Understanding property claims and the role of a Public Adjuster
Few people understand what a Public Adjuster does and how they can help. We've compiled some of the most commonly asked questions about property claims and our approach.
Common Questions
A Public Adjuster, also known as a Public Insurance Adjuster, helps homeowners and businesses recover from disasters or damage to their property or business. Public Adjusters are experts in preparing, managing, and negotiating insurance claims, giving policyholders and their representatives the resources they need to be in the best possible position for recovery.
Public Adjusters manage the process and negotiate with the insurance company to obtain a fair outcome for their client. A good Public Adjuster works to provide a fair and assurate assessment of damage and how it should be handled given insurance policy provisions, providing expertise and peace of mind for their clients.
Most states have enacted licensing for Public Adjusters to provide representation on behalf of consumers. Though the nomenclature is confusing, both "independent adjusters" and company adjusters are representatives of insurance companies. Only licensed Public Adjusters may work on policyholders' behalf, and not for insurance companies.
Anyone who holds a property insurance policy, or a policyholder's representative, can hire a Public Adjuster. Homeowners, co-op and condo assocations, property managers, businesses, brokers and attorneys all hire Public Adjusters as a cost-effective way to manage the insurance recovery process.
Working with a Public Adjuster gives a policyholder the upper hand in negotiations. We will conduct a rigorous investigation of your damages, identify the pertinent coverages available to respond to those damages, and address all the details of your claim with your insurance company as we work to ensure you get the settlement you deserve for your loss. We can also review your policy before a disaster and assist you with making changes to the policy to make sure you are protected in the event of a crisis.
Public Adjusters, also known as public insurance adjusters or public claims adjusters, are independent insurance professionals that property owners hire to represent their interests in filing a claim with their insurance company. They specialize in evaluating and negotiating insurance claims on behalf of the policyholder, helping to ensure a fair and full restoration after loss or damage.
An insurance company adjuster works on behalf of the insurance company. These employees work to protect the insurance company's interests and often have access to a large pool of resources. Insurance company adjusters must follow the policies and procedures set by the insurer. "Independent Adjuster" is a term that applies to a third type of adjuster. Independent adjusters are licensed and hired to represent insurance carriers, NOT policyholders. Only Public Adjusters are licensed to work on behalf of policyholders.
When it comes to filing a personal property claim or business income claim, it is important to consider all of your options. Hiring a Public Adjuster can ensure you receive the best possible outcome. Public adjusters can help you understand all aspects of your claim and guide you through the process. This can be invaluable when facing significant damage or loss, especially if circumstances are complicated.
In a nutshell, Public Adjusters tackle the insurance claims process, so you don’t have to. Many businesses and homeowners have insurance policies, but they are not aware of what the policies require or provide, and they're not experts in the insurance or building practices. If you need to file a claim, Public Adjusters help make sure you are fairly compensated for your loss.
By using a Public Adjuster, a homeowner, business owner, property manager or policyholder's representative can ensure they have an insurance expert guiding them through the recovery process.
It's best to negotiate claims settlements with an understanding of insurance policies, building practices, and the claims process. Carriers have mechanisms and procedures put in place to save them money throughout the claims process, often at the expense of policyholders. Most states have recognized this problem and in response have licensed insurance experts known as Public Adjusters solely for the purposes of protecting and assisting policyholders when losses occur.
Commercial Properties and Businesses
Serious property damage events in commercial properties present many challenges to business owners. Emergency and recovery management efforts must be knowledgeably coupled with continuity business planing to ensure efficient recoveries. Due to the nature of commercial loss events, it is usually advisable for commercial property owners to hire a professional public adjuster to provide the hands on expert resources owners need to restore their business operations in the shortest time possible.
1. Notify your insurance company about the damage or loss as soon as possible after the incident.
2. Provide evidence of the damage, such as photographs or videos, and gather relevant information like the incident's date, location, and any witnesses. Do not provide any more information than the carrier specifically requests.
