In the aftermath of property damage, navigating the insurance claims process can be a daunting task. Throughout the property claims process, a policyholder may come into contact with three different types of adjusters. Understanding the different roles of independent, insurance, and public adjusters and how their functions can impact a claim is crucial when dealing with property damage and insurance claims.

Types of Adjusters & Their Role in a Claim

Independent Adjuster

Independent adjusters are professionals hired on a case-by-case basis by insurance carriers to assess and manage claims. Their primary objective is to provide an unbiased evaluation of damages and determine what they consider to be a fair settlement. Notably, independent adjusters are not employees of the insurance carrier, aiming to maintain neutrality in their assessments through impartial inspections. Since independent adjusters are engaged by insurance carriers, there exists a potential for financial allegiance, as their compensation is directly linked to these carriers.

Insurance Adjuster

Insurance adjusters, also known as private adjusters, are employed directly by insurance carriers. Their responsibilities include investigating claims, evaluating damages, and negotiating settlements on behalf of the insurance carrier. Understanding their role is crucial for policyholders seeking transparency in the claims process. Insurance adjusters bring in-house expertise possessing in-depth knowledge of their company’s policies.

Allegiance to Insurers:

Policyholders should be aware that insurance adjusters represent the interests of the insurance carrier, emphasizing the importance of seeking outside advice when necessary.

Public Adjuster

Public Adjusters, like those at Premier Claims, work exclusively for the policyholder. Their primary role is fighting for policyholders to receive a fair and just settlement from the insurance carrier. Public adjusters act as advocates, guiding policyholders through the complexities of the claims process.

Working Together

In certain claim scenarios, the collaboration between an insurance adjuster and a public adjuster can prove instrumental in achieving the best outcome for the policyholder. The insurance adjuster, employed by the carrier, brings expertise in policy details and internal processes. While the public adjuster, who actively serves as your dedicated advocate, ensures they fully represent your interests. This cooperative approach aims to streamline the claims process, leveraging the strengths of both adjusters to navigate complexities and utilizing all the resources available to you. Hopefully, bringing you peace of mind during your claims journey. At Premier Claims, we aim to seamlessly orchestrate this collaboration to provide you with a well-rounded claims management experience.

Navigating the intricate landscape of different types of adjusters is a crucial aspect of the claims process. Whether it’s an independent adjuster providing unbiased assessments, an insurance adjuster representing the carrier’s interests, or a public adjuster advocating for the policyholder, understanding these roles is key to achieving a fair and satisfactory resolution.

At Premier Claims, our mission goes beyond claims management; it’s about empowering you with knowledge. For more insights and assistance tailored to your needs, connect with our team today.

Is Involving Legal Professionals Necessary for Your Insurance Claim?

While the optimism of seeing the world through rose-colored glasses may suggest otherwise, the complexities of insurance claims can make legal assistance invaluable. Discover why having someone advocate for your best interests is crucial in the modern insurance landscape, where carriers aim to protect every cent.

Public adjusters typically handle claim advocacy effectively, rendering attorney involvement unnecessary. However, there are scenarios where legal assistance becomes vital:

Coverage Denial and Refusal to Negotiate

In instances where insurance coverage is denied or negotiations are refused, consider involving legal professionals. Legal professionals work to challenge denials, advocating for policyholders’ right to secure the coverage they’re entitled to. Legal professionals can also engage in negotiations with insurance carriers, striving for a settlement that is fair and reasonable.

Policy Interpretation Issues

Insurance policies often involve intricate language open to interpretation. Legal assistance becomes essential when disputes arise over policy terms. Attorneys can provide clarity on policy language, aiming to safeguard the rights of policyholders and that carriers adhere to the agreed-upon terms.

Bad Faith Practices by Insurance Carriers

Bad faith practices occur when an insurance carrier acts dishonestly or unfairly toward a policyholder. This includes unreasonably delaying claims processing, undervaluing claims, or wrongfully denying valid claims. Legal professionals can identify and challenge such practices, holding carriers accountable for acting in good faith and aiming to maintain fair treatment throughout the claims process.

Beyond the situations highlighted above, there are less apparent, yet valid reasons to consider legal counsel. Chip Merlin of Merlin Law Group, discusses one of these less apparent reasons in his blog “Insurance Company Claims Adjuster Bonus Programs and Criteria.” Some carriers may incentivize adjusters to underpay claims, making it crucial to involve legal representation. Legal professionals can file discovery motions to uncover any undisclosed bonuses that may compromise the fairness of claim payouts.

Uncovering these bonus programs may be challenging, as carriers often attempt to disguise them. An attorney, equipped with the expertise to refine discovery requests, can reveal less savory bonus programs. While not every claim requires legal intervention, having an attorney available ensures that, if needed, assistance is just a phone call away.

Explore the nuances of public adjusting claims and understand when legal involvement can make a significant difference in securing a fair and favorable settlement.

By: Ashley Balsbaugh | Associate Attorney

Recovering from the devastation of storm damage is a complex process, and having a reliable public adjuster by your side can make all the difference. The aftermath of a natural disaster is overwhelming, especially when it comes to dealing with insurance claims. Partnering with a Public Adjuster who understands the challenges you face and tailors to you and your property’s needs helps to streamline the claims process. Moreover, a public adjuster is your advocate, equipped with the expertise and knowledge to navigate the intricate landscape of insurance policies. Their partnership allows you to better equip yourself to fight for a fair settlement, enabling you to rebuild and restore your life. Now you may be asking, how do I find a public adjuster near me?

