount of mold, whether or not you’re allergic to mold, and the state of your health and the health of your family members. Health problems commonly associated with household mold include coughing, sneezing, sore throat, runny nose, headaches or migraines, sinus infections, pneumonia and asthma attacks. Infants, elderly people and those with respiratory disorders like asthma or emphysema are most susceptible to mold-related health problems, but even healthy young adults can be affected.

An insurance endorsement serves as an amendment to an existing insurance contract, altering its terms or scope. These modifications, also known as insurance policy riders, can add, delete, exclude, or otherwise adjust coverage.

Reviewing endorsements listed on your annual renewal bill is crucial, as you may inadvertently lose coverage without realizing it.

If you find the policy confusing, consider scheduling a review with your insurance agent. In case of a loss, contacting a Public Adjuster to assess your available coverages is advisable.

Contact us today at Experienced Public Adjusters: (888) 881-8416.

What Is A Mold Protocol?

A Mold Protocol outlines the needed actions for any necessary mold remediation. Each plan is individually prepared based on the Indoor Mold Hygenists Mold Assessment of the property the size and area of the mold contamination.

Once the remediation is complete a Hygienist will do an addition test and provide a PRV clearance report. The Post Remediation Verification report will document the home is safe and clear from mold.

A first party insurance claim is one that you file with your own insurance company. A third party insurance claim is one that you file with the insurance company of another person or entity, such as a business. The type of claim you should file depends on who was at fault in your accident.

A first party insurance claim is one that you file with your own insurance company. A third party insurance claim is one that you file with the insurance company of another person or entity, such as a business. The type of claim you should file depends on who was at fault in your accident.

You need an Orlando Public Adjuster or a Florida Public Adjuster to advocate for your best interests. You can compare it to going to court. You would not want to be accused of a crime without having an attorney represent you right? Or you would not want to file a lawsuit against someone without an attorney representing you? Why would you want to file a claim with a private insurance company that is responsible for profit for their owners or shareholders. They do not in most cases have your best interest at heart.

A public adjuster is a professional claims handler who advocates for the policyholder in appraising and negotiating a claimant’s insurance claim. Aside from attorneys and the broker of record, public adjusters licensed by The Florida Department of Financial Services are the only type of claims adjuster that can legally represent the rights of an insured during an insurance claim process. A public adjuster will be most beneficial when it is clear that the insurer will pay the claim and the only issue is the proper identification and valuation of the loss. Most public adjusters charge a percentage of the settlement. Primarily they appraise the damage, prepare an estimate and other claim documentation, read the policy of insurance to determine coverage’s, and negotiate with the insurance company’s claims handler.

A public adjuster is a representative of the policyholder who advises, manages, and submits a claim to the policyholder’s insurance company.

Orlando  Public Adjusters

Experienced Public Adjusters is a qualified and expert public adjusting company located in Orlando, which provides service to individuals homeowners and business property owners to resolve their insurance claims.

Experenced Public Adjusters Headquarters:

1215 Mt. Vernon St.

Orlando, Florida 32803

(888) 881-8416

Orlando is one of the largest city in Florida and resides in Orange County. There are over 500,000 households in Orange County alone. Public Adjusters in our Orlando Headquarters cover most of the Central Florida region. Our staff works in conjunction with engineers, accountants, lawyers and other experts to make sure to get you the maximum compensation for your damages. Our dedicated team of professionals is here to alleviate the burden associated with the insurance claim process. We enjoy working with our customers and look forward to meeting with you. We understand that time is a critical factor for all of us.

It’s vital to know what we do and how we’re unlike other insurance company adjusters. When you file a claim with your insurance provider, you must follow strict rules and regulations in order to get your claim approved. Insurance company adjusters work on behalf of the insurance provider and will do everything they can to make sure that they are working in the insurance company’s best interest. When you file a claim with an expert public adjuster, however, we work on your behalf. We understand the complex rules and regulations and are able to cut the Gordian knot to get most cases accepted and resolved quickly. We follow through on claims from start to finish, and have experience doing it. We’re easily available for your questions before and after you begin working with us.

While no one ever wants anything bad to happen to their home or business, it’s important to know what to expect and who you should contact first to make your home safe, secure, and repaired. We’re always available for you and handle the claim from start to finish. Because we understand the value of your home, we go above and beyond to settle your claims quickly and easily, so you can get back to feeling safe and secure with your loved ones. You can always count on us, when you need help.

About Us

 Various Claim Types We Handle

• Hurricane & Wind Storms
• Hail Damage
• Roof Damage
• Commercial Loss
• Fire and Smoke Damage
• Water Damage & Pipe Leaks
• Flood
• Vandalism & Theft
• Sinkhole Damage
• Lightning
• Power Outage
• Business Interruption

Mission Statement

“Experienced Public Adjusters goal is to offer insurance adjusting services with the highest levels of customer service and satisfaction with ethics and integrity. We provide homeowner’s and business owners the ability to maximize and reach a fair settlement. We accomplish this by hiring the quality adjusters, providing high levels of training, and employing courteous and professional employee’s.”

Vision Statement

Experienced Public Adjusters will be the industry leader throughout the southeastern United States.

Core Values

• Ethic
• Integrity
• Commitment to Clients
• Communication
• Honesty
• Unselfishness
• Self-Discipline
• Self-Respect
• Accountability
• Dedication to Others
• Strong Work Ethic

Contact Us Today! (888) 881-8416

Policyholder

A Policyholder is the person to whom an insurance policy is issued.

Loss Adjuster

A Loss Adjuster is just another name for a Public Adjuster who is a person who inspects, documents, and estimates the cost to bring a home or business back to pre-loss conditions. First, it has to be established that it is a covered loss within your individual or commercial insurance policy. Make sure the person calling themselves a loss adjuster is a State Licensed Public Adjuster within your state!

If you are asking this question, then you most likely need to hire a Public Adjuster to make sure you are being treated fairly and paid fairly by your insurance company. Hire an Experienced Public Adjuster!

Experienced Public Adjusters, LLC has a location near your loss as we expand throughout the United States.

Insurance protecting a person for anything for which a person is liable or responsible for causing a loss. This loss could be emotional, physical, financial, etc….

Comprehensive Insurance usually means all-inclusive; providing complete protection. This usually applies to auto insurance. Experienced Public Adjusters specializes in commercial business losses and residential losses. If you need an auto adjuster please visit www.fapia.net.

An Appraiser is a person who calculates the value of something like a car, house, jewelry, etc…There are speciality appraiser that will have extensive credentials, experience in a certain field of appraising certain types of items.

However, when it comes to an appraisal clause in an insurance policy and appraiser is usually required to be a disinterested party that both the insurance company names and the insured names and they work together to see if they can reach a settlement on scope related issues. Coverage decisions are usually left to the courts and are usually litigated. If the two appraiser can not reach an agreement then an agreed upon Umpire is selected to inspect and appraise the home. Once this happens if 2 out of 3 of the appraisal panel come to and agreement then the insurance settlement is considered binding and an insurance settlement payment is issued. (This may differ by policy and by state.)

Experienced Public Adjusters has expert appraisers if needed if appraisal in invoked by either party.

An insurance rider is the same as an insurance endorsement, It is an addition or amendment to a current or existing insurance policy or contract which amends or changes the scope or terms of the contract agreed to with the insurance company call your original policy. Riders are also be referred to or called endorsements. An insurance endorsement may be used to delete, add, alter, or exclude coverage. Make sure you read the fine print each year and all the documents that come with your annual policy renewal. Insurance companies have been known to make changes that they will assume you will not read upon renewal and then when you suffer a loss you may be surprised that the loss is no longer covered or the limit of coverage has changed. 

An insurance endorsement is a change, amendment, or addition to an insurance contract which changes, redefines, or amends the policy terms or scope of the original insurance policy.  An insurance endorsement sometimes called a rider may be used to exclude, add, delete, alter, or exclude coverage.

BE CAREFUL TO READ ALL POLICY CHANGES OR INSURANCE DOCUMENTS SENT TO YOU BY EMAIL OR MAIL. YOU NEVER KNOW WHAT AN INSURANCE COMPANY MAY CHANGE ON YOU WITHOUT YOU REALLY KNOWING!

What Can A Public Adjuster Do For You?

Most public adjusters charge a percentage of the settlement. Primarily they appraise the damage, read the policy of insurance to determine coverage’s, prepare an estimate and other claim documentation,  and negotiate with the insurance company’s claims handler.

Insurance mediation refers to the process of settling disputes arising from certain types of insurance claims. The dispute will be between the insured and the insurer. This is usually non-binding and if a settlement offer that is fair is not reached then usually the next step for the insured is litigation.

Have an professional advocate on your side. Contact us at Experienced Public Adjusters. (888) 881-8416

Most insurance policies will have language in your policy outlining your specific duties after a loss. They will require you to mitigate a loss to prevent further damage, they will require you to provide a recorded statement if requested, and much more. Please see your policy for your duties and responsibilities after a loss. Always remember it is best to hire a Public Adjuster to not only review your insurance policy but to evaluate your insurance claim before calling in an insurance claim. Once you call in your claim its is now recorded and will be visible to your insurance companies and others for a specific period of time and may cause your insurance premiums to go up. Make sure your insurance claim is worth opening by getting the advice of an experienced public adjuster which is sometimes called a private adjuster. They do not work for your insurance company they only work on behalf of your best interests.

How Wind Can Cause Water Damage!

1. What is Wind-Driven Rain and How Does it Lead to Water Intrusion?

Wind-driven rain occurs when strong winds force rainwater to move horizontally, penetrating building exteriors. The velocity and angle of the wind can drive rainwater into vulnerable areas, leading to water intrusion in homes.

2. Can High Wind Speeds Alone Cause Water Intrusion?

Yes, high wind speeds alone can cause water intrusion. When winds reach significant speeds, they can force rainwater through gaps, cracks, or poorly sealed areas in a building’s exterior. Wind-driven rain can find its way into the structure, causing potential damage.

3. What Vulnerable Areas in a Home are Prone to Wind-Driven Rain and Water Intrusion?

Common vulnerable areas include windows, doors, roof edges, and other openings in the building envelope. Improperly sealed joints, gaps in siding, and damaged roofing materials can also become entry points for wind-driven rain.

4. How Does Wind Uplift Contribute to Water Intrusion in Roofs?

Wind uplift occurs when strong winds create a lifting effect on roofing materials. This can lead to the separation of roofing components, allowing wind-driven rain to enter beneath the roof covering and potentially causing water intrusion in the attic or living spaces.

5. Can Wind-Driven Rain Cause Leaks Around Windows and Doors?

Yes, wind-driven rain can cause leaks around windows and doors. The pressure difference created by strong winds can force rainwater through gaps or poorly sealed areas in window and door frames, resulting in water infiltration.

6. How Can Homeowners Protect Against Wind-Driven Rain and Water Intrusion?

Homeowners can take preventive measures such as installing impact-resistant windows and doors, maintaining proper sealing around openings, and ensuring the integrity of roofing materials. Regular inspections and prompt repairs of any damage can enhance a home’s resilience against water intrusion.

7. Are There Building Materials Specifically Designed to Resist Wind-Driven Rain?

Yes, some building materials, such as hurricane-resistant siding and roofing materials, are designed to resist wind-driven rain. These materials often have enhanced water-resistant properties and are tested for their performance in high-wind conditions.

8. Can Improperly Installed Siding Contribute to Wind-Driven Rain and Water Intrusion?

Yes, improperly installed siding can be a source of water intrusion during wind-driven rain. Gaps, loose panels, or inadequate sealing can allow rainwater to penetrate the siding, reaching the underlying structure.

9. Is Water Intrusion Only a Concern During Hurricanes, or Can it Occur in Lesser Wind Events?

Water intrusion is not exclusive to hurricanes. Even in lesser wind events, strong gusts can drive rainwater into vulnerable areas of a building. It is essential to address potential vulnerabilities in the building envelope to prevent water intrusion.

10. What Should Homeowners Do if They Suspect Water Intrusion After a Wind Event?

If homeowners suspect water intrusion after a wind event, it is crucial to conduct a thorough inspection. Check for signs of water stains, mold, or damage around windows, doors, and other openings. Promptly address any issues discovered and consider consulting with a professional for a comprehensive assessment.

Always Call an Experienced Public Adjuster for a Free Insurance Claim Review Before Filing an Insurance Claim.

If you suspect water damage after a wind event, it’s wise to call an Experienced Public Adjuster for a free insurance claim review before filing a claim. Our team of experts can assess the damages, review your insurance policy, and provide guidance on the best course of action. Taking this step can help ensure you receive fair compensation for any covered losses.

Denied or underpaid claims? Why you need to hire a Public Adjuster!

1. Overview of Public Adjuster Expertise:

Yes, Public Adjusters specialize in assisting policyholders with denied or underpaid insurance claims. Their expertise lies in navigating the complexities of the claims process to achieve fair and just settlements.
2. Investigating Claim Denials:

When an insurance claim is denied, Public Adjusters conduct a thorough review of the denial reasons. They analyze the insurance policy, damages, and other relevant factors to build a compelling case for reconsideration.
3. Documenting and Presenting Evidence:

Public Adjusters work diligently to gather necessary documentation and evidence to support the validity of the claim. This may involve engaging experts, such as engineers or appraisers, to assess damages and provide professional opinions.
4. Addressing Underpaid Claims:

In cases of underpaid claims, Public Adjusters assess the initial settlement offer and identify discrepancies. They then negotiate with the insurance company to rectify undervalued items, ensuring policyholders receive fair compensation for their losses.
5. Policy Interpretation:

Public Adjusters possess a deep understanding of insurance policies and use this knowledge to interpret policy language. They identify coverage areas that may have been overlooked during the initial claims process.
6. Expert Negotiation Skills:

Negotiating with insurance companies requires skill and experience. Public Adjusters leverage their expertise to engage in strategic negotiations, advocating for policyholders’ rights and maximizing settlements.
7. Appraisal and Mediation Support:

In cases where disputes persist, Public Adjusters may recommend appraisal or mediation to resolve differences. They guide policyholders through these processes, ensuring their interests are represented effectively.
8. Legal Collaboration:

If necessary, Public Adjusters can collaborate with legal professionals to escalate matters. While they are not attorneys, their collaboration with legal experts adds a layer of support when dealing with complex or contentious claims.
9. Timely Resolution of Claims:

Public Adjusters work efficiently to expedite the claims resolution process. Their goal is to secure a fair settlement in a timely manner, alleviating the financial and emotional strain on policyholders.
10. No Recovery, No Fee Policy:

Most Public Adjusters operate on a contingency basis, meaning they only get paid if they successfully recover funds for the policyholder. This ensures that clients do not face additional financial burdens when seeking assistance.
Engaging a Public Adjuster can be instrumental in overturning denied claims or rectifying underpaid settlements. Their commitment to policyholders’ rights and expertise in the claims process positions them as valuable advocates in achieving just compensation.

How does the fee structure for Public Adjusters work?

1. Overview of Public Adjuster Fees:

Public Adjusters are compensated for their services through a percentage-based fee, commonly calculated as a percentage of the final insurance settlement.
2. State-Specific Fee Rules:

It’s crucial to understand that fee structures for Public Adjusters vary by state. Each state has its own regulations governing the permissible fees that Public Adjusters can charge.
3. Florida Fee Structure:

In Florida, the typical fee for Public Adjusters handling insurance claims is 20% of the final settlement amount. This percentage is a standard practice unless specific circumstances come into play.
4. State of Emergency Exception:

Exceptionally, during times of declared State of Emergency, such as hurricanes, the Governor may implement temporary changes to fee structures. This is done to address the unique challenges and increased demand for Public Adjuster services during catastrophic events.
5. Hurricane-Related Fee Adjustments:

In Florida, for instance, during a State of Emergency related to a hurricane, the fee structure may be adjusted to accommodate the heightened demand for Public Adjusters’ services. This adjustment is a response to the increased workload and urgency in handling claims during these times.
6. Transparent Fee Agreements:

Public Adjusters are required to establish transparent fee agreements with their clients before commencing work on a claim. This agreement outlines the fee structure, ensuring clarity regarding compensation expectations.
7. Contingency-Based Fees:

The fee charged by Public Adjusters is contingency-based, meaning it is contingent upon the successful resolution of the insurance claim. Clients are not required to pay any upfront fees, making the services accessible to a broader range of policyholders.
8. Negotiating Fair Settlements:

Public Adjusters’ fees are intended to reflect the value they bring to the claims process. Their expertise in policy interpretation, damage assessment, and negotiation contributes to securing fair and maximized settlements for policyholders.
9. Compliance with State Regulations:

Public Adjusters adhere to state-specific regulations to ensure their fee structures comply with legal requirements. Staying informed about these regulations is essential to providing services within the bounds of the law.
10. Consultation and Agreement:

Before engaging a Public Adjuster, clients should schedule a consultation to discuss the specifics of their claim. During this consultation, the fee structure and terms of agreement will be outlined, ensuring both parties are aligned.
Understanding the fee structure of Public Adjusters, especially the state-specific variations, is crucial for policyholders seeking their expertise. It ensures transparency, fair compensation, and compliance with applicable regulations.

When should I hire a Public Adjuster? Answer: Before you open the insurance claim. Or as early as possible in the claims process.

1. Before Opening an Insurance Claim:

Proactive Approach: It’s advisable to hire a Public Adjuster before initiating an insurance claim. Their expertise in policy interpretation and claim strategy can ensure that your claim is positioned for success from the outset.
Policy Review: Public Adjusters can review your insurance policy to identify potential coverage gaps or limitations, offering insights that can be valuable when preparing your claim.
2. Substantial Property Damage:

Major Losses: If your property has suffered significant damage due to natural disasters, fires, floods, or other catastrophic events, a Public Adjuster can help navigate the complexities of these substantial claims.
Optimizing Compensation: Their experience in handling substantial losses ensures that all damages are thoroughly assessed and accurately documented, maximizing your compensation.
3. Disputed Claims:

Claims Under Review: If your insurance company questions the validity of your claim or attempts to minimize the settlement, a Public Adjuster acts as your advocate. They can challenge the insurance company’s decisions and negotiate on your behalf.
Expert Negotiation: Public Adjusters are skilled negotiators, capable of presenting a compelling case to secure a fair and just settlement.
4. Time Constraints:

Busy Schedule: If you have a hectic schedule and lack the time to manage the intricacies of the claims process, a Public Adjuster can handle the paperwork, communication, and negotiations on your behalf.
Stress Reduction: Their involvement alleviates the stress associated with the claims process, allowing you to focus on other priorities.
5. Complex Claims:

Technical Damages: For claims involving technical aspects like structural damage, mold, or water damage, a Public Adjuster’s expertise ensures that these complexities are addressed comprehensively.
Expert Documentation: They can provide expert documentation, including photographs, estimates, and professional opinions, crucial for complex claims.
6. Denied Claims:

Appealing Denials: If your insurance claim has been denied, a Public Adjuster can assess the denial reasons, gather additional evidence, and submit a compelling appeal.
Experience Overcoming Denials: Public Adjusters have experience overturning denials, ensuring that legitimate claims are not wrongfully dismissed.
7. Optimizing Settlements:

Maximizing Compensation: Public Adjusters are committed to optimizing your settlement. Their knowledge of policy nuances and understanding of the claims process contribute to a more favorable outcome.
Thorough Assessment: They conduct a meticulous assessment, identifying all valid claims and ensuring a comprehensive settlement that covers all aspects of the loss.
8. When Seeking Comprehensive Support:

End-to-End Assistance: Public Adjusters provide end-to-end support, guiding you through every step of the claims process. From initial assessment to final settlement, they ensure a thorough and efficient process.
Hiring a Public Adjuster at the early stages of a potential claim can significantly enhance the likelihood of a successful outcome, providing you with expert guidance, advocacy, and optimized compensation.