3. The insurance carrier will assign an adjuster who represents their interest who may visit your property to assess the extent of the damage and investigate the claim further.
4. Maintain regular communication with your insurance company throughout the process and follow up as needed.
5. Once the claim is evaluated, if coverage is accepted the insurance company will provide a settlement offer based on their interpretation of the policy coverage and assessment of your damage.
6. Review the settlement offer carefully and negotiate if necessary. If you're dissatisfied with the offer, you may explore options for appeal or seek professional advice. Appealing a coverage or settlement position is difficult however and usually beneficial for property owners to engage a professional public adjuster to represent their interest before a dispute arises.
Overall, you are entitled to thorough evaluation of your claim, clear communication with your insurance company, and a resolution that adequately addresses the damage to your commercial property.
Even the most sophisticated property owners are typically not adequately prepared to successfully navigate the property claims process without professional help. The ever-changing landscape of property claims, and the expertise required to expedite fair settlement awards often leaves property owners under-resourced when claims occur. Hiring a professional public adjuster as soon as possible after an event occurs is typically the best way to ensure a positive outcome to your claim. Absent professional representation, there are some key mistakes to avoid in the commercial property claims process:
Delaying Notification: Promptly report the damage to your insurance company to avoid potential complications or coverage issues.
Failure to Mitigate Further Damage: Take reasonable steps to mitigate further damage to your property after the incident, as failing to do so could impact your claim.
Incomplete Documentation: Thoroughly document the damage with photographs or videos and gather all relevant information, including dates, locations, and witness contacts.
Miscommunication: Maintain clear and consistent communication with your insurance company, providing accurate information and promptly responding to inquiries.
Not Reviewing the Policy: Familiarize yourself with your insurance policy to understand coverage limits, exclusions, and deductible requirements, preventing misunderstandings during the claims process.
Neglecting Follow-Up: Stay engaged throughout the claims process, following up with your insurance company as needed and ensuring that your claim progresses efficiently.
Accepting Inadequate Settlements: Review settlement offers carefully to ensure they adequately cover the damage to your commercial property. Don't hesitate to negotiate or seek professional claims or legal advice if necessary.
By avoiding these mistakes and remaining proactive throughout the commercial property claims process, you can increase the likelihood of a successful resolution. The best way to ensure you receive fair compensation for the damage to your property is by hiring a professional public adjuster.
Public adjusters are independent professionals who work on behalf of policyholders to negotiate with insurance companies and ensure fair settlements. Their expertise in insurance policies, claim procedures, law, and property damage assessment can help level the playing field between policyholders and insurance companies, especially in complex or high-value claims.
Public adjusters can thoroughly evaluate the extent of damage to your commercial property, providing detailed documentation and evidence the insurance carrier will to support your claim. Their experience in navigating the claims process and advocating for policyholders' interests usually leads to more favorable outcomes.
Additionally, public adjusters can handle the entire claims process on your behalf, alleviating the claims management burden and negotiations while allowing you to focus on other aspects of your business. Overall, involving a public adjuster can help ensure that you receive fair compensation for the damage to your commercial property and expedite the resolution of your claim.
Public adjusters are typically hired by individuals or businesses that have suffered property damage or loss to assist in navigating the insurance claims process. Any business enterprise or person that owns real property that is insured for loss or damage will typically benefit from hiring a public adjuster when a loss occurs.
Business Owners and Managers: All types of small business owners as well as owners or managers of larger commercial properties hire public adjusters to handle insurance claims related to property damage, business interruption, or other covered losses.
Condominium Associations: Condo associations or HOAs hire public adjusters to assist with claims related to damage to the common areas of the property, such as the building structure, roofs, or other shared amenities.
Retail, Hotels and Hospitality Businesses: Retail, hotels, resorts, and other hospitality businesses hire public adjusters to handle insurance claims for property damage, business interruption, or liability claims.
Property Management Companies: Companies that manage multiple properties, such as apartment complexes, office buildings, or retail centers, may utilize public adjusters to handle insurance claims on behalf of their clients.
