Indemnification is the principle of restoring or reimbursing one to the full extent of their loss. The principle of indemnity is used exclusively in the property and casualty fields. Your insurance policy is a contract. This contract is personal, aleatory and a conditional contract of adhesion that is legally enforceable between you and your insurance company. Mediation, arbitration and appraisals are some of the forms of dispute resolution a public adjuster may leverage on your behalf.
Ambiguities if found in a contract of adhesion are interpreted against the party that wrote the contract and therefore any unclear language or policy provision is interpreted against the insurance company and in the insured’s favor. Having a polished professional who understands contracts and this principle on your side of the fence will level the playing field between you and your insurance company.
Having your own personal claims adjuster will ensure the utmost good faith would be adhered to in your insurance investigation. He or she will contact the insurance company for you and schedule the investigation and our team will take on all communications throughout the life of your claim. Our goal is to move this claim through their system as quickly as possible.
Initially an investigation conducted by the insurance company adjuster, responsible to his employer, is designed to identify fraudulent claims, moral hazards, third parties with insurable interests and opportunities to minimize your settlement. Many of these concerns and questions have already been addressed during Metro’s initial scope that is scheduled within 48 hours of your meeting with our representative. Our team will secure all documentation, damage repair and replacement estimates and organize a properly prepared “Proof of Loss”. Every claim and insurance company is different and therefore difficult to estimate how long it will take to process your claim.
We ask for your patience throughout the process. You will be kept current of all aspects. Internally we are negotiating the best settlement for you and you will be copied on all written correspondence used to expedite your settlement.
When damage to property or a personal casualty event occurs due to crime like vandalism, theft or accidental damage occurs from negligence of old plumbing, bathtub overflow, leaking toilet or shower; First things first when filing your property claim. If a crime has been committed, call the police. Be as cooperative as possible with local authorities such as police, rescue, or the fire department. Be sure to get a police report and document all the names of the officials that you come into contact with.
Next step is to mitigate any future loss or damage. This may require temporary repairs from a plumber if you are not handy with leaky pipes. At this point, it is always best to keep calm when considering your next steps. Good documentation, damage estimates, determining actual cash value and photographs are the homeowner’s responsibility and mandatory when filing a property insurance claim.
Now would be a good time to call your public adjuster, prior to your first phone call to your insurance company, at least to understand your policy coverage’s.
When working with Metro, you will first meet with a professional representative that will spend quality time reviewing your policy with you using an experienced eye to identify coverage limitations, policy exclusions and legal language that your insurance company may use as leverage to deny your claim. Your Metro claim advocate will conduct an inspection of the damage using a checklist and detailing damage you may have missed without a trained eye for consequential damage caused by your direct peril. With this information, together we can determine if you have a claim worth investigating and you may choose to engage our services at this time.
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Insurance, for the most part, is a necessary evil that plays an important part in our financial liabilities. The vast majority of consumers know why it is important to carry several insurance policies for their home and family. What most are unaware of is the important role adjusters can play in a settlement.
When an insurance policyholder files a claim, an adjuster will be brought in to verify that the coverage applies to the insurance policy, investigate liability for any damages and make restitution to the policyholder. In most cases, an insurance company will appoint a staff adjuster to the case and the policyholder will be offered a settlement based on the staff adjuster’s findings and recommendations. All too often, a policyholder will accept the settlement without dispute and feel they have been given the best deal possible. To understand why this is type of thinking can possibly cost a policyholder significant amounts of money owed to them, you must understand a few basic principles about insurance adjusters.
To begin with, there are three type of insurance adjusters:
A public adjuster is an an advocate for the policyholder in appraising and negotiating an insurance claim. Public Adjusters exist because of the a conflict of interest that arises when one person attempts to represent both sides of a settlement. Public adjusters are the only type of claims adjuster that can legally represent the rights of a policyholder during the claim process.
It is always a wise idea to let public adjuster review your claim even after you have settled with your insurer because most of the time a public adjuster can request that the claim be reopened to negotiation for more money if discrepancy is found.
The majority of policyholders are unaware that Public Adjusters even exist as an option to dealing directly with the insurance company representatives. A professional, conscientious public adjuster can make a tremendous difference in the amount of a policyholder’s settlement.
If you’re a policyholder and have filed a claim, don’t let your insurance company walk away with money they owe you. Make sure to consult a public adjuster before taking any offer.
A Merrillville, Indiana woman shared with her former husband a $3.6 million verdict against State Farm Insurance Company which refused to pay the couple after their home burned down in.
The couple’s original claim was for $145,000. They fully cooperated with the police and even passed polygraph tests. While they were cleared as suspects in the blaze and were never charged with any crime, State Farm still refused to pay for the fire loss.
After a seven-day trial, the Insureds were awarded $145,212 for their home and personal belongings, and in addition, State Farm was ordered to pay $500,000 for showing bad faith and $3,000,000 in punitive damages.
Courtesy of Public Adjuster Information
I am a License and Bonded Public Adjuster in Pennsylvania, New Jersey and Maryland. My mission is to walk you down the path to the American Dream of homeownership and much more...