Q: Why should I hire a Public Adjuster instead of dealing directly with my insurance company?

1. Advocacy and Expertise:

Personal Representation: A Public Adjuster works exclusively for you, the policyholder, not the insurance company. Their loyalty lies with ensuring your interests are protected throughout the insurance claims process.
Policy Interpretation: Public Adjusters have a deep understanding of insurance policies and can interpret complex policy language. This expertise ensures that you receive the maximum compensation entitled under your policy.
2. Accurate Damage Assessment:

Thorough Evaluation: Public Insurance Adjusters conduct a meticulous assessment of property damages. Their experience helps identify and document all valid insurance claims, preventing overlooked damages and ensuring a comprehensive settlement.
Documentation: Public Adjusters compile detailed documentation, including photographs, estimates, and expert opinions, to support your claim effectively.
3. Negotiation Skills:

Strategic Negotiation: Public Adjusters are skilled negotiators and the owner, David Dwyer has his certificate from Harvard in Negotiation Stategies. They engage with insurance company adjusters on your behalf, presenting a compelling case for fair compensation. Their experience in negotiations can lead to a more favorable outcome.
4. Time and Stress Management:

Claims Handling: Managing an insurance claim can be time-consuming and stressful. Public Adjusters take on the burden of handling paperwork, communications, and negotiations, allowing you to focus on rebuilding and recovery.
5. Maximizing Settlements:

Optimizing Compensation: Public Adjusters are committed to maximizing your settlement. Their expertise ensures that all covered damages are accounted for, leading to a fair and just compensation for property repairs, replacement costs, and additional living expenses.
6. Expertise in the Claims Process:

Navigating Complexity: Insurance claims can be complex, with intricate procedures and requirements. Public Adjusters have a thorough understanding of the claims process and can guide you through each step, preventing common pitfalls.
7. Experience Handling Various Claims:

Versatility: Public Adjusters have experience handling a wide range of claims, from property damage due to natural disasters to fire, water, and mold damage. Their versatility ensures effective representation regardless of the nature of your loss.
8. Focus on Larger Settlements:

Beneficial for Substantial Losses: While Public Adjusters are valuable for claims of all sizes, their expertise is particularly beneficial for substantial losses. They excel in handling complex claims that involve significant damages.
9. Avoiding Underpayment or Denial:

Championing Your Rights: Insurance companies may attempt to minimize payouts or deny certain claims. A Public Adjuster acts as your advocate, ensuring that your rights are upheld and that you receive the compensation you deserve.
10. When to Consider Hiring a Public Adjuster:

Substantial Loss: For significant property damage or losses.
Disputed Claims: When facing disagreements with the insurance company.
Time Constraints: If managing the claims process is overwhelming.
Want Comprehensive Support: For a thorough and comprehensive claims process.
Hiring a Public Adjuster provides a level of expertise and advocacy that can significantly benefit policyholders, ensuring a fair and optimal settlement from the insurance company.

Public Adjuster is extremly helpful with an insurance claim!

1. What is a Public Adjuster?
A Public Adjuster is a licensed professional who advocates for policyholders during the insurance claims process. Unlike insurance company adjusters, Public Adjusters work exclusively for the policyholder to ensure fair and maximum compensation for covered losses.

2. How can a Public Adjuster assist with insurance claims?

Claims Expertise: Public Adjusters possess in-depth knowledge of insurance policies and the claims process. They can interpret policy language, assess damages, and navigate complex claims procedures.
Accurate Assessment: Public Adjusters thoroughly evaluate and document the extent of property damage. Their expertise helps ensure that all damages are accounted for, leading to a more accurate settlement.
Negotiation Skills: Public Adjusters are skilled negotiators. They engage with insurance companies on behalf of the policyholder to secure the best possible settlement. This includes advocating for fair compensation for property repairs, replacement costs, and additional living expenses.
Time and Stress Management: Managing an insurance claim can be time-consuming and stressful. Public Adjusters handle the entire process, saving the policyholder time and alleviating stress by dealing with paperwork, negotiations, and other claim-related tasks.
Maximizing Settlements: Public Adjusters are dedicated to maximizing the policyholder’s settlement. Their knowledge and experience help identify and present all valid claims, ensuring the insured receives the compensation they deserve.
3. When should I consider hiring a Public Adjuster?
Consider hiring a Public Adjuster when:

You experience significant property damage.
The insurance company’s settlement seems insufficient.
You want an advocate to handle the claims process on your behalf.
You prefer a thorough and accurate assessment of damages.
The claims process becomes overwhelming, and you need professional assistance.
4. Are Public Adjusters only for large losses?
No, Public Adjusters can assist with claims of various sizes. While they are particularly beneficial for substantial losses, their expertise can also be valuable for smaller claims, ensuring fair compensation and relieving the policyholder from the burden of navigating the claims process alone.

5. How do I choose a reputable Public Adjuster?

Check Credentials: Ensure the Public Adjuster is licensed in your state.
Experience Matters: Look for experience in handling similar types of claims.
References and Reviews: Seek references or read online reviews to gauge their reputation.
Fee Structure: Understand their fee structure, typically a percentage of the settlement.
Communication: Choose a Public Adjuster who communicates clearly and keeps you informed throughout the process.
Hiring a Public Adjuster can make a significant difference in the outcome of your insurance claim, ensuring that you receive fair and just compensation for your losses.

Hire a Public Adjuster After an Initial Settlement Offer?

Q1: I’ve received an initial settlement offer from my insurance company. Why should I consider hiring a Public Adjuster now?

Answer: Even after an initial offer, a Public Adjuster can reassess the settlement’s adequacy. They bring expertise to identify overlooked damages, estimate repair costs accurately, and negotiate for a more favorable outcome.

Q2: How does a Public Adjuster determine if the initial settlement offer is fair?

Answer: Public Adjusters conduct thorough evaluations, considering the full extent of damages, policy coverage, and local building codes. They aim to ensure the offer aligns with the true cost of restoring your property to its pre-loss condition.

Q3: Can hiring a Public Adjuster lead to a higher settlement amount?

Answer: Yes, hiring a Public Adjuster often results in higher settlements. Their negotiation skills and knowledge of the claims process empower them to advocate for your rights, maximizing the compensation you deserve.

Q4: Is the cost of hiring a Public Adjuster justified if I’ve already received an offer?

Answer: Absolutely. While there’s a fee associated with hiring a Public Adjuster, the potential increase in your settlement often far outweighs this cost. They work to secure the maximum compensation, ensuring you are adequately covered for all damages.

Q5: What if I’ve already accepted the initial settlement offer? Is it too late to hire a Public Adjuster?

Answer: It’s not too late. Even if you’ve accepted an offer, a Public Adjuster can review your case. If discrepancies are found, they may negotiate for a supplemental payment to cover additional damages not initially considered.

Q6: How can I be sure that the Public Adjuster’s fee is justified by the additional settlement amount?

Answer: Public Adjusters work on a contingency basis, taking a percentage of the final settlement. The fee is directly tied to the increased compensation they secure, ensuring that their services are financially justified.

Q7: Are there situations where hiring a Public Adjuster may not be necessary after an initial offer?

Answer: While it’s a personal decision, if you are confident in the adequacy of the initial offer and have a complete understanding of your policy coverage, you may choose not to hire a Public Adjuster. However, their expertise can still provide valuable insights.

Q8: Can I negotiate with my insurance company on my own after an initial settlement offer?

Answer: Yes, you can negotiate on your own. However, insurance companies have professional adjusters working on their behalf. Public Adjusters level the playing field, offering you expert representation and improving your chances of a favorable outcome.

Q9: How can I determine if hiring a Public Adjuster is the right choice for my situation?

Answer: Consult with a reputable Public Adjuster for a free case review. They can assess the details of your claim and provide guidance on whether their services are likely to result in a more favorable settlement.

Q10: How can Experienced Public Adjusters assist in maximizing my settlement after an initial offer?

Answer: Contact Experienced Public Adjusters for personalized guidance. We can review your initial offer, assess your claim, and advise on the potential benefits of hiring a Public Adjuster to secure the compensation you deserve.

My Insurance Company Has Already Offered a Settlement?

Q1: My insurance company has offered a settlement. Why should I consider hiring a Public Adjuster?

Answer: While an initial settlement offer may seem sufficient, it’s crucial to understand that insurance companies aim to minimize payouts. A Public Adjuster can assess the offer comprehensively, ensuring it covers the full extent of your losses. They specialize in maximizing settlements and can identify overlooked damages.

Q2: How can a Public Adjuster add value if I’ve already received a settlement proposal?

Answer: Public Adjusters bring expertise in policy interpretation and claims negotiation. They thoroughly review your losses, ensuring all eligible damages are considered. By challenging the initial offer, they strive to secure a fair settlement that reflects the true extent of your property damage.

Q3: Will hiring a Public Adjuster delay the claims process if I’ve already received an offer?

Answer: Not necessarily. While there might be an additional review period, Public Adjusters work efficiently to expedite the process. Their goal is to secure a fair settlement promptly, and their involvement often results in a more comprehensive and satisfactory resolution.

Q4: Can a Public Adjuster reopen negotiations after an initial settlement has been accepted?

Answer: Yes, in certain situations. If you discover additional damages or if the initial settlement proves insufficient, a Public Adjuster can reopen negotiations. Their expertise allows them to navigate post-settlement discussions and pursue further compensation as needed.

Q5: I’ve already signed a release accepting the insurance company’s offer. Can a Public Adjuster still help?

Answer: In some cases, yes. Public Adjusters review release agreements to ensure you’re not inadvertently waiving rights to additional compensation. If there are valid reasons to challenge the release, a skilled Public Adjuster can explore options to seek a more equitable settlement.

Q6: What types of damages might be overlooked in an initial settlement offer?

Answer: Insurance adjusters may not catch all damages during their initial assessment. A Public Adjuster’s keen eye can identify hidden or long-term issues, ensuring compensation for structural damages, hidden mold, or other issues that might be overlooked initially.

Q7: Is it worth the cost to hire a Public Adjuster after an initial settlement offer?

Answer: Absolutely. The potential for a significantly increased settlement often outweighs the fee charged by a Public Adjuster. Their expertise can result in a more substantial recovery, covering both their fee and providing you with additional funds for repairs or replacements.

Q8: How do I choose a reputable Public Adjuster if I’ve already received an offer from my insurance company?

Answer: Research is key. Look for licensed and experienced Public Adjusters with a track record of success. Check reviews, seek recommendations, and ensure their expertise aligns with your specific insurance claim needs.

Remember, Experienced Public Adjusters is here to help navigate your claim process. Feel free to reach out with any questions or concerns.

Mazimize Your Insurance Settlement!

Q1: Why should I consider hiring a Public Insurance Adjuster (PIA)?

A: Hiring a Public Insurance Adjuster is a strategic decision aimed at optimizing your insurance settlement. PIAs are licensed professionals with expertise in insurance policies, claims processes, and property assessments. Their primary goal is to ensure you receive the maximum compensation you are entitled to under your policy.

Q2: How does a Public Insurance Adjuster maximize my settlement?

A: PIAs bring a wealth of experience to the table. They thoroughly assess your property damage, meticulously document losses, and construct a comprehensive claim that highlights all valid aspects. By leveraging their negotiation skills and in-depth knowledge of insurance policies, PIAs work to secure the highest possible settlement on your behalf.

Q3: Can’t I negotiate directly with my insurance company?

A: While you can negotiate directly, having a PIA in your corner levels the playing field. Insurance companies often deploy skilled adjusters, and having your own advocate ensures you have someone equally experienced fighting for your interests. PIAs understand the tactics used by insurers and can navigate complex claims processes more effectively.

Q4: How does a PIA handle denied or underpaid claims?

A: If your claim has been denied or underpaid, a PIA becomes crucial. They review the denial or underpayment, identify discrepancies, and build a strong case to challenge the decision. PIAs are skilled at presenting evidence and negotiating with insurance companies to rectify any unfair treatment.

Q5: What if my insurance company already offered a settlement?

A: Even if your insurance company has made an offer, it may not reflect the full extent of your losses. A PIA conducts an independent evaluation, ensuring that every aspect of your claim is considered. They negotiate with the insurer to secure a fair settlement that encompasses all eligible damages.

Q6: Do I have to pay a Public Insurance Adjuster upfront?

A: Most PIAs operate on a contingency fee basis. This means their fee is a percentage of the final settlement, and you only pay when you receive compensation from the insurance company. This arrangement aligns their interests with yours, as they are motivated to secure the highest possible settlement.

Q7: How can I find a reliable Public Insurance Adjuster?

A: Research is key. Look for licensed and experienced PIAs with a track record of success. Seek recommendations, read reviews, and ensure they are well-versed in handling claims similar to yours. Always verify their credentials and check for any complaints or disciplinary actions.

Remember, hiring a PIA is an investment in ensuring a fair and equitable resolution to your insurance claim. Their expertise can significantly enhance your chances of receiving the maximum compensation for your losses.

What types of insurance claims do Public Adjusters handle?

1. Residential Property Claims:

Public Adjusters specialize in handling insurance claims related to residential properties. This includes damages caused by events such as hurricanes, floods, fires, and other unforeseen incidents affecting homes.
2. Commercial Property Claims:

Public Adjusters extend their expertise to commercial property claims, assisting businesses in navigating the complexities of insurance settlements for damages to their establishments.
3. Natural Disasters:

Public Adjusters are well-versed in managing claims arising from natural disasters, such as earthquakes, tornadoes, and hurricanes. They play a crucial role in ensuring policyholders receive fair compensation for damages incurred.
4. Water Damage Claims:

Whether it’s due to burst pipes, leaks, or flooding, Public Adjusters handle water damage claims. They work to assess the extent of the damage and negotiate with insurance companies for proper compensation.
5. Fire Damage Claims:

Public Adjusters assist property owners in the aftermath of fires, assessing the damages to structures and belongings. Their goal is to secure comprehensive settlements that cover the full scope of fire-related losses.
6. Wind and Storm Damage Claims:

Claims resulting from high winds, storms, or hail fall under the expertise of Public Adjusters. They evaluate damages to roofs, windows, and other structural elements, advocating for fair compensation.
7. Vandalism and Theft Claims:

Public Adjusters handle claims related to vandalism or theft, ensuring policyholders are adequately compensated for damages and losses resulting from criminal activities.
8. Business Interruption Claims:

For commercial clients, Public Adjusters assist with business interruption claims. This involves evaluating financial losses incurred due to disruptions in business operations caused by covered events.
9. Mold and Mildew Damage Claims:

Public Adjusters navigate the complexities of mold and mildew damage claims, addressing not only the remediation costs but also the underlying causes and damages to the property.
10. Sinkhole and Earth Movement Claims:
– In areas prone to sinkholes or earth movements, Public Adjusters help policyholders navigate the intricacies of these claims, ensuring fair compensation for damages to structures and land.

11. Builder’s Risk Insurance Claims:
– Public Adjusters assist property owners with builder’s risk insurance claims, addressing damages that occur during the construction or renovation of a property.

12. Condominium Association Claims:
– Public Adjusters may work with condominium associations to handle insurance claims related to common areas, building structures, and shared property.

13. Additional Living Expense (ALE) Claims:
– In the event of covered damages that render a property uninhabitable, Public Adjusters help policyholders secure reimbursement for additional living expenses incurred during the displacement.

14. Public Entity Claims:
– Public Adjusters may handle claims for public entities, such as schools or municipal buildings, ensuring these entities receive appropriate compensation for damages.

15. Personal Property Claims:
– Assistance with claims related to personal property, including furniture, electronics, and valuables, is another area where Public Adjusters provide support.

16. General Liability Claims:
– Public Adjusters may navigate general liability claims, addressing damages or injuries that occur on a property covered by insurance.

17. Consequential Loss Claims:
– In cases where damages lead to consequential losses, such as loss of business income or increased expenses, Public Adjusters work to secure compensation for these indirect consequences.

18. Equipment Breakdown Claims:
– Claims related to the breakdown of equipment and machinery can be managed by Public Adjusters, ensuring proper valuation and compensation.

19. Homeowners Association (HOA) Claims:
– Public Adjusters may collaborate with Homeowners Associations to handle insurance claims for common areas, structures, and shared amenities.

20. Loss of Use Claims:
– Public Adjusters assist in claims where the loss of use of a property results in financial losses, ensuring policyholders are compensated for the impact on their daily lives or business operations.

Public Adjusters bring a comprehensive range of expertise to handle various insurance claims across residential, commercial, and specialized categories. Their role is to advocate for policyholders and ensure they receive fair and just compensation for their losses.

How long does the insurance claims process typically take with a Public Adjuster?

The duration of the insurance claims process with a Public Adjuster can vary based on several factors. While each case is unique, here’s a general overview of the timeline involved:

**1. Initial Assessment:

The process begins with an initial assessment of the damages by the Public Adjuster. This step involves evaluating the extent of the loss, gathering relevant documentation, and understanding the policy terms.
**2. Documentation and Evidence Collection:

Efficient claims processing relies on thorough documentation and evidence collection. The Public Adjuster works to compile all necessary documents, including photographs, repair estimates, and other supporting materials.
**3. Claim Submission:

Once the documentation is complete, the Public Adjuster submits the claim to the insurance company on behalf of the policyholder. This submission includes a comprehensive overview of the damages and the desired settlement.
**4. Insurance Company Review:

The insurance company conducts its review of the submitted claim. This stage may involve additional requests for information or documentation from both the Public Adjuster and the policyholder.
**5. Negotiation and Communication:

The negotiation phase is crucial, and the Public Adjuster communicates with the insurance company to advocate for a fair settlement. This process may involve back-and-forth discussions, clarification of details, and addressing any concerns raised by the insurer.
**6. Settlement Agreement:

Upon reaching an agreement, the insurance company issues a settlement offer. The Public Adjuster reviews the terms to ensure they align with the policy coverage and the full extent of the damages.
**7. Claim Resolution:

Once the policyholder accepts the settlement offer, the insurance claims process concludes. The resolution includes the disbursement of funds to cover the damages outlined in the settlement.
Factors Influencing Timeline:

Complexity of Damages:

The complexity and severity of damages play a significant role. More intricate cases may require additional time for assessment and negotiation.
Insurance Company Response Time:

The responsiveness of the insurance company also affects the timeline. Some insurers may process claims more promptly than others.
Policyholder Cooperation:

Timely cooperation from the policyholder, including providing requested documents and information, contributes to a smoother process.
Dispute Resolution:

In cases where disputes arise, resolving differences may extend the timeline. Public Adjusters work diligently to address conflicts and reach amicable resolutions.
Type of Claim:

The nature of the claim, whether residential or commercial, may influence the processing time. Commercial claims, especially those involving businesses, can be more intricate.
While the above provides a general overview, it’s essential to consult with your Public Adjuster for a personalized estimate based on the specifics of your claim. They can offer insights into the anticipated timeline and keep you informed throughout the process.

Who Are the Best Insurance Companies for Businesses or Commercial Buildings?