Industrial and Manufacturing Businesses: Factories, warehouses, and other industrial facilities may hire public adjusters to assist with insurance claims related to property damage, equipment breakdowns, or business interruption.
Nonprofit Organizations: Nonprofit organizations that own property may hire public adjusters to help them navigate insurance claims processes and recover funds needed for repairs or replacements.
Homeowners: Homeowners who have experienced damage to their property due to events such as fire, water damage, storms, or theft may hire a public adjuster to help them maximize their insurance claim.
In general, any entity that has insurance coverage for property damage or loss and wants to ensure they receive fair compensation from their insurance company should consider hiring a public adjuster to represent their interests during the claims process.
The most common types of business insurance claims can vary depending on factors such as geographical region, industry, location, and specific risks faced by each business. However, some of the most frequently encountered types of business insurance claims include loss that ensues from:
Fire Damage: Claims resulting from fires that cause damage to buildings, structures, equipment, inventory, and other property owned by the business.
Water Damage: Claims arising from water-related incidents such as burst pipes, leaks, flooding, or sewer backups that cause damage to the property.
Storm Damage: Claims for damage caused by severe weather events such as windstorms, hailstorms, hurricanes, tornadoes, or heavy snowfall, which can damage roofs, windows, siding, and other parts of the property.
Adjacent Building Damage: Claims from harm inflicted upon a structure that is situated nearby or in close proximity to another building or property that has experienced an adverse event.
Theft and Burglary: Claims for losses resulting from theft, burglary, vandalism, or malicious damage to the insured property or its contents.
Equipment Breakdown: Claims for damage to machinery, equipment, or systems due to mechanical breakdown, electrical failure, or other operational issues.
Business Interruption: Claims for financial losses incurred when a covered event, such as a fire or natural disaster, disrupts the business's operations and causes a temporary cessation or slowdown in revenue generation.
Tenant-Related Damage: Claims for damage caused by tenants or their guests to leased commercial properties, including damage to walls, floors, fixtures, or other parts of the premises.
Liability Claims: Claims for bodily injury or property damage suffered by third parties on the insured property, such as slip-and-fall accidents or falling objects.
A business interruption claim is a type of insurance claim made by a business when it is unable to operate normally due to a covered event, resulting in financial losses. These claims typically arise from events such as natural disasters (e.g., hurricanes, floods, earthquakes), fires, vandalism, or other unforeseen circumstances that disrupt the normal operations of the business.
When a covered event occurs and causes damage to a business's property or premises, it can lead to a temporary suspension or cessation of business activities. As a result, the business may experience a loss of revenue, additional expenses incurred to mitigate the damage, and ongoing operating expenses that continue even while the business is unable to operate.
A business interruption insurance policy is designed to help mitigate the financial impact of such disruptions by providing coverage for the lost income and ongoing expenses that occur during the period of interruption. These policies may cover various aspects of the business's financial losses, including:
Lost Profits: Compensation for the income that the business would have earned if it had been able to operate normally.
Extra Expenses: Reimbursement for any additional expenses incurred by the business to minimize the disruption or to expedite the recovery process, such as renting temporary facilities or equipment.
Continuing Expenses: Coverage for ongoing operating expenses, such as payroll, rent, utilities, and loan payments, that continue to accrue even when the business is not operating.
Business interruption claims can be complex and usually require thorough understanding of business operations, comprehensive documentation of the financial losses incurred, as well as evidence of the cause and extent of the disruption. Public adjusters are often hired to help businesses navigate these types of claims processes and Eastern Public employees a high level forensic accounting staff to assist our clients with efficiency and accuracy when business income losses occur.
Property Managers, Developers, and Brokers
A Public Adjuster, also known as a Public Insurance Adjuster, helps homeowners and businesses recover from disasters or damage to their property or business. Public Adjusters are experts in preparing, managing, and negotiating insurance claims, giving homeowners and businesses the resources they need to be in the best possible position for recovery.