Choosing the right insurance company for your business or commercial building is a critical decision that impacts your financial protection and overall risk management. While the “best” insurance company can vary based on individual needs, preferences, and the nature of your business, here are some reputable insurers known for their commercial coverage:

**1. Chubb:

Chubb is renowned for providing comprehensive and tailored insurance solutions for businesses of all sizes. They offer a range of coverage options, including property, liability, and specialty lines.
**2. The Hartford:

The Hartford is recognized for its expertise in small business insurance. They offer various commercial coverages, with a focus on customizable solutions suitable for different industries.
**3. Travelers:

Travelers is a well-established insurance carrier offering a broad spectrum of commercial insurance products. Their coverage spans property, liability, and specialty lines, catering to diverse business needs.
**4. Nationwide:

Nationwide is known for its commitment to small businesses. They provide commercial insurance solutions, including property, liability, and business interruption coverage.
**5. Liberty Mutual:

Liberty Mutual offers a range of commercial insurance products, with a focus on customizable coverage for businesses. They cater to various industries and sizes.
**6. Zurich Insurance Group:

Zurich is a global insurer known for its expertise in commercial insurance. They provide coverage for property, liability, workers’ compensation, and specialty lines.
**7. CNA:

CNA specializes in commercial insurance and risk management solutions. They offer a comprehensive suite of coverages for businesses, including property, liability, and professional services.
**8. AmTrust Financial:

AmTrust is recognized for its specialty commercial insurance solutions. They focus on providing coverage for small and mid-sized businesses, particularly in niche industries.
**9. Hiscox:

Hiscox is known for its expertise in providing tailored insurance solutions for small businesses, including professional liability coverage.
**10. Allstate Business Insurance:
– Allstate offers commercial insurance options designed to meet the unique needs of businesses. They provide coverage for property, liability, and more.

Choosing the Right Insurance Company:

Assess Your Needs:

Consider the specific needs of your business, including the industry, size, and nature of operations.
Coverage Options:

Evaluate the range of coverage options offered by each insurer. Ensure they provide the types of coverage your business requires.
Financial Strength:

Assess the financial strength and stability of the insurance company to ensure they can fulfill their obligations in the event of a claim.
Customer Service:

Research customer reviews and ratings to gauge the quality of customer service provided by the insurer.
Policy Terms:

Carefully review policy terms, conditions, and exclusions to ensure they align with your business requirements.
Remember that the “best” insurance company for your business depends on various factors, and it’s advisable to consult with an experienced insurance advisor to tailor coverage to your specific needs.

Engineering Terms for Hurricane and Wind Storm Structural Integrity

1. What is Wind Load and How Does it Affect a Home’s Structural Integrity During a Hurricane?

Wind load refers to the force exerted by the wind on a structure. During a hurricane or wind storm, the wind load on a home increases significantly. Understanding this load is crucial for designing structures that can withstand the forces exerted by high-speed winds.

2. How is Wind Load Calculated for Residential Structures?

Wind load calculation involves assessing factors such as wind speed, building height, shape, and terrain. Engineers use established codes and standards to determine the wind load on a specific structure. The calculation is essential for designing homes that meet required safety standards.

3. What Role do Roof Trusses Play in Ensuring Structural Stability During Hurricanes?

Roof trusses are crucial components in maintaining a home’s structural integrity. They distribute the wind load evenly, preventing concentrated forces on specific areas. Properly designed and installed roof trusses contribute significantly to a home’s ability to withstand hurricane-force winds.

4. How Does Hurricane-Resistant Glass Enhance a Home’s Structural Safety?

Hurricane-resistant glass is designed to withstand the impact of flying debris during a hurricane. This type of glass is layered and treated to reduce the risk of breakage, providing an additional layer of protection against structural damage caused by high winds.

5. What is the Importance of Roof Overhangs in Hurricane-Prone Areas?

Roof overhangs play a crucial role in preventing wind-driven rain from infiltrating a home during a hurricane. Properly designed roof overhangs help protect the building envelope, reducing the risk of water damage and maintaining the structural integrity of the home.

6. How Can Reinforced Garage Doors Contribute to Structural Safety in High-Wind Events?

Garage doors are vulnerable points during hurricanes. Reinforced garage doors, typically designed with stronger materials and additional bracing, resist wind forces and prevent structural failure. This is essential for protecting the entire home.

7. What is the Purpose of Hurricane Straps in Residential Construction?

Hurricane straps, also known as roof truss ties, are metal connectors that secure the roof trusses to the walls of a home. These straps enhance the overall stability of the structure during high winds, reducing the risk of roof uplift and failure.

8. How Does the Shape of a Roof Affect Wind Resistance in Hurricane-Prone Areas?

The roof shape significantly influences a home’s wind resistance. Hip roofs, for example, are more aerodynamic and less prone to wind uplift compared to gable roofs. The choice of roof shape is a critical factor in designing homes for hurricane-prone regions.

9. Can Homeowners Retrofit Their Homes for Improved Wind Resistance?

Yes, homeowners can retrofit their homes to enhance wind resistance. This may involve reinforcing roof structures, installing impact-resistant windows, and upgrading garage doors. Consulting with a structural engineer is advisable for personalized retrofit recommendations.

10. How Does Site-Specific Engineering Considerations Impact a Home’s Resistance to Hurricanes?

Site-specific engineering involves assessing the unique features of a location, such as terrain and topography, to determine the potential impact of hurricanes. This information is used to customize engineering solutions, ensuring homes are designed to withstand specific environmental challenges.

Understanding these engineering terms is essential for homeowners in hurricane-prone areas. Consultation with a qualified structural engineer can provide personalized insights and recommendations for enhancing the structural integrity of homes in the face of hurricane and wind storm events.

What is Appraisal in the Context of Insurance Claims?

Q1: What is the purpose of an appraisal in insurance claims?
A: Appraisal in insurance claims is a process designed to resolve disputes over the amount of loss or damage. It involves an impartial third party, the appraiser, who assesses and determines the value of the property or damage in question.

Q2: How does the appraisal process work in insurance claims?
A: In the appraisal process, both the policyholder and the insurance company appoint their own appraisers. If these two appraisers cannot agree on the value, they select an umpire. The decision of any two of the three parties (policyholder’s appraiser, insurance company’s appraiser, or the appointed umpire) is binding and establishes the final value for the claim.

Q3: When is the appraisal typically used in insurance claims?
A: Appraisal is often used when there is a disagreement between the policyholder and the insurance company regarding the amount of loss or damage. It provides a fair and expedited method to resolve disputes related to property valuation.

Q4: Is the appraisal decision legally binding?
A: Yes, the decision reached through the appraisal process is generally binding and enforceable. However, the specifics may vary based on the terms outlined in the insurance policy.

Q5: Can policyholders request an appraisal in any insurance claim dispute?
A: While policyholders may have the right to request an appraisal, the availability and conditions for appraisal may depend on the terms outlined in the insurance policy. It is essential to review the policy to understand when and how the appraisal process can be initiated.

Q6: How does the appraisal process differ from other dispute resolution methods in insurance claims?
A: Unlike arbitration or litigation, which involve a broader range of legal issues, the appraisal process specifically focuses on determining the value of the loss or damage. It is a more streamlined and efficient method for resolving disputes over property valuation.

Q7: Can a policyholder choose their own appraiser in the appraisal process?
A: Yes, typically, the policyholder has the right to choose their own appraiser in the appraisal process. This ensures a fair and unbiased assessment of the property’s value.

Q8: What happens if the appraisers cannot agree on the value of the loss?
A: In the event that the appraisers cannot reach an agreement, they select an umpire. The decision of any two of the three parties (policyholder’s appraiser, insurance company’s appraiser, or the appointed umpire) becomes the final value for the claim.

Q9: How long does the appraisal process take in insurance claims?
A: The duration of the appraisal process can vary depending on the complexity of the claim and the cooperation of all parties involved. However, it is generally designed to be a more expedited alternative to lengthy legal proceedings.

Q10: Can a public adjuster assist in the appraisal process for a policyholder?
A: Yes, policyholders can enlist the services of a public adjuster to represent their interests in the appraisal process. A public adjuster can help ensure that the appraisal is conducted fairly and that the policyholder’s rights are protected.

Difference Between Appraisal and Arbitration in Insurance Claims

Q1: What is the purpose of Appraisal in insurance claims?
A: Appraisal in insurance claims is a process designed to resolve disputes over the amount of loss or damage in a property insurance claim. It involves an impartial third-party appraiser who assesses the value of the property and determines the appropriate amount for the claim.

Q2: How does the Appraisal process work?
A: In the Appraisal process, both the policyholder and the insurance company appoint their own appraisers. If these two appraisers cannot agree on the value, they select an umpire. The decision of any two of the three (policyholder’s appraiser, insurance company’s appraiser, or the appointed umpire) is binding and establishes the final value for the claim.

Q3: When is Appraisal typically used in insurance claims?
A: Appraisal is often used when there is a dispute between the policyholder and the insurance company regarding the amount of loss or damage. It is a means to expedite the resolution of such disputes in a fair and impartial manner.

Q4: What is Arbitration, and how is it different from Appraisal in insurance claims?
A: Arbitration is another dispute resolution process used in insurance claims. Unlike Appraisal, which focuses on determining the value of the loss, Arbitration involves a neutral third party, the arbitrator, who reviews evidence presented by both parties and makes a decision on the dispute.

Q5: How does the Arbitration process differ from Appraisal?
A: In Arbitration, the arbitrator considers evidence, arguments, and legal principles presented by both parties before making a decision. The decision is typically final and binding, providing a resolution to the dispute based on a broader evaluation of the entire claim, not just the value of the loss.

Q6: When is Arbitration commonly employed in insurance claims?
A: Arbitration is often used when there is a broader dispute beyond the value of the loss, such as coverage issues, liability disputes, or disagreements on policy interpretation. It provides a forum for resolving complex issues beyond the scope of a straightforward loss assessment.

Q7: Is the decision reached through Appraisal or Arbitration legally binding?
A: Yes, in both Appraisal and Arbitration, the decisions are typically binding and enforceable. However, the specifics may vary, and it’s crucial to refer to the terms outlined in the insurance policy.

Q8: Can policyholders opt for either Appraisal or Arbitration in a dispute?
A: The choice between Appraisal and Arbitration may depend on the terms outlined in the insurance policy. Some policies may specify the use of one process over the other, or both methods may be available depending on the nature of the dispute.

Q9: What are the advantages of Appraisal and Arbitration in insurance claims?
A: Both Appraisal and Arbitration offer a quicker and potentially less expensive alternative to litigation. They provide a structured process for resolving disputes in a more efficient manner, allowing parties to avoid lengthy and costly legal proceedings.

Q10: Can a professional help guide through the Appraisal or Arbitration process in insurance claims?
A: Yes, policyholders can benefit from the guidance of professionals, such as public insurance adjusters or legal counsel, who are experienced in navigating the Appraisal or Arbitration processes. Their expertise can help ensure a fair and favorable outcome in the resolution of insurance claim disputes.

Constructing a Strip Mall in Florida

Q1: What are the primary building materials required to construct a strip mall in Florida?
A: Building a strip mall in Florida involves a careful selection of materials to ensure structural soundness, aesthetic appeal, and durability in the region’s unique climate. Here’s an extensive list of essential building materials:

Concrete Blocks or Masonry Units:

Primary material for exterior and interior walls, providing stability and support.
Steel Framing:

Structural steel used for framing, offering strength and flexibility in design.
Concrete Slab or Foundation Mix:

High-strength concrete for the foundation and slab, ensuring stability and load-bearing capacity.
Roofing Materials:

Roofing systems such as modified bitumen, TPO (thermoplastic olefin), or metal roofing for weather resistance.
Windows and Glass Doors:

Energy-efficient glass and aluminum or steel framing for storefronts, windows, and entry doors.
Exterior Finishes:

Stucco, brick veneer, or other facade materials for aesthetic appeal and protection against the elements.
Aluminum or Steel Framed Storefronts:

Lightweight and durable materials for creating attractive storefronts.
Insulation Materials:

Thermal insulation materials to regulate indoor temperatures and enhance energy efficiency.
HVAC Systems:

Heating, ventilation, and air conditioning materials, including ductwork and HVAC units.
Electrical Wiring and Components:

Electrical wiring, conduits, and fixtures for lighting and power distribution.
Plumbing Materials:

Pipes, fittings, and fixtures for water supply and drainage systems.
Fire Protection Systems:

Fire-resistant materials, sprinkler systems, and fire doors for safety compliance.
Flooring Materials:

Durable flooring materials, such as concrete, tiles, or carpet, based on individual store requirements.
Ceiling Materials:

Ceiling tiles, grids, or other materials for creating a finished interior.
Signage Materials:

Exterior and interior signage materials, including aluminum, acrylic, or illuminated signs.
Lighting Fixtures:

Energy-efficient and aesthetically pleasing lighting fixtures for interior and exterior illumination.
Landscaping Materials:

Planters, pavers, and other landscaping materials to enhance the strip mall’s curb appeal.
Parking Lot Paving:

Asphalt or concrete materials for paving the parking lot, providing durability and ease of maintenance.
Q2: Are there specific considerations for building materials in Florida’s climate?
A: Yes, it’s crucial to consider materials that can withstand Florida’s high humidity, occasional hurricanes, and intense sunlight. Choosing corrosion-resistant materials and those with resistance to mold and mildew is essential for long-term durability.

Q3: Can sustainable or eco-friendly materials be used in constructing a strip mall?
A: Absolutely. Many modern strip malls incorporate sustainable materials, energy-efficient systems, and green building practices to reduce environmental impact and operational costs.

Q4: How does the choice of materials impact the strip mall’s energy efficiency?
A: The choice of materials, especially in insulation, roofing, and HVAC systems, plays a significant role in the strip mall’s energy efficiency. Well-insulated structures and energy-efficient systems contribute to reduced energy consumption and lower operational costs.

Constructing a Block House in Florida

Q1: What are the essential building materials needed to construct a block house in Florida?
A: Building a block house in Florida requires several key construction materials to ensure structural integrity and resilience. Here’s a comprehensive list:

Concrete Blocks:

Concrete masonry units (CMUs) or concrete blocks are the primary building material for constructing the walls of a block house.
Mortar Mix:

High-quality mortar mix for securing and bonding the concrete blocks together during construction.
Rebar (Reinforcement Bars):

Steel reinforcement bars placed within the concrete block walls to enhance structural strength and durability.
Gravel or Crushed Stone:

Base material for the foundation and footing, providing stability and preventing settling.
Concrete Mix:

Ready-mix concrete or a combination of cement, sand, and aggregate for pouring the foundation and footings.
Waterproofing Membrane:

A waterproofing membrane to protect the foundation from water intrusion and prevent moisture-related issues.
Flashings:

Metal flashings to divert water away from vulnerable areas, such as windows and doors, preventing water damage.
Sill Plates:

Pressure-treated lumber or engineered wood products for creating a stable base for the walls.
Anchor Bolts:

Steel anchor bolts used to secure the sill plates to the foundation, preventing uplift during high winds.
Lintels:

Reinforced steel lintels to support openings such as doors and windows within the block walls.
Roof Trusses or Rafters:

Structural components for supporting the roof, made from wood or metal, depending on the design.
Roof Sheathing:

Plywood or OSB (oriented strand board) for sheathing the roof, providing a base for roofing materials.
Roofing Materials:

Roofing shingles, tiles, or other appropriate materials for weatherproofing the roof.
Insulation:

Insulation materials to enhance energy efficiency, regulate indoor temperatures, and provide soundproofing.
Windows and Doors:

High-quality windows and doors made from materials suitable for Florida’s climate, providing security and energy efficiency.
Exterior Finishes:

Stucco, siding, or other exterior finishes for protecting and enhancing the aesthetic appeal of the block house.
Q2: Are there specific considerations for building materials in Florida’s climate?
A: Absolutely. Given Florida’s climate, it’s crucial to select materials that can withstand high humidity, intense sunlight, and potential hurricane-force winds. Choose materials resistant to mold, mildew, and water damage to ensure the longevity and durability of the block house.

Q3: Can I customize the exterior finish of my block house?
A: Yes, you can customize the exterior finish of your block house. Options include stucco in various textures and colors, siding materials, or other finishes that suit your preferences and the architectural style of the house.

Q4: Can I use alternative materials for constructing a block house?
A: While traditional concrete blocks are commonly used, there are alternative building materials available, such as autoclaved aerated concrete (AAC) blocks. It’s essential to consult with a professional builder or architect to determine the suitability of alternative materials for your specific project and location.

Construction Materials for Building a Stucco Home in Florida

Q1: What are the key construction materials needed for building a stucco home in Florida?
A: Building a stucco home in Florida requires several essential construction materials, including:

Framing Material:

Pressure-treated lumber for framing the structure.
Sheathing Material:

Exterior-grade plywood or OSB (oriented strand board) for sheathing.
Moisture Barrier:

A waterproof barrier to prevent moisture infiltration, such as a building wrap or felt paper.
Metal Lath:

Expanded metal lath or stucco wire mesh to provide a secure base for the stucco application.
Stucco Mix:

Pre-mixed stucco or a combination of Portland cement, sand, and lime for creating the stucco finish.
Adhesive and Bonding Agents:

Bonding agents or adhesive to enhance the adhesion of the stucco to the substrate.
Flashing Material:

Metal flashing to redirect water away from vulnerable areas, such as windows and doors.
Base Coat Material:

Scratch coat material, typically a mix of cement and sand, applied over the lath.
Finish Coat Material:

Colored finish coat for the desired aesthetic, often consisting of pigmented stucco mix.
Sealant and Caulk:

Weather-resistant sealant and caulk to seal joints and prevent water intrusion.
Paint or Sealant for Finish:

Exterior-grade paint or stucco sealant for protecting and enhancing the appearance of the stucco finish.
Q2: Are there specific considerations for construction materials in Florida’s climate?
A: Yes, considering Florida’s climate, it’s crucial to choose materials that can withstand high humidity, intense sunlight, and the occasional severe weather. Opt for materials resistant to mold, mildew, and water damage to ensure the longevity and durability of the stucco home.

Q3: Can I customize the color of the stucco finish?
A: Absolutely. The finish coat of the stucco can be customized to achieve the desired color and texture. Many manufacturers offer a variety of pigments and textures, allowing homeowners to choose a stucco finish that complements their preferences and the overall aesthetic of the property.

Q4: Are there eco-friendly options for building a stucco home?
A: Yes, there are eco-friendly stucco options available. Consider using materials with low environmental impact, and inquire about stucco mixes that incorporate recycled content or are manufactured with sustainability in mind.

Q5: Can I DIY the construction of a stucco home, or should I hire professionals?
A: While some DIY enthusiasts may attempt stucco application, it’s highly recommended to hire experienced professionals. Proper installation is crucial for the effectiveness and longevity of the stucco system. Professional contractors have the expertise to ensure correct application, addressing potential issues and ensuring compliance with local building codes.

Understanding Hurricane Damage to Trusses

Q1: What are trusses, and why are they vulnerable to hurricane damage?
A: Trusses are structural components, typically triangular in shape, designed to provide support and stability to roofs and other load-bearing structures. During hurricanes, the intense winds and flying debris pose a significant threat to trusses, making them susceptible to various types of damage.

Q2: What types of damage can trusses sustain during a hurricane?
A: Trusses can experience several forms of damage during a hurricane, including:

Wind Uplift: High-speed winds can create uplift forces on the roof, putting excessive stress on trusses and potentially causing them to fail.

Twisting and Warping: Hurricane-force winds can lead to the twisting and warping of trusses, compromising their structural integrity.

Impact Damage: Debris carried by strong winds can collide with trusses, causing dents, punctures, or more severe damage.

Water Damage: Heavy rainfall and flooding associated with hurricanes can weaken trusses over time, especially if water infiltrates the structural components.

Q3: How can I assess truss damage after a hurricane?
A: It is crucial to conduct a thorough inspection after a hurricane to identify truss damage. Look for signs such as visible cracks, splits, or deformities. Pay attention to any sagging in the roof, as it may indicate structural issues with the trusses. If in doubt, consult with a structural engineer or a qualified professional to assess the extent of the damage.

Q4: Can truss damage be repaired, or is replacement necessary?
A: The severity of truss damage determines whether repair or replacement is necessary. Minor damage, such as small cracks, may be repairable with proper reinforcement. However, extensive damage, such as significant warping or breakage, may require the replacement of the affected trusses to ensure the structural integrity of the building.

Q5: How can I protect trusses from future hurricane damage?
A: Implementing preventive measures is essential to minimize potential truss damage in future hurricanes:

Proper Installation: Ensure that trusses are installed according to building codes and manufacturer specifications.

Wind-Resistant Designs: Opt for hurricane-resistant roofing materials and designs that can withstand high winds.

Regular Maintenance: Conduct routine inspections and maintenance to identify and address any issues before they escalate.

Storm Shutters: Install storm shutters to protect windows and reduce the risk of flying debris damaging trusses.

Q6: Will insurance cover the cost of repairing or replacing damaged trusses?
A: Insurance coverage varies, so it’s crucial to review your policy. Most homeowner’s insurance policies cover structural damage caused by hurricanes, including damage to trusses. Document the damage thoroughly and consult with your insurance provider to understand the coverage and the process for filing a claim.

Filing a Complaint Against My Insurance Company.

Filing a complaint against your insurance company is a process that should be approached carefully and strategically. Whether you’ve experienced claim denials, underpayment, or other disputes, taking the right steps is crucial. Here’s a guide on how to file a complaint against your insurance company, with an additional recommendation to consider hiring a public adjuster during this challenging time.

1. Contact Your Insurance Company:

Start by reaching out to your insurance company directly. Gather all relevant documents, policy details, and correspondence related to the issue. Clearly express your concerns and attempt to resolve the matter through direct communication.
2. Review Your Policy:

Thoroughly review your insurance policy to understand the terms, coverage limits, and any exclusions. Ensure you have a clear understanding of what your policy covers and the basis for your complaint.
3. Document Everything:

Keep detailed records of all communication with your insurance company. Note the dates, times, names of representatives spoken to, and a summary of discussions. This documentation will be valuable if you need to escalate the complaint.
4. File a Complaint with the State Insurance Department:

If your concerns are not adequately addressed by your insurance company, consider filing a complaint with your state’s insurance department. Visit the official website of your state’s insurance regulatory body to find the appropriate forms and guidelines for filing a complaint.
5. Consult Legal Advice:

If necessary, seek legal advice to understand your rights and options. An attorney with expertise in insurance law can provide guidance on the best course of action.
6. Consider Hiring a Public Adjuster:

During the claims process, emotions can run high, and dealing with insurance companies can be overwhelming. Hiring a public adjuster can help level the playing field. Public adjusters work on behalf of policyholders to assess damages, prepare documentation, and negotiate fair settlements with insurance companies. Their expertise can be invaluable in maximizing your claim.
Why Hire a Public Adjuster?

Expertise: Public adjusters are licensed professionals with in-depth knowledge of insurance policies, coverage terms, and the claims process. They can navigate complexities on your behalf.

Maximize Settlements: Public adjusters are skilled negotiators who work to maximize your settlement. Their goal is to ensure you receive fair compensation for your losses.

Reduce Stress: Dealing with insurance disputes can be stressful. A public adjuster acts as your advocate, handling the intricacies of the claims process and allowing you to focus on other priorities.

Faster Resolution: Public adjusters understand the process and can expedite the resolution of your claim, potentially reducing the time it takes to receive your settlement.

Additional Options for Filing Complaints:

In addition to state agencies like the Department of Financial Services or the Department of Insurance, you can file complaints against insurance companies on various online platforms:
Google Reviews
Nextdoor.com
Yelp
Better Business Bureau (BBB)
Bing
Filing a complaint against your insurance company is an important step in seeking resolution, and hiring a public adjuster can be a proactive measure to safeguard your interests during this challenging period. If you’re considering filing a complaint, consult with a public adjuster to explore your options and ensure a comprehensive approach to resolving your insurance dispute.

Top Property Insurance Companies

Q1: How do I find contact information for leading homeowners or property insurance companies?

A: While specific contact details may vary, you can typically locate claims phone numbers and emails on the official websites of these companies. Here’s a general guide to the contact information for the top 20 homeowners or property insurance companies in the United States:

Q2: What are the contact details for the top 5 homeowners or property insurance companies?

A: Below are the claims phone numbers and emails for some of the top homeowners or property insurance companies:

State Farm:

Claims Phone: 1-800-732-5246
Claims Email: claims@statefarm.com
Allstate:

Claims Phone: 1-800-255-7828
Claims Email: N/A
Liberty Mutual:

Claims Phone: 1-800-225-2467
Claims Email: claims@libertymutual.com
USAA:

Claims Phone: 1-800-531-8722
Claims Email: N/A
Farmers Insurance:

Claims Phone: 1-800-435-7764
Claims Email: N/A
Q3: What is the contact information for the next 15 homeowners or property insurance companies?

A: For the complete list of the top 20 homeowners or property insurance companies and their specific contact details, visit the respective official websites or refer to industry directories. Each company’s claims department contact information is usually available under the “Claims” or “Contact Us” section of their website.

Q4: Is there a centralized directory for homeowners or property insurance company contacts?

A: While there isn’t a single centralized directory, you can visit industry-related websites, insurance association platforms, or utilize online directories to gather contact information for various homeowners or property insurance companies.

Q5: Are there any third-party services that provide this information?

A: Yes, some third-party services compile contact information for insurance companies. You can explore business directories, insurance industry publications, or use online platforms that aggregate such data.

Remember, this information may be subject to change, and it’s always recommended to verify contact details directly from the official sources or the respective insurance company’s website.

Choose a Public Adjuster Over an Attorney

Q1: What is the role of a Public Adjuster in an insurance claim?

A: A Public Adjuster works on behalf of the policyholder to assess, document, and negotiate insurance claims. They focus on maximizing the settlement for the insured, ensuring fair compensation for property damage.

Q2: How does a Public Adjuster differ from an Attorney in insurance claims?

A: While both play distinct roles, an Attorney often handles legal aspects and potential litigation, whereas a Public Adjuster specializes in the technical details of assessing damages, estimating costs, and negotiating with the insurance company.

Q3: Why choose a Public Adjuster over an Attorney for insurance claims?

A: Public Adjusters bring a unique skill set focused on the assessment and valuation of property damages. They are experts in navigating the complex language of insurance policies and can expedite the claims process, often without resorting to legal action.

Q4: What are the benefits of hiring a Public Adjuster?

A: Public Adjusters are adept at interpreting insurance policies, ensuring that every detail of the claim is considered. They work diligently to secure the maximum settlement, providing a comprehensive and detailed assessment of damages.

Q5: How does hiring an Attorney impact the claims process?

A: Attorneys may become involved if a claim leads to disputes or litigation. However, their primary focus is on legal proceedings, and their fees are typically higher. Public Adjusters specialize in the technical aspects of claims without engaging in legal proceedings.

Q6: Are Public Adjusters cost-effective compared to Attorneys?

A: Yes, Public Adjusters often work on a contingency fee basis, meaning they receive a percentage of the final settlement. This makes their services more accessible and cost-effective for policyholders.

Q7: Can a Public Adjuster handle denied claims or disputes with the insurance company?

A: Absolutely. Public Adjusters are skilled negotiators and can advocate for policyholders, even in denied or disputed claims. They leverage their expertise to present a compelling case for fair compensation.

Q8: How do Public Adjusters expedite the claims process?

A: Public Adjusters understand the necessary documentation and procedures required by insurance companies. Their proficiency expedites the claims process, helping policyholders receive settlements faster than if they were to handle the claim independently or through legal channels.

Choosing a Public Adjuster over an Attorney for insurance claims ensures a specialized focus on the technical and procedural aspects of the claim, aiming for a swift and favorable resolution for the policyholder.

The Impact of Water Damage on Tile Tenting and Debonding

Water damage can indeed be a significant factor contributing to tile tenting and debonding within a property. Tile tenting refers to the lifting or separation of tiles from the substrate, creating tent-like formations, while debonding is the detachment of tiles from the surface they are supposed to adhere to. Understanding the correlation between water damage and these tile issues is crucial for property owners.

Key Factors in Water-Related Tile Problems:

Moisture Penetration:

Water damage often starts with moisture penetration. When water infiltrates the underlying structure, it can compromise the adhesive bonds holding tiles in place, leading to tenting and debonding.
Weakened Adhesive:

The adhesives used in tile installations are susceptible to deterioration when exposed to prolonged moisture. This weakening of adhesive properties can result in tiles becoming detached or lifted.
Expansion and Contraction:

Water damage can cause materials to expand and contract. This movement, coupled with changes in temperature, can exert pressure on tiles, causing them to tent or debond over time.
Substrate Damage:

Water damage can affect the integrity of the substrate beneath the tiles. If the substrate weakens, it compromises the foundation to which the tiles adhere, contributing to tenting and debonding.
Detecting and Addressing Water-Related Tile Issues:

Early Detection:

Regular inspections for signs of water damage, such as discoloration, dampness, or mold growth, are essential for early detection. Identifying issues promptly can help mitigate further damage to tiles.
Professional Assessment:

Engaging professionals for a thorough assessment is crucial if water damage is suspected. Professionals can evaluate the extent of damage, identify the causes, and recommend appropriate solutions.
Repair and Restoration:

Addressing water-related tile problems may involve repairing damaged substrates, replacing compromised tiles, and ensuring proper moisture management to prevent future issues.

Vertical Displacement in Roofing: A Guide by Experienced Public Adjusters

Vertical displacement in roofing refers to the shifting or movement of roof components in a vertical direction. This phenomenon can result from various factors, including structural issues, foundation settlement, or external forces such as wind storms, hail storms, earthquakes, or other natural events.

Key Aspects of Vertical Displacement:

Structural Instability:

Vertical displacement often indicates a level of structural instability within a roofing system. It may manifest as unevenness, sagging, or lifting of roof components.
Foundation Settlement:

Changes in the foundation or supporting structure beneath the roof can lead to vertical displacement. This may occur due to soil settling, subsidence, or other ground-related factors.
External Forces:

Severe weather events, such as storms or earthquakes, can exert forces on a roof that result in vertical displacement. This can lead to the misalignment or shifting of roofing materials.
Impact on Roof Performance:

Vertical displacement can significantly impact the performance of a roof. It may compromise the integrity of roofing materials, cause leaks, and contribute to overall structural damage.
Detecting and Addressing Vertical Displacement:

Professional Inspection:

Regular professional inspections are crucial for identifying signs of vertical displacement. Trained experts can assess the condition of the roof, detect any irregularities, and recommend appropriate actions.
Documentation for Insurance Claims:

In the unfortunate event of roof damage, documenting vertical displacement is vital for insurance claims. Experienced Public Adjusters specializes in thorough assessments and documentation, ensuring that all aspects of roof damage, including vertical displacement, are accurately recorded for the claims process.
Repair and Restoration:

Addressing vertical displacement may involve repairs or restoration efforts to stabilize the roofing structure. Engaging professionals with expertise in both roofing and insurance claims is essential for a comprehensive resolution.
How Experienced Public Adjusters Can Assist:

Experienced Public Adjusters understands the complexities of roof damage, including issues related to vertical displacement. Our team of experts is dedicated to assisting property owners in navigating insurance claims effectively. We provide comprehensive assessments, documentation, and advocacy to ensure fair compensation for all aspects of roof damage.

Structural integrity refers to the ability of a building or structure to withstand external forces and loads without experiencing failure or compromising its stability. In essence, it is a measure of how well a structure can maintain its original form and function under various conditions, including natural disasters, environmental factors, and the test of time.

Key Components of Structural Integrity:

Load-Bearing Capacity:

The ability of a structure to support the loads it was designed for, such as the weight of the building itself, occupants, furniture, and other elements.
Material Strength:

The quality and durability of the materials used in construction play a crucial role in determining a structure’s ability to resist forces and maintain its integrity.
Design and Construction Quality:

The way a building is designed and constructed significantly impacts its structural integrity. Proper engineering practices and adherence to building codes contribute to a structure’s stability.
Resistance to Environmental Factors:

Structural integrity involves the capacity to withstand environmental conditions such as wind, earthquakes, floods, and other natural elements without sustaining significant damage.
Regular Maintenance:

Ongoing maintenance and inspections are essential for preserving structural integrity. Identifying and addressing issues promptly helps prevent deterioration and ensures the continued stability of the structure.
Why Structural Integrity Matters in Insurance Claims:

When filing an insurance claim, understanding and documenting the structural integrity of a property are crucial. Damage to the structural components of a building can have long-term consequences, affecting its safety, usability, and overall value. Experienced Public Adjusters specializes in assessing and documenting structural damage, ensuring that insurance claims accurately reflect the impact on a property’s integrity.

Our team of experts comprehensively evaluates structural damage resulting from various events, including natural disasters, accidents, and wear and tear. We navigate the complexities of insurance claims to secure fair compensation for our clients, considering the importance of maintaining the structural integrity of their properties.

In summary, structural integrity is the foundation of a building’s resilience, and recognizing its significance is paramount in the aftermath of any damage or disaster.

Trust Experienced Public Adjusters for expertise in assessing and advocating for the structural integrity of your property. We are here to guide you through the insurance claims process with precision and care.

Understanding Microbursts and the Importance of Hiring Experienced Public Adjusters

Microburst and Filing an Insurance Claim:

In the realm of unexpected natural disasters, microbursts stand out as powerful and potentially damaging meteorological phenomena. As a property owner, comprehending what a microburst is and its potential impact on your assets is crucial. At Experienced Public Adjusters, we not only provide insight into these occurrences but also offer unparalleled expertise in handling the aftermath, ensuring you receive fair compensation for your losses.

What is a Microburst?

A microburst is a sudden and intense downdraft of air characterized by strong, damaging winds. These localized bursts of air can reach speeds comparable to tornadoes but with a crucial difference – microbursts feature downward-directed winds. The powerful gusts, often associated with severe thunderstorms, can cause significant damage to structures, trees, and other property.

Why Microbursts Pose a Threat:

Sudden and Unpredictable:

Microbursts can occur rapidly and without much warning, making them challenging to anticipate. The sudden onset of strong winds can catch property owners off guard, leading to potential damages.
Structural Damage:

The intense winds associated with microbursts can cause substantial damage to buildings, roofs, and other structures. The forceful downward wind shear can lead to the collapse of weaker structures or compromise the integrity of well-built ones.
Tree and Debris Impact:

Falling trees and debris propelled by microburst winds pose a serious threat to properties. The aftermath often involves extensive cleanup and restoration efforts.
Why Hire Experienced Public Adjusters:

Understanding the intricacies of microburst damage is essential, but navigating the insurance claims process that follows can be equally challenging. Here’s why you should consider hiring Experienced Public Adjusters:

Expertise in Natural Disaster Claims:

Our team specializes in handling insurance claims arising from natural disasters, including microbursts. We understand the unique challenges posed by these events and know how to present your case effectively to your insurance provider.
Thorough Damage Assessment:

Accurate assessment of microburst damage requires a keen eye for detail. Our experienced public adjusters conduct comprehensive inspections to ensure all damages, from structural to personal property, are thoroughly documented for your claim.
Negotiation Skills for Fair Compensation:

We don’t just submit claims; we negotiate on your behalf. Our goal is to secure fair compensation that covers the true extent of your losses. Our expertise in negotiation ensures that you receive the maximum settlement possible.
Guidance Throughout the Claims Process:

From filing the initial claim to navigating any challenges or disputes, Experienced Public Adjusters provides unwavering support. We guide you through the entire process, ensuring that your rights are protected and your voice is heard.

Microbursts can be sudden and destructive, leaving a trail of damage in their wake. When facing the aftermath of such an event, trust Experienced Public Adjusters to be your advocates. Our expertise in handling microburst claims ensures that you receive fair compensation and can begin the journey to recovery with confidence.

Choose experience, choose advocacy – choose Experienced Public Adjusters for your microburst insurance claims.

Frequently Asked Questions (FAQ) – Experienced Public Adjusters and Xactimate

1. What is Xactimate, and how does it benefit homeowners and business owners in the insurance claims process?

Xactimate is a widely used estimating software that helps in creating accurate and detailed estimates for property damages. For homeowners and business owners, this tool ensures precision in assessment, comprehensive documentation, industry-standard evaluations, speedy claims processing, and up-to-date pricing information. These benefits collectively contribute to fair and accurate compensation for damages.

2. How does Experienced Public Adjusters utilize Xactimate to benefit clients?

Our skilled public adjusters utilize Xactimate to thoroughly assess damages, capturing even hidden or secondary issues. This detailed assessment is then communicated transparently to clients through clear and comprehensive estimates. Armed with precise Xactimate estimates, we negotiate confidently with insurance companies, maximizing compensation for our clients.

3. Why is Xactimate considered an industry standard, and how does it enhance the claims process?

Xactimate is recognized and accepted as an industry-standard in the insurance field. This enhances the claims process by streamlining assessments, expediting claims processing, and ensuring that estimates are based on the most current market rates. Aligning our assessments with this industry-standard tool strengthens our clients’ cases and increases the likelihood of a fair settlement.

4. How do Experienced Public Adjusters ensure that no damages are overlooked during the assessment using Xactimate?

Our public adjusters are highly experienced and meticulous in their assessments—xactimate aids in capturing even hidden or secondary damages that others might overlook. Through our use of this advanced software, we ensure that every aspect of damages is thoroughly documented, leaving no room for oversight.

5. Can clients access educational resources on how Xactimate works and understand the claims process better?

Absolutely! Through our website, we provide educational content explaining how Xactimate works. Our goal is to demystify the claims process for our clients, making it easier for them to understand the scope of damages and associated costs. We believe in transparency and empowering our clients with knowledge.

6. How can I benefit from the precision of Xactimate with Experienced Public Adjusters?

Contact us today for a free consultation, and let our team of seasoned public adjusters maximize your claim value with the precision of Xactimate. We are committed to navigating the complexities of the insurance claims process, ensuring that your interests are protected and you receive fair and just compensation for your property damages.

A declaratory judgment in the context of a homeowners claim for coverage in Florida refers to a legal determination by a court regarding the rights and obligations of the parties involved in an insurance dispute. When a homeowner files a claim with their insurance company and there is a disagreement over coverage, either party may seek a declaratory judgment to clarify the rights and responsibilities under the insurance policy.

In the context of a homeowners insurance claim in Florida, a declaratory judgment may be sought to determine:

Coverage Interpretation: Clarification on whether the specific circumstances of the loss or damage are covered by the insurance policy.

Policy Terms and Conditions: Interpretation of the terms, conditions, and exclusions outlined in the insurance policy to determine the extent of coverage.

Rights and Obligations: The rights and obligations of both the homeowner and the insurance company in relation to the claim.

Policy Validity: Determination of the validity of the insurance policy itself.