A public adjuster should review policy and loss details before taking on a claim, so they and their client can make informed decisions about how to proceed with a claim. Public Adjusters manage the process and negotiate with the insurance company to obtain a fair outcome for their client. A good Public Adjusters works to provide an unbiased assessment of the damage and how it should be handled given insurance policy provisions, providing expertise and peace of mind for their clients.
Most states have enacted licensing for Public Adjusters to provide representation on behalf of the consumer. Though the nomenclature is confusing, both "independent adjusters" and company adjusters are representatives of insurance companies. Only licensed Public Adjusters may work on policyholders' behalf, and not for insurance companies.
Eastern Public is a property claims and risk management firm that knows what it takes to get businesses and homeowners back on their feet after a business income loss or home damage. We move quickly to help address immediate needs, handle all aspects of recovery through insurance claims, and provide consulting services to make sure businesses and homeowners have the right coverage in place.
Most importantly, we help people get through the recovery process while protecting their interests, ensuring they have the resources and compensation they need for recovery.
Condos and Co-ops
Co-op/condominium boards and property owners are often under-resourced and ill prepared for large disasters. Losses in these types of properties can lead to frustration between parties and result in disputes that can otherwise be avoided with the help of professional Public Adjuster. When a significant property damage occurs in a cooperative or condominium building, public adjusters help by:
Identifying Liabilities: Public adjusters thoroughly assess the circumstances surrounding property damage to identify potential liabilities. They analyze insurance policies, contracts, and relevant documentation to determine liability factors and ensure that all responsible parties are held accountable.
Managing All Affected Parties: Public adjusters act as central points of contact for all parties involved in the claims process, including insurance carriers, inspectors, contractors, lawyers, and others. They coordinate communication, facilitate interactions, and ensure that everyone is working towards a common goal of resolving the claim efficiently and effectively.
Providing Professional Resources and Referrals: Public adjusters have extensive networks of professional resources, including contractors, engineers, attorneys, and other specialists. They leverage these connections to provide clients with access to high level expertise and services needed to address specific aspects of the claim, such as damage assessment, legal representation, or property restoration.
Reducing Legal Costs: By effectively managing the claims process and advocating for their clients' interests, public adjusters help minimize the need for costly legal interventions. They work to resolve issues through negotiation and mediation whenever possible, reducing legal expenses and saving time.
Avoiding Disputes with Insurance Carriers, Owners, and Residents: Public adjusters strive to maintain open lines of communication and foster positive relationships with all parties involved in the claims process. By addressing concerns proactively, providing transparent information, and seeking mutually beneficial solutions, they help prevent disputes from escalating and ensure a smoother claims experience for everyone involved.
Ensuring the Recovery and Value of Assets: Public adjusters work diligently to ensure that condo or co-op boards and property owners receive fair compensation for their losses. They meticulously document property damage, assess the value of assets, and advocate for appropriate reimbursement to cover repairs, replacements, and other expenses.
Understanding Claims Processes: Public adjusters possess in-depth knowledge of insurance claims processes, regulations, and industry standards. They guide clients through each step of the claims process, explaining procedures, requirements, and potential outcomes to ensure that they have a clear understanding of what to expect.
Advocating for Clients: Public adjusters serve as strong advocates for condo or co-op boards and property owners, representing their interests and fighting for fair treatment from insurance carriers and other parties involved in the claims process. They use their expertise, negotiation skills, and industry experience to secure the best possible outcomes for their clients.
Improving Relationships: By providing professional support, facilitating communication, and achieving favorable outcomes, public adjusters help strengthen relationships between condo or co-op boards, property owners, and other stakeholders involved in the claims process. Their proactive approach fosters trust, cooperation, and mutual respect, leading to enhanced relationships and smoother interactions in the future.