The process typically involves filing a lawsuit in a Florida court, and the court will then review the facts and legal arguments presented by both parties. The court’s decision will provide a clear ruling on the issues in dispute, helping to guide the parties in resolving the insurance claim.

Typical the insurance company or defense counsel has 20 days before going in front of the judge at a hearing to provide their written response.

It’s important to note that seeking a declaratory judgment is a legal remedy that aims to avoid prolonged disputes by obtaining a conclusive and binding decision from the court. This process can help streamline the resolution of insurance claims and provide clarity on the applicable coverage under the policy.

As public adjusters, it’s crucial to note that we are not authorized to file for a declaratory judgment. Additionally, we are not attorneys, and the information provided here is for general understanding only. If you require legal advice or assistance in filing a declaratory judgment related to a homeowners insurance claim in Florida, it is recommended to consult with a qualified attorney who specializes in insurance law. Legal professionals can provide personalized guidance based on the specific details of your situation and ensure compliance with all applicable laws and regulations.

Various Pipe Materials: Insights from Diverse Sources

Discovering the right type of pipe material for specific applications is crucial in construction and plumbing. Here’s a collection of pipe materials sourced from various online outlets:

PVC Pipes: Known for their versatility, PVC pipes are widely used in plumbing, irrigation, and other applications due to their durability and corrosion resistance.

Cast Iron Pipes: Renowned for their strength and longevity, cast iron pipes are often used for sewer and drainage systems, providing reliable performance over the years.

Copper Pipes: Valued for their excellent heat conductivity and resistance to corrosion, copper pipes are commonly used for water supply lines and HVAC systems.

Galvanized Iron Pipes: Treated with a protective layer of zinc, galvanized iron pipes are resistant to rust, making them suitable for outdoor applications such as water distribution.

PEX (Cross-linked Polyethylene): Recognized for its flexibility and ease of installation, PEX pipes are commonly used in residential plumbing systems, providing efficient water distribution.

Asbestos Pipes: Once used but now largely phased out due to health concerns, asbestos pipes were known for their heat resistance and durability, particularly in industrial settings.

Concrete Pipes: Known for their strength and durability, concrete pipes find application in stormwater drainage and sewer systems, providing stability and longevity.

CPVC (Chlorinated Polyvinyl Chloride): Offering enhanced heat resistance compared to PVC, CPVC pipes are suitable for hot water distribution systems and industrial applications.

Stoneware Pipes: Traditional yet reliable, stoneware pipes are durable and resistant to chemical corrosion, making them suitable for sewer and drainage systems.

ABS (Acrylonitrile Butadiene Styrene): Recognized for its impact resistance and toughness, ABS pipes are commonly used in drain, waste, and vent systems in residential and commercial settings.

Explore more about these pipe materials and their applications by referring to the Florida Plumbing Code – Chapter 7: Sanitary Drainage.

Understanding the characteristics of each pipe material is essential for making informed decisions in plumbing and construction projects. Whether it’s selecting the right material for water supply, drainage, or industrial applications, having a diverse range of pipe materials provides flexibility and efficiency in various scenarios.

Frequently Asked Questions About Polybutylene Pipes

Polybutylene pipes, once a popular choice for plumbing, have raised concerns due to their tendency to degrade and cause leaks over time. Here are some frequently asked questions about polybutylene pipes:

1. What is Polybutylene Pipe?

Polybutylene is a type of plastic resin that was used to manufacture water supply pipes. It gained popularity for its low cost and ease of installation, especially between the late 1970s and mid-1990s.
2. Why Were Polybutylene Pipes Used?

Polybutylene pipes were favored for their cost-effectiveness and flexibility during installation. However, issues with the material’s degradation over time led to a decline in its use.
3. What Are the Concerns with Polybutylene Pipes?

Polybutylene pipes have been associated with a higher risk of leaks and failures. Exposure to chlorine and other water treatment chemicals can accelerate the degradation of the pipes, leading to fractures and leaks.
4. How Can I Identify Polybutylene Pipes in My Home?

Polybutylene pipes are typically blue, black, or gray and are distinguishable by their flexible and plastic-like appearance. A professional plumber can help identify the material during an inspection.
5. When Were Polybutylene Pipes Most Commonly Installed?

Polybutylene pipes were most commonly installed in residential properties between the late 1970s and mid-1990s. If your home was built during this period, there’s a higher likelihood of having polybutylene plumbing.
6. Should I Be Concerned if My Home Has Polybutylene Pipes?

While not all polybutylene pipes fail, the material’s history of issues has raised concerns. If your home has polybutylene pipes, it’s advisable to monitor for signs of leaks and consider replacement, especially if you plan significant renovations.
7. Can Polybutylene Pipes Be Repaired?

Repairs on polybutylene pipes are challenging due to the material’s tendency to degrade. In many cases, replacement is recommended rather than attempting repairs.
8. What Are the Signs of Polybutylene Pipe Failure?

Signs of polybutylene pipe failure include unexplained increases in water bills, damp spots on walls or floors, and visible leaks. Stains or discoloration on walls or ceilings may also indicate water damage.
9. Is Insurance Coverage Affected by Polybutylene Pipes?

Some insurance companies may be hesitant to provide coverage or may impose higher premiums for homes with polybutylene plumbing. It’s essential to check with your insurance provider regarding their policies on such plumbing materials.
10. Should I Replace Polybutylene Pipes Preventively?
– While not all polybutylene pipes fail, many homeowners choose to replace them preventively due to the associated risks. Replacement with more durable materials can provide peace of mind and potentially lower the risk of water damage.

11. Can I Replace Polybutylene Pipes Myself?
– Plumbing replacement is a complex task best handled by licensed professionals. Hiring a qualified plumber ensures that the replacement is done correctly, minimizing the risk of leaks and other issues.

12. How Can a Public Adjuster Help if Polybutylene Pipes Cause Damage?
– If polybutylene pipes lead to water damage, a Public Adjuster can assist in navigating the insurance claim process. Their expertise ensures that homeowners receive fair compensation for comprehensive repairs and restoration.

Understanding the implications of polybutylene pipes and taking proactive measures, such as replacement, can contribute to maintaining the integrity of a home’s plumbing system and preventing potential water damage. If issues arise, consulting with professionals, including plumbers and Public Adjusters, is recommended for a comprehensive and effective resolution.

Understanding Uplift Pressures in Roof Wind Damage: Insights by Experienced Public Adjusters

Uplift pressures play a significant role in roof damage caused by wind, and comprehending this force is crucial for property owners facing the aftermath of severe weather events. Uplift pressures refer to the upward force exerted on a roof during high winds, which can lead to a range of damages and complications.

Key Aspects of Uplift Pressures in Roof Wind Damage:

Wind-Induced Forces:

Uplift pressures result from the wind’s interaction with a building’s structure. As wind flows over the roof, it creates areas of low pressure, causing an upward force on the roof covering.
Peel Forces:

In areas of high wind pressure, particularly around the edges and corners of a roof, uplift forces can cause the roofing material to peel away. This peeling effect is a common manifestation of uplift pressures.
Roof Component Damage:

Uplift pressures can lead to the detachment or damage of various roof components, including shingles, tiles, or even sections of the roof structure. This can compromise the overall integrity of the roofing system.
Importance of Roof Design:

The design of a roof, including its shape, slope, and the materials used, can influence how uplift pressures are distributed. Proper roof design considerations are essential in minimizing potential wind-related damages.
Detecting and Addressing Uplift Damage:

Complete A Post-Storm Inspection:

After a severe wind event, conducting a thorough inspection of the roof is crucial. Look for signs of uplift damage, such as displaced or missing roofing materials, and document any visible issues.
Professional Assessment:

Engaging professionals for a detailed assessment is recommended. Experienced roof inspectors can identify the extent of uplift damage, evaluate the need for repairs or replacements, and provide a comprehensive overview for insurance claims.
Insurance Claims Assistance:

Uplift damage can lead to costly repairs, and filing an insurance claim is a necessary step. Experienced Public Adjusters specializes in assisting property owners in navigating the claims process, ensuring that all damages, including those related to uplift pressures, are accurately documented for fair compensation.
How Experienced Public Adjusters Can Help:

Experienced Public Adjusters understands the complexities of roof wind damage, particularly issues related to uplift pressures. Our team of experts is dedicated to assisting property owners in documenting and advocating for fair compensation in the aftermath of severe weather events.

Trust Experienced Public Adjusters for expert guidance on roof wind damage. We are here to navigate the intricacies of the insurance claims process, ensuring your property is on the path to full recovery.

Understanding Underlayment in Construction and Roofing: A Comprehensive Overview

Underlayment Definition:
Underlayment, in the context of construction and roofing, refers to a layer of construction material installed between the structural surface (such as a roof deck or subfloor) and the exterior covering (such as flooring or roofing material). This crucial component serves various purposes, providing additional protection, insulation, and a smooth surface for the final layer.

Key Functions of Underlayment:

Moisture Barrier:

Underlayment acts as a protective moisture barrier, preventing water or moisture from penetrating the underlying structure. This is particularly essential in roofing applications to protect against leaks and water damage.
Insulation:

In some cases, underlayment provides thermal insulation. This helps regulate temperature, improve energy efficiency, and enhance the comfort of interior spaces.
Smooth Surface:

Underlayment creates a smooth and even surface for the installation of the final covering, whether it’s flooring materials like tiles or hardwood, or roofing materials such as shingles.
Noise Reduction:

Certain types of underlayment are designed to reduce impact noise, such as footsteps or machinery vibrations. This is particularly beneficial in flooring applications for multi-story buildings.
Protection Against Roofing Elements:

In roofing applications, underlayment serves as an added protective layer of defense against elements like wind, wind-driven rain, hail, or snow. It provides an extra barrier to protect the roof structure and interior spaces.
Types of Underlayment:

Roofing Underlayment:

Felt underlayment: Traditional asphalt-saturated felt is a common roofing underlayment.
Synthetic underlayment: Made from polyethylene or polypropylene, providing enhanced durability and resistance to mold and UV rays.
Flooring Underlayment:

Cork underlayment: Offers natural insulation and sound absorption.
Rubber underlayment: Known for its resilience and shock-absorbing properties.
Installation Considerations:

Proper Installation:

Following manufacturer guidelines for installation is crucial to ensure the effectiveness of underlayment. This includes proper overlap and sealing in roofing applications.
Compatibility:

The type of underlayment chosen should be compatible with the specific requirements of the final covering, whether it’s roofing material or flooring.
Ventilation:

In roofing, proper ventilation is essential to prevent moisture buildup beneath the underlayment.
Understanding the role of underlayment is fundamental in construction and roofing projects. It serves as a protective and functional layer, contributing to the longevity, efficiency, and performance of the overall structure or covering.

Batten in Construction: Applications and Definition

Battens are versatile and find applications in roofing, siding, flooring, and other construction elements. The specific use and type of batten can vary based on the construction context. A batten in construction refers to a narrow strip or board that is used to cover joints, provide support, or add a decorative element to various building components.

It is important to understand construction when writing an estimate for an insurance claim.

Core Testing in Construction and Engineering

Q1: What is Core Testing?

A: Core testing, in the context of construction and engineering, refers to the process of extracting cylindrical samples (cores) from structures, such as concrete, asphalt, or rock. These samples are then analyzed to assess the material’s properties and quality.

Q2: Why is Core Testing Important?

A: Core testing is crucial for evaluating the strength, composition, and durability of construction materials. It provides valuable insights into the integrity of structures, helping engineers and builders make informed decisions about repairs, renovations, or new construction.

Q3: What types of materials can be subjected to Core Testing?

A: Core testing is commonly applied to materials like concrete, asphalt, masonry, and natural stone. It helps determine factors such as compressive strength, permeability, and the presence of defects or anomalies.

Q4: How is Core Testing Performed?

A: The process involves drilling cylindrical cores from the structure using specialized equipment. These cores are then examined in a laboratory setting. Various tests, including compression tests, permeability tests, and petrographic examinations, are conducted to assess the material’s characteristics.

Q5: What information does Core Testing provide?

A: Core testing yields data on the structural quality, durability, and performance of materials. Engineers can use this information to assess if a structure meets design specifications, identify potential issues, and plan appropriate maintenance or repairs.

Q6: When is Core Testing Necessary?

A: Core testing is often necessary during construction projects, especially when verifying if materials comply with design requirements. It is also employed in forensic engineering investigations to diagnose issues in existing structures or to assess the effectiveness of repairs.

Q7: Can Core Testing be Disruptive to Structures?

A: The drilling process may cause some disruption, but experienced technicians can minimize this impact. Core testing is generally a non-destructive way to gather critical information about the structure’s composition and integrity.

Q8: How is Core Testing Used in Quality Control?

A: In quality control, core testing helps ensure that materials used in construction meet specified standards. It allows for early detection of potential issues, ensuring that structures are built to withstand intended loads and environmental conditions.

Understanding core testing is vital in the construction and engineering fields, as it plays a key role in maintaining the safety and reliability of structures over time.

Forensic Engineering

Q1: What is Forensic Engineering?

A: Forensic Engineering involves the application of engineering principles to investigate and analyze failures, accidents, or other incidents. It aims to determine the cause, origin, and contributing factors to better understand the technical aspects of an event.

Q2: What is a Forensic Engineering Report?

A: A Forensic Engineering Report is a detailed document prepared by a forensic engineer. It outlines the engineer’s findings, analyses, and conclusions after investigating a specific incident, often for legal or insurance purposes.

Q3: What does a Forensic Engineering Report typically include?

A: The report includes a description of the incident, analysis of relevant data, examination of materials or structures involved, identification of contributing factors, and conclusions drawn from the forensic investigation. It aims to provide a clear and objective account of the engineering aspects related to the incident.

Q4: When is a Forensic Engineering Report needed?

A: These reports are often required in cases of structural failures, accidents, property damage, or disputes where a detailed analysis of the engineering aspects is essential. They are valuable in legal proceedings, insurance claims, and resolving technical disputes.

Q5: Who prepares a Forensic Engineering Report?

A: Forensic engineers, who are licensed professionals with expertise in a specific engineering discipline, prepare these reports. They bring a combination of engineering knowledge and investigative skills to analyze incidents and provide expert opinions.

Q6: How is a Forensic Engineering Report used?

A: The report serves as a technical document that can be used in legal proceedings, insurance claims, or to understand the root causes of failures. It provides a comprehensive and unbiased analysis to assist stakeholders in making informed decisions.

Q7: Can a Forensic Engineering Report be disputed?

A: Yes, like any expert opinion, a forensic engineering report can be subject to scrutiny. Other experts may provide counter-reports, and parties involved may contest findings. However, the credibility of the forensic engineer and the thoroughness of the investigation play a crucial role in the acceptance of the report.

Understanding the role of forensic engineering reports is essential in various situations where technical expertise is required to uncover the truth behind incidents and failures.

Insurance Claim Damage Assessment

Q1: What does an Insurance Claim Damage Assessment involve?

A: An Insurance Claim Damage Assessment is a detailed evaluation of the damage sustained by a property or asset covered under an insurance policy. It involves a thorough inspection, documentation, and estimation of the financial value of the damages.

Q2: Why is a Damage Assessment important in the insurance claim process?

A: The assessment is crucial for determining the scope and extent of damage, providing a basis for claim valuation, and facilitating negotiations with the insurance company. It acts as a key document in the claims process.

Q3: What is included in a typical Damage Assessment?

A: A comprehensive assessment includes documentation such as photographs, videos, and written reports detailing the damages. It covers everything from structural damage to personal property affected by covered perils.

Q4: Who conducts the Damage Assessment?

A: Insurance companies often send licensed adjusters to conduct the assessment. Policyholders may also hire independent public adjusters to ensure a fair and objective evaluation of damages.

Q5: How does the Damage Assessment impact claim settlement?

A: The assessment forms the basis for negotiations between the policyholder and the insurance company. Once agreed upon, it facilitates the settlement process, and the insurance company disburses the agreed-upon amount for repairs or replacements.

Q6: What should property owners do during a Damage Assessment?

A: Cooperation is key. Property owners should provide necessary information, assist in inspections, and maintain clear communication with the adjuster. This helps ensure a smooth and fair resolution of the claim.

Q7: Can a property owner dispute the Damage Assessment?

A: Yes, if there is a disagreement, property owners have the right to dispute the assessment. Providing additional evidence or seeking a second opinion can help address discrepancies and reach a fair resolution.

Remember, a well-documented and transparent Damage Assessment is fundamental to a successful insurance claim process.

YES

Soot can damage tile flooring. Soot is a fine black or dark brown powder composed of carbon particles that result from incomplete combustion of organic matter. When a fire occurs, soot particles can be released into the air and settle on various surfaces, including tile flooring. The impact of soot on tile flooring can depend on factors such as the intensity of the fire, the type of materials burned, and the proximity of the tile flooring to the source of the fire.

Soot damage to tile flooring can manifest in several ways:

Staining: Soot can leave dark stains on tile surfaces, affecting the appearance of the flooring. These stains may be challenging to remove, requiring specialized cleaning methods.

Residue: Soot particles can create a sticky residue on tile surfaces. This residue can be difficult to clean with standard household cleaning products and may require professional cleaning services.

Odor Absorption: Soot has a distinctive smell, and tile flooring can absorb these odors. Even after visible soot is cleaned, lingering odors may remain in the tile and grout.

Surface Damage: In some cases, soot particles may contain abrasive materials that can scratch or damage the surface of tile flooring. This can impact the overall durability and aesthetic appeal of the tiles.

Cleaning soot damage from tile flooring typically involves using specialized cleaning agents and techniques to ensure thorough removal without causing further harm to the tiles. It’s important to address soot damage promptly to prevent long-term staining and odors.

If your property has experienced a fire, it’s advisable to consult with professionals, such as fire damage restoration experts or public adjusters, who can assess the extent of the damage and guide you through the insurance claims process if applicable.

Axial force is a common term used by an Engineer when writing a Forensic Engineering Report.

Axial force refers to a type of internal force that acts along the axis or the centerline of a structural element, such as a column, beam, or rod. This force is directed either in tension (pulling the material apart) or compression (pushing the material together). Axial forces are essential considerations in structural engineering and mechanics, as they play a significant role in determining the stability and behavior of various structures.

Key Points about Axial Force:

Tension and Compression:

In tension, axial force acts to elongate or pull apart a structural element, while in compression, it acts to compress or push the elements together.
Magnitude:

The magnitude of the axial force depends on factors such as applied loads, material properties, and the cross-sectional area of the structural element.
Equilibrium:

For a structure in static equilibrium, the sum of the axial forces acting on it must be zero. This principle is based on Newton’s first law of motion.
Axial Members:

Axial forces are significant in axial members like columns and beams. Understanding how these forces affect the material helps engineers design structures that can withstand loads and maintain stability.
Strain and Stress:

Axial forces lead to deformation in materials, causing strain. The relationship between axial force, strain, and the material’s properties is described by Hooke’s Law. Stress, which is force per unit area, is used to analyze the distribution of forces within the material.
Buckling:

Excessive axial force, especially in compression, can lead to buckling – a sudden, unstable lateral deflection of the structural element. Engineers must consider buckling resistance in design to prevent structural failure.
Design Considerations:

Engineers analyze axial forces during the design phase to ensure that structural elements can safely carry the anticipated loads without experiencing failure.
Understanding axial forces is fundamental in designing structures that can withstand various loading conditions and external forces. Engineers use mathematical models and principles of mechanics to calculate and analyze axial forces in structural elements, ensuring the safety and stability of buildings, bridges, and other constructions.

Repair-Ability of Concrete Roofing Tiles:

Repair of concrete roofing tiles inclused replacement of groups or individual concrete tiles with a group or individual replacement tile of the same manufacturer and style. This is near impossible to do since it would require expert installation and for the tile to be in the same condition as the current tiles on the roof. You also have to consider the damage to the moisture barrier underneath the tiles in order to repair it properly. Again, this is impossible to repair in our opinion to pre-loss condition. Concrete tile roof covering systems are damaged by wind uplift pressures and wind-born debris especially in high wind conditions. The underlying primary moisture barrier may be torn and punctured. Color matching is impossible and with thermal expansion there is no way to make the roofing system look as it did before the loss occured. If you would like to learn more about this issue, please give us a call for our free discussion or on-site evaluation.

Observing right-corner fractures in concrete tile roofing will usually mean that wind damage has occured. Localized corner fracturing of the right lower corner of concrete tiles is a good indicator that wind damage may have occured to this roofing structure. The corners of concrete tiles are structurally the thinnest and therefor the weakest point of a concrete tile. These tiles are usually installed with little to no space allowing for thermal expansion. It is crucial that tile have roof to expand and contract with varying temperatures and moisture. The overlap area on the right side of a tile when looking upgradient towards the ridge of the roof covering systemn paps over the adjacent tile and is exposed to weather and other potentential sources of possible storm damage. During high-winds, right-corner cracking usually occurs due to repeated rotational impacts associated with uplift pressure as well as impacts from wind-born debris. Close inspection of the right-corner cracks is how an engineer or public adjuster can determine is the storm was storm related or damage caused from installation. We are always available to come out and inspect your tile roof and provide our opinion.

Thermal Expansion in Roofs: Understanding the Phenomenon and Its Impact

Thermal expansion refers to the tendency of materials to expand or contract in response to even small changes in temperature. This phenomenon is particularly relevant in roofing systems, where exposure to varying temperatures can lead to the expansion and contraction of roofing materials. Understanding thermal expansion is crucial for designing resilient roofing structures and preventing potential issues.

Key Aspects of Thermal Expansion in Roofs:

Temperature Fluctuations:

Roofs are exposed to daily and seasonal temperature variations. As the sun heats the roof, materials expand, and as temperatures cool, contraction occurs. The extent of expansion and contraction is influenced by the type of roofing material and its thermal properties.
Materials Affected:

Different roofing materials exhibit varying degrees of thermal expansion. Common roofing materials such as asphalt shingles, metal panels, and membrane roofing can all experience thermal movement. This can equate to extensive damage.
Consequences of Thermal Expansion:

If not properly accommodated, thermal expansion can lead to issues such as buckling, warping, or stress on roofing materials. Over time, repeated cycles of expansion and contraction can contribute to the deterioration of the roof.
Mitigating Thermal Expansion Issues:

Expansion Joints:

Designing roofs with expansion joints allows for controlled movement in response to thermal changes. These joints provide spaces where materials can expand without causing stress or damage.
Proper Installation:

Ensuring that roofing materials are installed according to manufacturer guidelines is crucial. This includes leaving adequate space for expansion and contraction and using appropriate fastening methods.
Material Selection:

Choosing roofing materials with low coefficients of thermal expansion can help minimize the impact of temperature fluctuations. Some materials are designed to expand and contract more efficiently than others.
Ventilation:

Adequate roof ventilation can help dissipate heat, reducing the overall temperature of the roofing materials. This can contribute to minimizing the effects of thermal expansion.
Considerations for Specific Roofing Materials:

Asphalt Shingles:

Asphalt shingles can experience thermal movement. Proper installation techniques, including following recommended spacing guidelines and using appropriate fasteners, can mitigate potential issues.
Metal Roofing:

Metal roofing expands and contracts with temperature changes. Installing with consideration for thermal movement, using expansion clips, and allowing for unrestricted movement are essential.
Flat Roofing Membranes:

Membrane roofing materials, such as EPDM or TPO, can also be affected by thermal expansion. Properly installed seams and allowances for movement are critical in preventing damage.
Conclusion:
Understanding and accounting for thermal expansion is integral to the longevity and performance of roofing systems. By implementing design considerations, proper installation techniques, and selecting materials with thermal properties in mind, roofing structures can effectively withstand the effects of temperature fluctuations over time.

It is common in many areas of the country for wind storms and hurricanes.

How do I check to see if my windows are impact resistant?

There are certain steps to take to identify impact resistant windows that are made from impact resistant glass:

 

• Search for a permanent mark in any of the corners of the glass. The mark will include the manufacturer or supplier’s name, location of fabrication, the specific date it was manufactured, the thickness of the glass, and any special certifications or safety standards usually by an accredited organization that the glass meets.
• Check the glass for a temporarily placed label by the manufacture. Most sheets of impact resistant glass will contain a permanent mark in the corners, but sometimes the glass may have been cut in a way necessary that excludes the mark with the information your looking for. In this less likely circumstance, the manufacturer or possibly the supplier may place a removable label that states the type of glass along with the listed above in the first paragraph explaining a permanent mark.
• Examine the reflection in the glass from both the exterior and interior. If you still are having trouble finding any permanent or temporary markings or labels on the glass, hold an object up or your hand to the glass and look at the reflection. Impact resistant glass will always contain two sheets of glass, and this object or your hand should see two different reflections.

If you have had wind damage from a storm or hurricane then its always a good idea to consult with an Experienced Public Adjuster.

The answer in Florida is yes! Whether you work for an insurance company and an adjuster or as an independent adjuster you will require a license with The Department of Financial Services. A Public Adjuster also requires to be licensed with The Department of Financial Services. If you want to learn more please visit their website. www.myfloridacfo.com

You can also do a license search at the above website.

A Public Insurance Adjuster in Florida is licensed by The Department of Financial Services and can be hired by a policyholder to represent their best interest in a property insurance claim.

A Public Adjuster is a professional claims handler who advocates for the policyholder in appraising and negotiating a claimant’s insurance claim. The Department of Insurance licenses these professionals who are experts in their field to help the public insured reach a fair settlement with their insurance company.

Call Experienced Public Adjusters Today! (888) 881-8416

How much does a public adjuster make in a year?

Well if you hire an Experienced Public Adjuster they will make a good living. Why you might ask? Because we only get paid if you get paid and we work on a contingency fee basis. So the more money we can get you the more we get paid. This is why it is in your best interest to hire a Public Adjuster instead of an Attorney. We fight for every dollar owed. In Florida, Attorneys get paid by the carrier under Florida Statute if they collect just $1 dollar. So they have no incentive to work hard to maximize your settlement.

We are always looking for qualified Experienced Public Adjusters. And if you need to hire an Experienced Public Adjuster to give us a call today. (888) 881-8416

Replacement Cost Value– The term replacement cost or replacement value refers to the amount that an insurance carrier would have to pay to replace an asset at the present time, according to its current worth.

Actual Cash Value– Actual cash value is the amount equal to the replacement cost minus depreciation of a damaged or stolen property at the time of the loss. It is the actual value for which the property could be sold, which is always less than what it would cost to replace it.

It is very important for you to understand your insurance policy to see if you have replacement cost on both your building and your contents.

You always need an Experienced Public Adjuster to review your policy and advocate for you to enable you to reach a fair settlement.

Call Experienced Public Adjusters Today!

Presentar un reclamo de seguro con su compañía de seguros podría ser una experiencia terrible por sí mismo. Un agente de seguros le hará algunas preguntas o incluso requerirá información que puede parecer irrelevante pero bastante esencial. Se requiere documentación detallada del daño o pérdida de su propiedad al presentar un reclamo, y eso significa que necesita todo tipo de investigación e investigación para determinar la condición de la propiedad antes de dicho daño.
Esta es solo una de las cosas que hacen los ajustadores públicos. Le ayudarán a entender incluso los detalles más pequeños de su póliza, por lo tanto, no tiene que lidiar con todo el proceso agotador solo para presentar una reclamación adecuada. Donde los desastres naturales son una ocurrencia común.

Aquí los principales beneficios de contratar un ajustador público:
Ahorra tiempo
Si necesita ayuda para comprender su política, puede llevarle mucho tiempo descifrarla antes de que pueda comenzar a documentar todo para su proceso de reclamo. Un ajustador público bien entrenado administrará y organizará estas cosas por usted, ayudándole a reducir el tiempo que tiene que gastar en ello.

Pericia
Las pólizas de seguro pueden ser bastante complicadas y difíciles de entender por su cuenta, por lo que contar con un experto a su lado que no solo esté familiarizado con las pólizas de seguros sino que también esté capacitado para explicarlas es de gran ayuda en su momento de necesidad. También lo guiarán a través de los procedimientos adecuados para presentar un reclamo de seguro.

Resolución rápida
Con la ventaja de contar con un ajustador público, usted entiende cómodamente su reclamo y es mucho más rápido procesar la documentación necesaria para presentar su reclamo de seguro. No tiene que lidiar con ir y venir y estresarse debido a la falta de comunicación con el representante de seguros. Cualquier tipo de reparación comenzará lo más rápido posible.

Protección de sus derechos
Un ajustador público como nuestro equipo de profesionales que comprende las técnicas de seguro por dentro y por fuera evitará la falta de comunicación entre usted y su compañía de seguros, y también le informará si sus derechos como asegurado están siendo descuidados. Ahora están ahí para cuidar su mejor interés, ya que usted es el cliente.

Valor justo para su reclamo
Según un estudio reciente, los tasadores públicos a menudo negocian hasta un 747% de acuerdos de seguro más grandes para reclamos de seguros por daños a la propiedad o incluso pérdidas que la compañía planea originalmente entregar al titular de la póliza.
Si observa el panorama general, usar los servicios de ajustadores públicos es una decisión inteligente y práctica, ya que obtiene mucho más de su reclamo de seguro y, al mismo tiempo, le impide gastar demasiado tiempo y energía en el proceso de reclamación. Por lo general, hay una tarifa por su servicio, pero si considera los beneficios que obtiene, bien vale la pena el gasto.

¡Llámenos hoy! (888) 881-8416

Un ajustador público es un ajustador de reclamaciones manejador de reclamos profesional que aboga por el titular de la póliza en la evaluación y negociación de un reclamo de seguro del reclamante. Además de los abogados y el agente de registro, los ajustadores públicos con licencia de los departamentos estatales de seguros son el único tipo de ajustador de reclamos que puede representar legalmente los derechos de un asegurado durante un proceso de reclamo de seguro. Un ajustador público será más beneficioso cuando esté claro que el asegurador pagará el reclamo y el único problema es la identificación y valoración adecuada de la pérdida. La mayoría de los tasadores públicos cobran un porcentaje del acuerdo. Principalmente evalúan el daño, preparan un presupuesto y otra documentación de reclamo, leen la póliza de seguro para determinar la cobertura y negocian con el manejador de reclamaciones de la compañía de seguros.

Un ajustador público es un representante del titular de la póliza que asesora, administra y presenta un reclamo a la compañía de seguros del asegurado. ¡Llámenos hoy! (888) 881-8416

A Property Insurance Umpire is a competent, disinterested, impartial individual who is charged with making a decision regarding the value of property or the amount of a property loss. The use of an Umpire is usually a requirement within an Appraisal clause when the insured appraiser and insurers appraiser are unable to reach a settlement.

Mediation is an informal, voluntary, non-binding process for conducting settlement negotiations between you and your insurance company. Mediation can be a fast and cheap way to resolve insurance claim and coverage disputes. However, the insurance carrier will usually not come with the authority to offer a settlement that brings you back to pre-loss condition. Be ready to walk away if they are unwilling to offer a fair settlement. Most likely once you walk away the next step would be to go to litigation.

Make sure you read your policy to see who will be responsible for paying for the mediator. There may be a payment provision covering claim adjustment expenses that you can use to get your insurer to pay for mediation fees.

Going to mediation is a very important decision for a policyholder. If you do not have an Appraisal clause going to mediation may be the last option offered by the carrier. Before exhausting all condition of the policy to reach a fair settlement it would be a good idea to consult a Public Adjuster. Call Experienced Public Adjusters today for a free claim review! (407)-212-8669

In most cases a Public Adjuster will charge a contingency fee as a percentage of only what they are able to settle from the insurance company. They are only allowed to take this percentage for new money they took part in adjusting and they can’t take a percentage out of the deductible.

Staff Adjusters, typically work directly for the insurance carrier. They can work in the field or as a desk adjuster. But they usually do not have the homeowners or business owners best interest at heart. Only a Public Adjuster advocates and fights for your settlement. Once you have used a Public Adjuster in my opinion you will never think twice about filing a claim without one.

A claims adjuster represents the insurance carrier. They usually coordinate the appraisal, gather all documents and the facts and reports the details to the insured. What that mean is basic language is they may look for ways to underpay you or deny coverage. Remember, Insurance companies are privately owned or have shareholders. The goal of any business is to minimize costs and increase profits. That is why you need a Public Adjuster on your team from the start. Call an Experienced Public Adjuster Today at (888) 881-8416.

Insurance carrier adjuster usually do not work on weekends. And Public Adjusters will usually make that determination based on how busy they are. At Experienced Public Adjuster we work 24 hours a day/ 7 days a week when warranted. Please call us at (888) 881-8416

We have offices throughout the State of Florida. Please call us for a free phone consultation and insurance claim review. (888) 881-8416

Orlando Public Adjusters

Naples Public Adjusters

Merritt Island Public Adjusters

Boca Raton Public Adjusters

 

How long does it take for an insurance adjuster to come out?

That’s a question that can’t be easily answered. Typically, you will be contacted within 1-3 days and either an independent adjuster or company adjuster will come out to investigate the loss as soon as possible. After storms like Hurricane Irma people waited 1-2 months for a field adjuster to arrive. Not to mention they went through 4-5 different desk adjusters assigned to their claim. We will probably see a delay in insurance adjusters getting to properties once Tropical Storm Isaias or Hurricane Isaias damages the Florida east coast due to the massive amount of insurance claims that will most likely be filed.

What is a Public Adjuster?

Hiring a Public Adjuster is highly recommended for all claims. They will be out to document the loss immediately and an Experienced Public Adjuster will be onsite for all inspection to advocate on your behalf. This is why you need a Public Adjuster to advocate for your best interest. They manage the process and document everything and have to maintain the file for 5 years. This allows you the comfort to know that someone is doing everything they can within the Florida Statutes and the language of your policy to get you a fair settlement.

Florida Statute requires the insurance carrier to provide 48 hours’ notice before they can send anyone to your property.

Florida Statute 626.854

(13) A company employee adjuster, independent adjuster, attorney, investigator, or other persons acting on behalf of an insurer that needs access to an insured or claimant or to the insured property that is the subject of a claim must provide at least 48 hours’ notice to the insured or claimant, public adjuster, or legal representative before scheduling a meeting with the claimant or an onsite inspection of the insured property. The insured or claimant may deny access to the property if the notice has not been provided. The insured or claimant may waive the 48-hour notice.

You should always have an Experienced Public Adjuster ready to advocate for you to help you maximize a fair settlement. Call Experienced Public Adjusters today!

(888) 881-8416

Experienced Public Adjusters Guidance on Insurance Claim Procedures

Short Answer: 60 Days

1. Claim Acknowledgment:
As a Florida homeowner, your insurance company commits to acknowledging receipt of your claim within 14 days of submission. This acknowledgment is a pivotal initial step, officially entering your claim into the system. In exceptional circumstances beyond their control, this timeline may be extended. To maintain a thorough record of communication, consider utilizing certified mail or email when corresponding with your insurance company.

Experienced Public Adjusters Suggestion: Ensure proper documentation of correspondence for your records.

2. Notification of Claim Status:
Within 30 days of presenting a complete proof of loss statement, your insurance company is obligated to furnish you with written notification regarding your claim’s status. This notification will clarify whether your claim is fully covered, partially covered, denied, or under investigation. If you haven’t received an update within 30 days, proactive follow-up with your insurance company is advisable to track your claim’s progress.

Experienced Public Adjusters Suggestion: Regularly follow up to ensure timely updates on your claim’s status.

3. Payment or Denial:
In Florida, insurance companies have a 90-day window to either fully or partially pay your claim or deny it. Failure to adhere to this timeframe entitles you to interest on your claim. Legislative changes effective from March 1, 2023, have shortened this window to 60 days. Monitoring this timeline is crucial, and if your claim remains unresolved beyond the stipulated timeframe, consider seeking legal assistance from Experienced Public Adjusters.

Experienced Public Adjusters Suggestion: Stay vigilant about the timeline, and if your claim is not resolved within the specified period, contact us for legal support.

Legislative Changes in Florida:
Staying abreast of legislative changes impacting the insurance claims process is vital. As of March 1, 2023, amendments to Section 627.7142, known as the Homeowner Claims Bill of Rights, have come into effect. Noteworthy changes include the right to receive a detailed loss estimate within 7 days and the reduction of the insurance company’s timeframe to pay or deny a claim from 90 to 60 days.

Experienced Public Adjusters Suggestion: Promptly request and review any detailed loss estimate to understand the valuation of your claim in light of these legislative changes.
Violation of this law by an insurance company can be reported to the Department of Financial Services.

Call Experienced Public Adjusters is you have questions about your property damage claim or if you need help!

 

There are requirements set forth that are constantly changing. You should always contact the Florida Department of Financial Services to help you answer this question. However, you will require a 6 month apprenticeship with a supervising Public Adjuster and you will have to be appointed by a firm. We are from time to time looking for an apprentice. Please feel free to contact us or email us your resume at info@experiencedpublicadjusters.com.

The answer is sometimes, and yes indirectly! Most Florida insurance companies will outsource this task to an independent adjusting firm to go out and estimate the damages. Very few carriers have enough staff adjusters ready to deploy when a natural disaster strikes. Independent Adjuster and Staff Adjusters are usually thrown out into the field with little to no training and will most likely make mistakes that could lead to you being underpaid or even denied coverage. Remember they are both being paid by the carrier in the end. This is why you need an advocate to represent your best interest. A Public Adjuster is there for you to help you maximize your settlement and help you and your family be brought back to pre-loss condition.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

Do you have to attend a requested EUO or Examination Under Oath? That depends on your policy and what type of 1st party or 3rd party you are! Do you have privity of contract and does the language of your insurance policy require it?

What is an examination under oath?

EUO insurance companies use as a scare tactic trying to make honest people feel like they are being dishonest or are committing insurance fraud. An examination under oath is not something you want to attend without legal representation or a public adjuster present. We would recommend an attorney is the best representation for this because they can object to questions that are not claim related when a Public Adjuster does not have the right to do the same.  An Examination Under Oath is an on the recorded proceeding that is under oath during which the insured is recorded and transcribed by a court reporter, and is questioned in most cases by the insurance company paid attorney and or the insurance company representative or SIU investigator. Just take a deep breath and you will get through it. Just tell the truth and usually, when this examination under oath is completed they will make their coverage decision and pay or deny the claim so the process can move on to close the fairly paid claim or be litigated.

Do not let your insurance company with deep pockets scare you from continuing with an insurance claim or they win. An insured is usually required to sit for this EUO because they have “privity of contract” because they exchange the payment of their premium for the language and coverage offered in the insurance policy. However, a Public Adjuster is a 3rd party and does not have privity of contract and is not required to sit for an Examination Under Oath.

Experienced Public Adjuster is available for a free claim consultation!