Co-operative/condominium boards and property owners are often under-resourced and ill prepared for large disasters. Losses in these types of properties can lead to frustration between parties and result in disputes that can otherwise be avoided with the help of professional public adjuster. When a significant property damage occurs in a cooperative or condominium building, public adjusters help by:
Identifying Liabilities: Public adjusters thoroughly assess the circumstances surrounding property damage to identify potential liabilities. They analyze insurance policies, contracts, and relevant documentation to determine liability factors and ensure that all responsible parties are held accountable.
Managing All Affected Parties: Public adjusters act as central points of contact for all parties involved in the claims process, including insurance carriers, inspectors, contractors, lawyers, and others. They coordinate communication, facilitate interactions, and ensure that everyone is working towards a common goal of resolving the claim efficiently and effectively.
Providing Professional Resources and Referrals: Public adjusters have extensive networks of professional resources, including contractors, engineers, attorneys, and other specialists. They leverage these connections to provide clients with access to high level expertise and services needed to address specific aspects of the claim, such as damage assessment, legal representation, or property restoration.
Reducing Legal Costs: By effectively managing the claims process and advocating for their clients' interests, public adjusters help minimize the need for costly legal interventions. They work to resolve issues through negotiation and mediation whenever possible, reducing legal expenses and saving time.
Avoiding Disputes with Insurance Carriers, Owners, and Residents: Public adjusters strive to maintain open lines of communication and foster positive relationships with all parties involved in the claims process. By addressing concerns proactively, providing transparent information, and seeking mutually beneficial solutions, they help prevent disputes from escalating and ensure a smoother claims experience for everyone involved.
Ensuring the Recovery and Value of Assets: Public adjusters work diligently to ensure that condo or co-op boards and property owners receive fair compensation for their losses. They meticulously document property damage, assess the value of assets, and advocate for appropriate reimbursement to cover repairs, replacements, and other expenses.
Understanding Claims Processes: Public adjusters possess in-depth knowledge of insurance claims processes, regulations, and industry standards. They guide clients through each step of the claims process, explaining procedures, requirements, and potential outcomes to ensure that they have a clear understanding of what to expect.
Advocating for Clients: Public adjusters serve as strong advocates for condo or co-op boards and property owners, representing their interests and fighting for fair treatment from insurance carriers and other parties involved in the claims process. They use their expertise, negotiation skills, and industry experience to secure the best possible outcomes for their clients.
Improving Relationships: By providing professional support, facilitating communication, and achieving favorable outcomes, public adjusters help strengthen relationships between condo or co-op boards, property owners, and other stakeholders involved in the claims process. Their proactive approach fosters trust, cooperation, and mutual respect, leading to enhanced relationships and smoother interactions in the future.
Homeowners and Renters
A Public Adjuster, also known as a Public Insurance Adjuster, helps homeowners and businesses recover from disasters or damage to their property or business. Public Adjusters are experts in preparing, managing, and negotiating insurance claims, giving policyholders and their representatives the resources they need to be in the best possible position for recovery.
The property claim process begins when the policyholder files a claim with their insurance carrier. The carrier conducts an investigation of the damages and claims made, and will deny coverage or make an initial offer for settlement.
If coverage is provided, the claim proceeds from assessing and quantifying damages (structural, loss of use, personal property, etc.), leading into a negotiation with the insurer and their representatives to come to an agreement of the fair value of those losses. This process involves evidence such as estimates, appraisals, or other documentation to make their case for compensation.
Securing a fair outcome from a claim requires the ability to fully understand and quantify damage and to effectively and accurately present that damage at each step of the process. This includes determining the value of the lost items or loss of use, assessing and presenting the cost of repairs and replacement, and factoring policy provisions, such as applicable deductibles.
When a claim is not settled through this process, parties may proceed to alternative dispute resolution, either through arbitration or, in the worst case, in a law suit. A policyholder's case is often reliant on file preparation and testimony of a Public Adjuster.