 

A Proof of Loss Statement or Form is a requested insurance policyholder’s statement or “Sworn Proof of Loss” that details the amount of money being claimed as a loss. This requires the insured or insured’s signatures. It usually is required to be notarized. If you have a mandatory requirement to provide a Proof of Loss form or you receive a request for a Proof of Loss form, please before submitting it or attempting to complete it, stop and call a Public Adjuster.

Why do you think insurance companies request this? Of course, it is a scare tactic used by insurance companies. It also helps keep the insured honest as they have to attest by swearing to the amount of damages when submitting their required POL to request damages to be paid by the insurance company. This does not mean the insurance company will pay that amount. This is just the beginning of the fight. It would help if you had a public adjuster assist you with the entire claims process. The insurance company hopes you will breach your contractual obligations as stated in your insurance policy.

The figure or amount you submit can be a permanent one in the eyes of your insurance company. What if you have additional or supplemental damages that you or a mitigation or remediation contractor have not yet discovered?  Call an Experienced Public Adjuster for a free claim review immediately.

We will always be available for free advice when requested!

Under Florida Law Statute, 627.70132 Notice of Windstorm or Hurricane Claim, you have 3 years to file a claim, supplemental claim, or reopened claim under an insurance policy that provides property insurance after the hurricane first made landfall or the windstorm caused the covered damage. Insurance companies are still overwhelmed or understaffed overwhelmed at this time, and it may be a while before they can get to you, but you do have time.

An appraisal clause is a clause or paragraph found in most but not all insurance policies. It is designed to be a binding way of reaching a settlement when there is a dispute over the amount of a loss between you and your insurance company and can be invoked by either party or may require both parties to agree. It is not common for an insured to request appraisal when both parties are required to agree for the carrier to accept this request. However, when either party can invoke this can be a useful tool depending on your individual cl

How Does the Appraisal Process Work?

If a policyholder and insurance company can’t agree on the value of the loss, some Florida policies require both parties to agree to Appraisal. Other allow for either party to  demand that the damages be determined by appraisal. Here is how the process works:

1. Both the policyholder and the insurer will hire an independent appraiser. It will usually state, ” In this event, each party will choose a competent appraiser within 20 days after receiving a written request from the other.”
2. Together, the two appraisers will choose an umpire, who acts like an arbitrator (essentially the judge). The umpire will resolve any disagreements that arise between the appraisers. The Umpire only gets involved if the two appraiser cant reach a settlement. Most policies state,” If they cannot agree upon an umpire within 15 days, you or we may request that the choice be made by a judge of court of record in the state where the “residence premises” is located.
3. The two appraisers will then examine the documents and estimations and try to reach an agreement on how much the repair or replacement should cost.
4. If the appraisers can’t agree on specific items then they will submit their differences to the umpire. In this case the most policies in Florida will state, “If the appraisers submit a written report of an agreement to us, the amount agreed upon will be the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will set the amount of loss.”
5. Once two parties of the appraisal panel come to an agreement they will sign a binding appraisal award. The insurer will pay that amount to the policyholder.

How much does going to appraisal cost? 

Most Policies will state,

“Each party will:

A: Pay its own appraiser: and

B: Bear the expense of the appraisal and umpire equally.”

Umpire cost usually range from $2,000-$4,000 for a residential claim. Of course, the insured will only pay half of this cost. This is something an insured needs to consider this when making the decision to go to appraisal.

If you are considering going to appraisal or the carrier has demanded appraisal and you have to respond you should call a Public Adjuster for a free claim review. This is a binding decision and should not be taken lightly. This will require the guidance and expertise of an Experienced Public Adjuster. Please call us today for a free claim review at (888) 881-8416.

 

Plumbing Leaks

There are professionals to handle this and document the damages. Please do not take it upon yourself to start doing the work of a professional restoration company. You are required to do what you can to stop the leak. If you know how to shut the water off to the home then do so, but if not call a plumber immediately. Then I would advise you to call a Public Adjuster to come out and provide you a free evaluation of your loss and then you can make an informed decision on how to move forward with a claim.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

Safety is first. If you are not sure if you are safe then my answer is call a Public Adjuster to come evaluate your home. But please do not stay in the home or business waiting for anyone including the Public Adjuster until you know its safe to reside in the structure.

My answer would be the same as would you trust your insurance adjuster to act in your best interest and pay you fairly? It is always your decision on who to hire as a contractor unless your policy dictates otherwise. I would advise you to call a few contractors who do not work with insurance companies and let them explain why they will pay more attention to detail, document all of the damages, and make sure the job is done right. Remember they are not contracted regularly by the insurance carriers and are not well in most people’s opinion trying to keep the costs contained for the insurance company to help them minimize their losses. This is an opinion. My advice is to meet with a few private contractors and the carriers and then make your own informed decision.

Make sure you sit down with your insurance agent and ask him to go over the full policy including all the exclusions. Most agents will just go over the declaration pages of your policy limits. You should have him thoroughly explain every detail of the policy before purchasing it. That way there are no surprises when you suffer a loss. A Public Adjuster can only help you recover what is available to you within the policy.

The clear answer to this is NO! You need to have a professional like a Public Adjuster advise you on what to do in this situation. There are professionals who will come and document, inventory, and photograph all the inventory. The Public Adjuster will also take photographs and document all the damages. You are also required under most policies to allow the insurance carrier the right to inspect the damages. If you take this right away from them you may not be reimbursed.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

 

Your home insurance covers your “additional living expenses” if there’s a mandatory evacuation, including hotels and food — even additional transportation costs. They are also required to provide you additional living expenses and housing when the damage is so severe that the home is not suitable for you to live in. This could be as simple as you having no bathroom use or no kitchen or severe mold that could be a health concern.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

After a widespread disaster, insurance companies will bring in company adjusters from out of state who aren’t familiar with local costs. Adjusters from outside your area will not have a handle on how much tradespeople such as electricians or plumbers charge, or how much it costs to rebuild a house. They are also not familiar with required code upgrades and can be very inexperienced and hired and trained just for the disaster.

A public adjuster is a professional claims handler claims adjuster who advocates for the policyholder in appraising and negotiating a claimant’s insurance claim. Aside from attorneys and the broker of record, public adjusters licensed by state departments of insurance are the only type of claims adjuster that can legally represent the rights of an insured during an insurance claim process. A Public Adjuster is your advocate and will guide you through the process. Help you understand your insurance policy deductible, coverages, exclusions, help you appraise and write and estimate for the the true value of your loss. They are experts at what they do. Once they prepare an estimate and other claim documentation they negotiate with the insurance company’s claims handler to help you receive the maximum settlement you deserve.

They think that the condo association’s policy covers their property. However, the association’s policy covers only common areas, typically up to the walls of your condo. You usually own from the flooring up and the paint and texture in. The COA is responsible for the structure.  If you want your own space and belongings protected, you need a home insurance policy. Otherwise, all your belongings, furniture, appliances and cabinets are uninsured.

Without your own policy you may have no liability protection if you’re sued for something that happens within your condo, like a slip-and-fall injury.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

Q: What are the common causes of water damage?

A: Water damage can occur due to various reasons. It may result from bursts or leaking pipes in your plumbing system, natural disasters like hurricanes or floods, malfunctioning household appliances, backed-up gutters, and roof drains, overflowing septic tanks, and poorly constructed showers or bathtubs. Even issues with shower pans, pipe leaks, and faulty toilet bowl wax seals can contribute to water damage in your home.

Q: How can I identify water damage in my home?

A: Signs of water damage include discoloration or stains on walls or ceilings, warped or buckling floors, musty odors, mold growth, peeling paint or wallpaper, and visible signs of water pooling or dripping. Additionally, an increase in your water bill or the sound of running water when no fixtures are in use may indicate hidden leaks. Regular inspections and maintenance can help detect water damage early.

Q: What should I do if I discover water damage in my home?

A: If you notice signs of water damage, it’s essential to act quickly to mitigate further damage and prevent mold growth. Start by identifying and stopping the source of water intrusion, if possible. Then, remove any standing water and thoroughly dry affected areas using fans, dehumidifiers, or professional drying equipment. Consider contacting a licensed public adjuster to assess the damage, document the loss, and assist with filing an insurance claim.

Proper maintenance and care of your appliances can help ensure they don’t cause a water issue. Have a plumber come inspect your supply lines, drain lines, and overall plumbing to see if you have any at risk plumbing our outdated material. If you have a septic tank, monthly inspections can allow you to notice if anything looks amiss. You can also teach everyone who lives in your home where the water supply cutoff valve is, so they can turn it off in the event of an emergency.

Keep an eye on your water bill; a sudden increase one month may indicate a leaky pipe or something more severe. Also, if you notice any foul odors or black spots (mold) on the walls, you may want to call a mold hygienist. If you notice that you have damage it is always good to have a Public Adjuster come provide a free evaluation, so you can decide if an insurance claim is warranted. You may need to hire a Public Adjuster in most circumstances to get a fair settlement and to make sure your home is brought back to pre-loss condition. Call Experienced Public Adjusters for a free claim evaluation.

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

According to the EPA.gov,

“Sometimes, humidity or dampness (water vapor) in the air can supply enough moisture for mold growth. Indoor relative humidity (RH) should be kept below 60 percent — ideally between 30 percent and 50 percent, if possible. Low humidity may also discourage pests (such as cockroaches) and dust mites.

Humidity levels can rise in a building as a result of the use of:

• Humidifiers
• Steam radiators
• Moisture-generating appliances such as dryers
• Combustion appliances such as stoves

Cooking and showering also can add to indoor humidity.

HVAC System

One function of the building heating, ventilation and air conditioning (HVAC) system is to remove moisture from the air before the air is distributed throughout the building. If the HVAC system is turned off during or shortly after major cleaning efforts that involve a lot of water, such as mopping and carpet shampooing or cleaning, the humidity may rise greatly, and moisture or mold problems may develop.

Condensation

Condensation can be a sign of high humidity. When warm, humid air contacts a cold surface, condensation may form. (To see this, remove a cold bottle of water from a refrigerator and take it outside on a hot day. Typically, condensation will form on the outside of the bottle.) Humidity can be measured with a humidity gauge or meter; models that can monitor both temperature and humidity are generally available for less than $50 at hardware stores or on the Internet.”

Read more:

https://www.epa.gov/mold/mold-course-chapter-2

 

You can learn more about this by clicking on this link published by Find Law.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

Sometimes a Proof of Loss is called a Sworn Proof of Loss or SPOL because it requires an insured to get it notarized.

1. What is a Proof of Loss?
A Proof of Loss is a document submitted by the policyholder to their insurance company after experiencing a covered loss. It outlines the details of the loss, including the date, cause, and extent of damage, as well as an estimation of the financial impact.

2. When is a Proof of Loss Required?
Insurance companies typically require a Proof of Loss to be submitted within a specified timeframe after the occurrence of a covered loss. This timeframe is usually outlined in the insurance policy and may vary depending on the type of loss.

3. What Information is Included in a POL?
A Proof of Loss typically includes details such as the insured’s name and policy number, the date and cause of the loss, a description of the damaged property or items, and an estimate of the monetary value of the loss. It may also require supporting documentation, such as receipts, invoices, or photographs.

4. Why is a Proof of Loss Important?
Submitting a POL is a crucial step in the insurance claims process. It formally notifies the insurance company of the loss and serves as documentation to support the policyholder’s claim for compensation. Failure to submit a Proof of Loss within the specified timeframe may result in a delay or denial of the claim.

5. How Should I Prepare a Proof of Loss?
When preparing a Proof of Loss, it’s essential to provide accurate and detailed information about the loss or damage. Be sure to include all relevant documentation, such as receipts, estimates, and photographs, to support your claim. It’s also advisable to review your insurance policy to ensure compliance with any specific requirements or instructions for submitting a Proof of Loss.

6. What Happens After Submitting a Proof of Loss?
Once you’ve submitted a Proof of Loss to your insurance company, they will review the document and assess the validity of your claim. They may request additional information or documentation to support your claim. After completing their evaluation, the insurance company will determine the appropriate course of action, which may include approving the claim and providing compensation or issuing a denial.

7. What If I Need Assistance with My Proof of Loss?
If you require assistance with preparing or submitting a Proof of Loss, it’s advisable to consult with your insurance agent or broker. They can provide guidance on the process and ensure that your documentation meets the necessary requirements. Additionally, you may consider seeking assistance from a public adjuster or legal counsel specializing in insurance claims to advocate on your behalf.

Submitting a thorough and accurate Proof of Loss is essential to expedite the claims process and maximize the likelihood of receiving fair compensation for your loss or damage. Be sure to carefully follow the instructions provided by your insurance company and seek assistance if needed to navigate this critical aspect of the insurance claims process.

What is a Proof of Loss? What is a POL?

If you have a homeowner’s insurance policy there are usually certain duties after a loss that you may be required to perform upon request or as an obligation after the loss occurs. A Proof of Loss is a statement made by the insured or policyholder of actual money of damages they are claiming in the form of money to be reimbursed. It will depending on your loss, request you separate the money you are requesting for damages into the different coverages you are requesting the money from. For example, Coverage A would be for your main structure damage or home, Coverage B would be other structures like a detached garage or fence, Coverage C would be your contents or personal property, and Coverage D would be additional living expenses.  It is signed by the named insured or insureds and it requires it to be a sworn and notarized document. Usually, this document will also be required to require that any and all supporting documentation be provided with the submission of the proof of loss. In some states upon this Proof of Loss form is requested the insured has 60 days to submit the form to the insurance company. It is important to fill this form out properly and also to understand the Proof of Loss is not the claim. This is sometimes used by an insurance carrier to attempt to intimidate the insured or on the other hand to prevent an insured from committing fraud. If you have a valid insurance claim this form should not be something you fear. You should always in our opinion have a Public Adjuster representing your best interest to make sure you get paid fairly and receive the settlement you are due in accordance with your policy.

Experienced Public Adjusters will help you prepare this document properly and also help you providing supporting documents to support the value of the damages you are claiming.

 

Property insurance is all insurance where the payment of the property is paid by the insurance company to the insured or other individual’s sharing interest similar to the insured. Property insurance  include damage caused by fire, smoke, wind, hail, weight of ice and snow, lightning, theft and more.

A Civil Remedy Notice specifically in the State of Florida is a tool used on 1st party property claims by the insureds or policyholders that is filed by an attorney to begin the process of filing a lawsuit against the insurance company. It will allege that the insurance company during an insurance claims process has violated certain bad faith statutes. A Civil Remedy Notice is filed by an Attorney on behalf of the insured and submitted to the Insurance Company and The Department of Financial Services. It is intended to meet legal requirements provided in Florida Statute 624.155. This Florida Statute lays out the requirement to submit this Civil Remedy Notice 60 days before bringing an action against the insurance company. The insurance company has 60 days from the filing to respond to the alleged bad faith allegations to attempt to cure or deny the alleged acts.

 

Mold can have mild or severe health risks for individuals. According to mold experts studies have shown that it can be carcinogenic, can cause symptoms that may feel like allergies or flu-like symptoms. Furthermore, it may also have symptoms such as different types of infections, diarrhea, possible lung infections, and sinusitis. Mold and mildew can cause many problems, both to your family’s health and to your home. It can destroy drywall, wood, furniture and more. It also creates an environment where unwanted mites, rodents, roaches, and bacteria will live. To determine the extent of the mold and what types of molds you may have it would be best for you to hire a Licensed Mold Assessor to inspect your home for mold, and then complete air cell tests and take swab samples from specific areas that has visible mold so that it can be sent to a lab for the proper testing. Then once the lab provides the Licensed Mold Assessor he/she can explain the types of molds that exist and he can now write a mold protocol for the mold remediation of your home or business. Now you need to hire a Licensed Mold Remediator whose job it is to actually complete the work of removing the mold from your home by putting up containment units in the areas affected and then completing a specific process of cleaning with HEPA vacuums, anti-microbial cleaning liquids, and physically removing the mold effected materials out of your home or business. But is this a covered loss when it comes to insurance? In most cases, it is if you can find a covered cause of loss that led to mold growth. Typically, mold damage happens after there is water intrusion into the home or some type of plumbing issue or pipe leak that causes water to accumulate in areas it does not belong in your home.

Your first step should be to call an Experienced Public Adjuster which a private adjuster to help you find the cause of the loss and to determine if you have an insurance claim to cover the costs of the mold remediation and the resulting damages. A Public Adjuster is on your side and does not work for insurance companies. You will also need the money to fix the source or opening allowing water to enter the home. For example, it is typical for there to be extensive mold damage to a home if a Hurricane or Wind Storm creates an opening in the home and water intrudes into the home. It can then accelerate the mold growth in the humid environment especially if the power is lost during the storm leaving the home hot and humid without air-conditioning.

Review your policy with a state-licensed insurance agent and make sure he goes over the coverages and exclusions specific to water damage claims. Insurance companies will hide certain exclusions or water damage limits of coverage within your insurance policy. Make sure you as if you have coverage damage and does it have a mold limit which in most states if there is coverage a standard HO3 will have a limit of $10,000 for mold unless you request a higher limit for your home to be included in your insurance policy. It is usually written in your insurance policy that you have a duty to mitigate after a water damage loss in order to attempt to stop further damages. This will require you to hire an expert if there is any type of moisture or water intrusion and that expert is usually a mitigation and remediation company. Do not sign anything with them unless you know what you are signing. Read the fine print and if you do not understand something it would be wise to ask an Attorney what you will be responsible for if the insurance company does not pay the mitigation and remediation company. Also, you want to check to make sure the company you hire has a state license if required and is insured with a general liability policy. 

Your best option to make sure this process goes smoothly is to hire a Public Adjuster or Private adjuster to help you navigate through the insurance process. They will by your advocate and take the claim from start to finish helping you fight the insurance company to make sure you are paid fairly in accordance with your policy language and within your state statutes pertaining to 1st party property claims.

It most cases it is never to late. It’s common to have supplemental damage claims that can be filed for things such as undiscovered water damage and mold damage, or damage behind walls once reconstruction starts. It’s always best to have a public adjuster on board from the beginning that will help to identify these common problem areas and adjust the claim accordingly. The only condition to this is when the policyholder signs a release. There is nothing you can do at this point. I would still suggest checking with an attorney to be sure.

In order to become a Florida Public Adjuster you must read about the requirements. Click on this link to learn more!

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

A tropical cyclone is a rapidly rotating storm system characterized by a low-pressure center, a closed low-level atmospheric circulation, strong and high speed winds, and a spiral arrangement of thunderstorms that produce heavy rain. Depending on its strength and location, a tropical cyclone is referred to by different names, including hurricane, typhoon, tropical storm, tropical depression, cyclonic storm,  and simply cyclone. A hurricane is a tropical cyclone that occurs in the Atlantic Ocean and northeastern Pacific Ocean, and a typhoon occurs in the northwestern Pacific Ocean; while in the south Pacific or Indian Ocean, comparable storms are referred to simply as “tropical cyclones” or “severe cyclonic storms”.

I would say based on my experience the answer would be, “NO.”

I did a study to see what people would search for when someone must have mention they need to hire a public adjuster. These are some of the keywords they type into Google trying to find us.

• Public Adjusters in Florida
• Adjusters in Insurance
• Fl Public Adjusters
• Florida Public Adjusters
• Adjusters
• Public Adjusters Florida
• Public Adjuster
• Public Adjusters
• Insurance Claim Adjuster
• Independent  Insurance adjusters
• Adjusters claims
• Best public Adjusters
• Independent Adjusters
• Private Adjuster
• licensed Public Adjuster
• Private Adjusters
• Licensed Public Adjusters
• Experienced Public Adjusters (We like this one!)

If you ever suffer a loss and need an Experienced Public Adjuster give us a call today at (888) 881-8416

How many Public Adjusters are there in Florida? This number has grown exponentially over the years. There is no data that could be located but I do know from my experience that when a Hurricane strikes there is not even close to the amount of Public Adjusters needed to help with insurance claims. Public Adjusters in Florida and local to your home is important. You do not want an out of state adjuster who may not know specific state statutes and codes. You also want one close so they dont delay your claim planning a full day to drive lets say for example from Georgia to Orlando, FL..Call Us Today (408-212-8669

 

Uncontrolled water intrusion into a building can stem from many sources. The most common sources include: Roof leaks and condensation forming above ceilings. Hurricane force winds breaking window seals and stucco, Pipe breaks (potable water, chilled water) … Moisture intrusion through the building envelope.

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

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YES!

We give a 5% discount off our contingency fee for active military and retired veterans. If you have a loss please contact us at (888) 881-8416

Builder’s risk insurance is a special type of property insurance which protect the contractor (Insured) against damage to buildings while they are under construction.

Because they have insurable interest in the home as well. Every bank has a different procedure to getting funds released. If you know you have a settlement check coming in you might want to call the back and see what documents you will need.

A typical homeowner’s insurance policy will cover damage caused by wind, fire, and lightning. If your home is destroyed by a fire, then the insurance company needs to pay to build you a new home.

A typical insurance policy will also pay to replace or repair anything inside that home that may have been damaged by flames, smoke, soot, ash, and other byproducts of the fire.

Call Experienced Public Adjusters for a Free Claim Evaluation. (888) 881-8416

The answer is 14 calendar days! And an Experienced Public Adjuster will violate the adjuster and the carrier for not acting in good faith!

627.70131 Insurer’s duty to acknowledge communications regarding claims; investigation.—

 

What are the requirements to become a Florida Public Insurance Adjuster?

You can find all this information on the link below that will direct you to the Florida Department of Financial Services.

Click Here!

 

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

A Public Insurance Adjuster adjust a claim with and Insurance Company by negotiating an insurance claim and reaching a fair settlement that brings both parties to an agreement.

What is a Public Adjuster? We are a small network of unknown private adjuster specialists to most homeowners that are available to them to represent their best interest in an insurance claim. We only handle 1st party property insurance claims! That means when you file an insurance claim against your insurance policy for your home or your business we help you through the process from the beginning to the end of the claim removing the burden of fighting in a tough industry against insurance companies that operate with normally one goal to keep a healthy profit. From theft to a covered peril like wind, hail, or storm damage you need a local public adjuster that knows your building codes and permitting requirements, and the state statutes pertaining to 1st party property claims.

The great news is if you decide you need help which we believe everyone does then look no further because there are different levels of adjusters to hire and Experienced Public Adjusters is by far one of the top-rated public adjusting firms in the United States.

Do settle for just any Public Adjuster! We all are trained differently and have different levels of skill sets. Experienced Public Adjusters will always come out and do a free claim inspection onsite at your home or business. We are one phone call away from taking the burden off your hands and making sure you have the best chance of success to win an insurance claim.

 

Claims adjusters and Public Adjusters are to represent insured’s in first party insurance claims. A Public Adjuster or Claims Adjuster should never be involved in third party liability for property damage of others property and bodily injury.

How much does a Public Adjuster make a year on average?

I see all kinds of numbers listed on the internet. The real answer is how experienced and trained you are as a Public Insurance Adjuster and the Public Adjusting company you work for. The level of training an Adjuster receives and the higher rated the company reviews are dictates usually the fee that is charged. The more happy clients they have and the size of the insurance loss will help determine how much a Public Insurance Adjuster charges. They are paid a certain percentage in line with state regulations, this contingency fee charged by the adjusters is determined by many factors. Always remember cheaper is not better when you reach a final settlement. And we promise you at the and of the insurance claim you will understand why if you have used a company with more experience and has higher trained adjusters.

Experienced Public Adjusters has a team of adjusters that far suprasses the level of expertise of other Public Adjusters or Private Adjusters in the insurance claims industry.

 

Where Did Hurricane Irma Make Landfall?

According to a Fema mold brochure, “Mold growths, or colonies, can start to grow on a damp surface withing 24-48 hours!

Dealing With MOLD & MILDEW IN YOUR FLOOD DAMAGED HOME

The Problem with Mold
Mildew and molds are fungi – simple microscopic organisms that thrive anywhere there is a moist environment. Molds are a necessary part of the environment; without them, leaves would not decay and aspects of soil enrichment could not take place. It is their ability to destroy organic materials, however, that makes mold a problem for people – in our homes and in our bodies.
Mildew (mold in early stage) and molds grow on wood products, ceiling tiles, cardboard, wallpaper, carpets, drywall, fabric, plants, foods, insulation, decaying leaves and other organic materials. Mold growths, or colonies, can start to grow on a damp surface within 24 to 48 hours. They reproduce by spores – tiny, lightweight “seeds”- that travel through the air. Molds digest organic material, eventually destroying the material they grow on, and then spread to destroy adjacent organic material. In addition to the damage molds can cause in your home, they can also cause mild to severe health problems. See the HEALTH section to check for possible mold-related health problems.

Mold in Your home?
If your home has water damage due to –
• flooding,
• sewage back-up from flooding in the area,
• plumbing or roof leaks,
• damp basement or crawl space,
• overflows from sinks or bathtub, or
• high humidity: steam cooking, dryer vents, humidifiers,
mildew and mold will develop within 24-48 hours of water exposure.
Even worse, it will continue to grow until steps are taken to eliminate the
source of moisture, and effectively deal with the mold problem.

https://www.fema.gov/pdf/rebuild/recover/fema_mold_brochure_english.pdf

If you notice mold its important to understand where the moisture is coming from in order to report a cause of loss when filing an insurance claim. If you have water damage or you notice mold it would be in your best interest to call a Experienced Public Adjuster for a free claim evaluation before filing a claim.

Contact us today! (888) 881-8416

It is always a good idea to have someone advocating for your best interest in an insurance claim. The more you are paid, the more the public adjuster will be paid.

What is a Public Adjuster? A Public Insurance Adjuster is an advocate for you during the insurance claims process. The insurance companies have deep pockets and operate for profit. You need Experienced Public Adjusters on your side to make sure you are treated and paid fairly.

A public adjuster is a professional claims handler and claims adjuster who advocates for the policyholder or names insured’s in appraising and negotiating a claimant’s insurance claim. “Company Adjusters” or “Independent adjusters” can only legally represent the rights of an insurance company. A Public Adjuster is the only one who has the homeowner or business owners interest at heart. If you have suffered a loss call an Experienced Public Adjuster as soon as the you can. Call (888) 881-8416. We cover the entire State of Florida but we are headquartered in Orlando, Florida.

The 2018 Pacific hurricane season is an ongoing event in the annual cycle of tropical cyclone formation. The season officially began on May 15 in the eastern Pacific, and on June 1 in the central Pacific; they will both end on November 30.

When does the Atlantic Hurricane Season Start? It starts official by a set date on a calendar however, a hurricane can occur at any time when the weather conditions are right.

The Atlantic hurricane season or Hurricane’s that start in the Atlantic Ocean starts June 1 and ends November 30.

If you have a hurricane claim, wind claim, lightning claim, or any insurance claim stemming from a hurricane you need to call a Hurricane Claim specialist to represent you! Hire one of or expert, skilled, and Experienced Public Adjusters! Call us today! (888) 881-8416

627.70131 Insurer’s duty to acknowledge communications regarding claims; investigation

(5)(a) Within 90 days after an insurer receives notice of an initial, reopened, or supplemental property insurance claim from a policyholder, the insurer shall pay or deny such claim or a portion of the claim unless the failure to pay is caused by factors beyond the control of the insurer which reasonably prevent such payment. Any payment of an initial or supplemental claim or portion of such claim made 90 days after the insurer receives notice of the claim, or made more than 15 days after there are no longer factors beyond the control of the insurer which reasonably prevented such payment, whichever is later, bears interest at the rate set forth in s. 55.03. Interest begins to accrue from the date the insurer receives notice of the claim. The provisions of this subsection may not be waived, voided, or nullified by the terms of the insurance policy. If there is a right to prejudgment interest, the insured shall select whether to receive prejudgment interest or interest under this subsection. Interest is payable when the claim or portion of the claim is paid. Failure to comply with this subsection constitutes a violation of this code. However, failure to comply with this subsection does not form the sole basis for a private cause of action.

If you want to read more please click on the link below:

http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0600-0699/0627/Sections/0627.70131.html

Call An Experienced Public Adjuster Today for:

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

Insurance Company have laws and Florida Statutes enacted by the Florida Legislature to protect the rights of their policyholders. You own your home you have rights!

Yes, Yes, Yes,  48 hours!!

• The law states that company adjusters, independent adjusters, attorneys, investigators, or others acting on behalf of the insurer must give the insured, claimant, public adjuster or legal representative of the insured at least 48 hours notice that they need access to the damaged property. The insured or claimant can waive this notice.
• The laws the protect you are available on the Florida Department of Financial Services website.

If you think your insurance company will or is treating you unfairly.

Hire Experienced Public Adjusters!

(888) 881-8416

YES YES YES

1. Keep the damaged pipe
2. Take a before and after picture.
3. Make sure he writes a detailed invoice of what was damaged and how he repaired it.
4. I there is damage getting to it what do I do? Remember, you insurance policy does not cover the repair of the pipe or water leak but it does cover the resulting damages. That mean getting to the leak and repairing may require you to open a wall or pull up the flooring and break the concrete foundation to get to the pipe. So have your plumber separate the invoices. The repair will usually not be covered but the resulting damage will in most cases be covered.
5. The plumber may also be a contractor or refer a restoration company. Do your own due diligence. Shut the water off at the source and take a deep breathe. Then you should call a Public Adjuster first to discuss your claim. Then make sure you hire the right remediation company to mitigate your damages. The wrong company could cost you 10’s of thousands of dollars. They provided time stamped pictures and they will moisture map your house if they are good. They will look for visible mold if the claim is a few days old.
6. The restoration technician should be IICRC Certified.
7. And if they work for the Insurance Carrier or are referred by the carrier they may not have your best interest at heart. Remember they may get 90% of their work from the carrier so they may cut corners to keep cost low for the carrier in order to maintain a healthy stream of business.
8. Call and Experienced Public Adjuster as soon as the loss happens. We will guide you through the process and help make sure no mistakes are made. (888) 881-8416

What is Xactimate and why do most insurance companies use it? Does it vary its estimates based on specific cities costs or contractor prices after a storm?

 

In 1986 Xactware opened for business with its new estimating system called Xactimate. Xactimate helped contractors and insurance adjusters estimate repairs much faster and more accurately than they ever could before and has become an industry standard for adjusters and contractors. This software does not account for inflated contractor pricing during and after a natural disaster. There is nothing wrong with getting a comparison estimate in your local market from a licensed general contractor. For example, it may be more expensive to hire a contractor in Naples, FL then it would be to hire a contractor to do the same work in Tampa, Florida or Orlando, Florida.

Call an Experienced Public Adjuster today! (407) 227-1963

Please consult with a Licensed Insurance Agent about what type of policy you will need. Experienced Public Adjusters will help you if you have a loss at your rental property! Most renter policies will not have contents coverage but will have the other standard coverages. Call Experienced Public Adjusters for a Free Claim Review! (888) 881-8416

What is an insurance Peril. A specific risk or cause of loss covered by an insurance policy, such as a fire, windstorm, flood, hail, or theft. A named-peril policy covers the policyholder only for the risks named in the policy in contrast to an all-risk policy, which covers all causes of loss except those specifically excluded in the insurance policy.

An insurance endorsement is an amendment or addition to an existing insurance contract which changes or amends the terms or scope of the original policy. Endorsements are also be referred to as riders. An insurance endorsement may be used to add, delete, exclude or otherwise alter coverage.

No, that is a standard practice by insurance carriers to make you feel like the claim has been closed. You can have the claim reopened as long as you did not sign a “release” for the settlement offer provided. If you feel you were underpaid on your claim then you should call a Experienced Public Adjuster for a Free Claim Evaluation. (888) 881-8416

Industry Warning: Contractors-3rd Degree Felony For Attempting To Adjust a Claim!

Read The Florida Statutes by clicking this link:at www.myfloridacfo.com:

This page reads,

“If you are acting as a public adjuster in any manner by negotiating or effecting the settlement of an insurance claim on behalf of an insured and you are performing any of these services for money, commission or anything of value without being licensed as a public adjuster (Section 626.854, Florida Statutes), you could be subject to arrest and may be charged with a third-degree felony as provided by Section 626.8738, Florida Statutes.”

Yes, however we do not specialize in that field. We handle residential and commercial property damage claims only.

What is Stachybotrys (commonly called “black mold”)?

Stachybotrys is a type of mold that can develop on
wet or water-damaged building materials, such as drywall,
wood, insulation, and ceiling materials. It typically requires prolonged
moisture conditions to grow.

Stachybotrys is often referred to as “black mold,” but color alone does not
confirm the presence or type of mold. Many molds can appear dark in color,
and visual identification is not reliable without proper inspection.

From an insurance perspective, the most important factors are the
source of moisture, the extent of damage, and whether the
conditions that allowed mold growth are covered under the policy. Proper
documentation of water intrusion and resulting damage is critical when
evaluating a mold-related insurance claim.

Mold is a type of fungus that grows in multicellular filaments known as hyphae, forming a fuzzy or slimy layer on surfaces. It thrives in damp or humid conditions, breaking down organic matter for nourishment and often poses health risks if present indoors.

Mold damage can be dangerous.

You can purchase test kits that allow you to test your home for mold, but we recommend calling in an expert instead. These kits will usually charge for you to send off to one of the certified labs for testing. Certified mold testers are trained to locate all traces of mold in a home and they can also tell you what strains of mold are present. Do-it-yourself mold tests aren’t always accurate and many require you to send samples to a lab to find out what strains of mold are present, at significant extra cost. Hiring a professional for the job simply provides better results. Florida requires individuals to be Licensed Mold Assessors with the Department Of Business and Professional Regulation.

If you have a water claim loss that has created mold it would be in your best interest to hire Experienced Public Adjusters. Call Us Today! (888) 881-8416

It can be dangerous. The degree of risk depends on numerous factors, including the type of mold (some strains are more hazardous to your health than others, although it’s not good for you to be inhaling any type of mold spores), the amount of mold, whether or not you’re allergic to mold, and the state of your health and the health of your family members. Health problems commonly associated with household mold include coughing, sneezing, sore throat, runny nose, headaches or migraines, sinus infections, pneumonia and asthma attacks. Infants, elderly people and those with respiratory disorders like asthma or emphysema are most susceptible to mold-related health problems, but even healthy young adults can be affected.

In areas where leak detection is not possible, we conduct a point of origin evaluation. Point of origin evaluation provides for a thorough assessment of the building envelop in order to locate the cause of water intrusion and or mold growth. Trained professionals will document all findings within a comprehensive report with photos. Inspectors are trained and certified in water & moisture intrusion, infra-red camera certified & licensed mold assessors through the Department of Business & Professional Regulation. Allow the best in the “test” industry to come evaluate your home or business to find the direct cause of your water or mold loss.

Testing your water yearly is very important because water conditions frequently change and can cause long-term illnesses to those drinking and bathing in the water. Frequently, our water testing services are used to determine what is in homeowners’ water systems and if a treatment is necessary.

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The two types of water testing services we offer are bacteria testing and well water testing. Our bacteria testing services guarantee results within 48 hours and well water testing results within 3-5 business days.

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BACTERIA ANALYSIS TESTS FOR:

• E Coli
• Coliform

WELL WATER ANALYSIS TESTS FOR:

• Metals
• Minerals
• Clarity
• Bacteria
• E Coli

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MUST KNOW advice if your water comes from a well:

1. If your water passed testing when you moved in, you must get it checked again. Well water changes over time.
2. Just because no one has gotten sick, does not mean your water is safe. Bacterial illnesses develop over time and can be dangerous for you and your family.
3. Test your water YEARLY.
4. Even though your well water doesn’t smell, harmful contaminants could still be present. 

If you think you have a claim please contact Experienced Public Adjusters for a free evaluation. (888) 881-8416

• Basements or cellars that have been flooded
• Underneath kitchen sinks
• Underneath or behind refrigerators
• Bathroom shower or under sink
• Behind walls that also house plumbing
• Stacks of damp or wet newspaper or cardboard boxes
• Around air-conditioning units
• Wallboard or around windows that leak
• Under carpeting that may have become wet
• Attics & crawl spaces

Category 1: Category 1 water originates from a sanitary water source and does not pose substantial risk from dermal, ingestion, or inhalation exposure.

Example: Sink overflow

Category 2: Category 2 water containing significant contamination and has the potential to cause discomfort or sickness if contacted or consumed by humans.

Example: Overflows from toilet bowls

Category 3: Category 3 water is grossly contaminated and can contain pathogenic, toxigenic, or other harmful agents. Its commonly called black water.

Example: Flooding from seawater

1. Most professionals that test for mold are engineers. They have extensive training and education in how to conduct and interpret the tests. A mold specialist will help you identify exactly what type(s) of mold you are dealing with, in order to determine the best clean-up techniques.
2. They know how to find mold in hidden places, where homeowners frequently miss it. They will be able to find and identify mold that is hidden, such as inside walls or under flooring.
3. They can tell you what strains of mold are present in your home (often there is more than one strain) and provide you with information about the health risks of exposure to those specific strains.
4. They can advise you about the safety precautions that should be taken during the mold removal process. A specialist will help you understand each step involved in the cleanup process.
5. It is also great documentation for a Public Adjuster to have in order to get your home back to Pre-Loss condition. Call and Experienced Public Adjuster today. (888) 881-8416

1. A Free Home Inspection and Consultation
2. A Free Insurance Claim Review
3. Any General Questions
4. Insurance Claim Help

Obvious signs of mold in your home include cracking paint, water stains (brown stains on the ceiling), rust, warped ceilings, walls, and dust.

You might be able to see mold in your home, growing on walls, floors, carpet, ceilings or bathroom fixtures. However, mold often grows in places where it cannot be easily seen, like under carpets, inside walls and inside heating, ventilation and air conditioning ducts. You should suspect mold if your home has a musty smell. You should also know that mold is likely if you’ve had flooding or a water leak in your home. To find out for sure if there’s mold in your home, you need to call in a certified mold tester. Most certified mold testers are engineers and are trained to locate mold even in hard-to-see places. They can let you know if there is mold in your home and if so, what type of mold it is.

If think you may have an insurance claim, give an Experienced Public Adjuster a call! (888) 881-8416

It’s important that you hire a local adjuster that knows about the local laws and ordinances and the required code upgrades that may be required. Of course this all depends on the coverage’s granted to you within your policy. You also do not want to hire someone that has to drive long distances to meet with insurance company adjusters, engineers, mold hygienists, appraisers, and more. Why? Because this could prolong you reaching a fair settlement in a timely fashion. Most out of the area Public Adjusters may only be in your area 1 or 2 days a month. A local Public Adjuster lives close and can schedule more appointments in a day in order to help you reach a fair settlement in a shorter amount of time. Call an Experienced Public Adjuster Today! (888) 881-8416