No matter what happens during the property claim negotiation process, all parties involved must work together and act in good faith to reach an equitable and fair agreement for everyone involved. With the help of a good Public Adjuster, policyholders can be sure that their interests are being represented, that claims are made accurately and with the necessary documentation, and that they have access to all the information they need for a favorable settlement. Having a Public Adjuster involved from the beginning can often avoid a lengthier process--a good Public Adjuster will present a fair and fully-documented claim initially.
Insurance companies offer to pay the amount due as they see it. They and their representatives use assessment tools that they approve, often without regard to the details and circumstances of a particular case.
Public Adjusters are the exclusive representatives of policyholders. With their experience and knowledge, they can better obtain the right assessments and services needed for a favorable adjustment for the insured. The National Association of Public Insurance Adjusters (NAPIA) is a national organization that can provide background information and references for public adjusters.
A public adjuster can help you to understand your coverage, your requirements, and the obligations of your insurance carrier, including the requirements of reporting your claim. A good Public Adjuster will ensure that the policyholder meets requirements for emergency mitigation set by their policy, and will take the steps necessary to document and prepare a claim.
When filing a claim on your own, be sure to keep a record of all insurance company phone calls, emails, and other correspondence, in case this documentation is needed should a dispute arise. A policyholder should report a loss in a timely manner if they believe they may need to make a claim immediately or in the future, and should not speculate about causes of losses or the extent of damage without expert consultation or evidence.
The best first step is to consult with a Public Adjuster to understand coverage, requirements, and the obligations of your insurance carrier, including the requirements of reporting your claim.
A good Public Adjuster will ensure that emergency mitigation is completed and documented as required, and that you understand and coverage under your policy. As they prepare your claim, they can help find the resources you need to ensure a full recovery. They act on your behalf to negotiate with the insurance carrier, working to ensure a fair settlement.
Property insurance claims can be difficult to negotiate. When your business or home has suffered damage and losses due to unforeseen circumstances, you will likely rely on your insurance policy to compensate for those losses and get you on the road to recovery. Unfortunately, insurance companies and the policies they provide can be extremely complicated and can require a great deal of detailed documentation and negotiation in order to get a fair settlement.
This depends upon the type and amount of insurance you carry, but it also depends on the assessment of the insurance company's representatives and how your claim is processed. A qualified Public Adjuster working for you can determine everything you are entitled to and will know how to present and process the claim to your best advantage.
Filing an insurance claim yourself after damage has occurred can be challenging, time consuming, and tedious. Common missteps can result in a rejected or underpaid claim. Here are some of the most common issues that can be avoided with the help of a Public Adjuster:
As in any type of damage or loss, if you suffer damage from a major storm consultting a Public Adjuster is the best first step. A good public adjuster will ensure that emergency mitigation is completed and documented as required, and that you understand and are in compliance with coverage under your policy. As they prepare your claim, they can help find the resources you need to ensure a full recovery. They act on your behalf to negotiate with the insurance carrier, working to ensure a fair settlement.
The short answer is "No." Legally, only licensed Public Adjusters can provide adjusting services. Using a contractor who is acting as an adjuster is considered unlicensed practice and can cause serious problems with your claim.
Public Adjusters, like insurance carriers, can recommend restoration contractors or other professionals to the insured, but it is always up to the insured to choose who they would like to work with.
When hiring a Public Adjuster, the sooner you can do so the better. A good Public Adjuster will ensure that the policyholder meets requirements for emergency mitigation set by their policy, and takes the steps necessary to document and prepare their claim. Having a Public Adjuster involved from the beginning can often avoid a lengthier process or missteps in the claim.
Eastern Public brings over 25 years of combined experience to our work as policyholder advocates.
Read about our approach
and
see some of our work.
Contact Eastern Public for professional assistance in Property Insurance Claims
When filing an insurance claim, having a Public Adjuster can help the policyholder navigate the process and proceed with confidence. We provide invaluable experience and knowledge in the claims process, as well as information and recommendations for the specific aspects of your claim. The guidance of a Public Adjuster can help avoid missteps or oversights in the claims process, and ensure a more favorable recovery.
Contact us today at 929-999-4674 to learn more about our services.