Top 5 Things to Look For in a Public Adjuster

#1 Verify Licensing & Accreditation

Ensure the public adjuster you consider is licensed and accredited by the relevant regulatory bodies. This accreditation validates their expertise and adherence to industry standards, providing you with confidence in their professionalism.

#2 Evaluate Experience & Specialization

Look for an adjuster with a proven track record in handling various types of damages, such as water damage, hail damage, fire damage, and hurricane damage. Specialization in specific areas ensures they possess the expertise needed to handle your unique situation effectively.

#3 Transparency & Trustworthiness

Transparent communication about fees, the claims process, and expected timeline is essential. Furthermore, a trustworthy public adjuster maintains open and honest communication, ensuring you are well-informed at every step.

#4 Check Client Testimonials and Reviews

Reading testimonials and reviews from previous clients provides valuable insights into the adjuster’s reputation and the satisfaction of their clients. Premier Claims takes pride in its positive client feedback, reflecting our commitment to excellent service and successful outcomes.

#5 Investigate Communication & Availability

Effective communication is key to a successful partnership. Evaluate the adjuster’s responsiveness and availability. Premier Claims ensures that our team is readily available to address your concerns and provide updates, offering you peace of mind during the claims process.

Why Choose Premier Claims?

At Premier Claims, our expertise goes beyond mere professional qualifications. Our team, consisting of industry veterans with advanced certifications and ongoing education, ensures we stay ahead of industry trends and policy changes. A public adjuster with a fully equipped team of professionals can significantly impact the outcome of your claim for the better. Premier Claims is dedicated to surpassing industry standards by incorporating innovation, technology, and a meticulous claim management process. Our six-step process is committed to delivering unparalleled results, safeguarding your interests at every stage. Certain states may have regulations that determine the services a public adjuster may provide. Our process and services we are able to provide will be based on the state regulations. To learn more, visit our Public Adjuster Legal Disclaimer. When you choose Premier Claims, you benefit from:

Expert Knowledge & Continuous Education

Our professionals hold advanced degrees and certifications, constantly updating their skills to navigate the ever-evolving insurance landscape effectively.

Tailored Strategies for Maximum Results

We understand the uniqueness of each case. Consequently, our team creates customized strategies, attempting to maximize your settlement based on the intricacies of your specific situation.

Supporting You Beyond the Claim

Our team actively offers personalized policy guidance, addresses industry inquiries, and commits to providing you with tailored support. We’re here to ensure your peace of mind extends beyond the claims process, offering expertise and assistance whenever you need it.

Your journey to reclaiming your life after storm damage begins with choosing the right public adjuster. Moreover, Premier Claims, combines expertise, integrity, and a genuine commitment to your well-being. Contact Premier Claims today to discover how we can help you and your property!

Proactive Protection

In the face of unpredictable fire events, it is vital for property owners to safeguard not only their tangible assets but their financial health from fire damage. By being proactive, one can minimize the devastation that fires can bring, ensuring quicker recovery and smoother claim processes

Prevention

Incorporate fire-resistant building materials, maintain a defensible space around the property, and ensure regular checks on fire alarms and sprinkler systems. Frayed wires, faulty or damaged appliances, and neglected or out-of-date electrical systems can all potentially spark a serious fire. We recommend having regularly scheduled maintenance on appliances and electrical systems, so you can help reduce your risk of fire.

Preparedness

Equip your property with easily accessible fire safety tools like extinguishers and fire blankets. Establish and practice emergency evacuation plans with family members or employees. Safeguard irreplaceable items and crucial documents by storing them in fireproof safes.

Awareness

Different regions and property types face varying fire threats. For instance, a residential home in a wooded area might be at risk of wildfires, while a commercial kitchen could be more susceptible to grease fires. It’s essential to stay updated on fire alerts and warnings specific to your area. Additionally, familiarize yourself with the common causes of fires pertinent to your property type and location.

Policy Review & Understanding

Knowledge is your first line of defense, especially when it comes to understanding your policy term and coverage for fire damage. It is important to be aware of the financial liability you would shoulder, such as the deductibles and policy limits in the event of a total loss. Verifying coverage with a policy review for additional aspects of your asset or business, such as reimbursement for business interruption, will help reduce the financial strain post-fire loss. In essence, a clear grasp of your policy can be the difference between swift recovery versus a prolonged financial hardship.

Documentation

Fire damage affects not only building structures but also their contents. Documenting items with photos, purchase dates, and receipts is essential. However, many individuals lack the time for detailed record-keeping. A practical solution is to record a walk-through video, capturing every area and item in the property. Store this video in a cloud-based storage system to ensure its accessibility and safety from potential damage.

Engage a Public Adjuster

We recommend engaging a licensed and reputable public adjuster before any potential loss. Our team offers an objective review of your insurance policy terms, highlighting if your coverage matches your assets and risks. Our expertise aids in creating a precise inventory of contents, capturing every item’s value. Furthermore, we provide a comprehensive inspection that will identify potential vulnerabilities in your property. Bringing a public adjuster onboard early positions you for a smoother claim process, should a disaster occur.

What is a public adjuster?

Public adjusters are trained and licensed insurance adjusters with a fiduciary responsibility to work exclusively for the policyholder to ensure they receive the fair and reasonable settlement rightfully owed to them from the insurance carrier.

While the public adjusting industry began as negotiators to increase final settlements, more experienced firms like Premier Claims have evolved. Being well-versed in the intricacies and emotional challenges of major losses, our team strives to alleviate the stress and time commitment of claims. With us, your focus remains on personal recovery and peace of mind.

At Premier Claims, we believe in empowering policyholders with knowledge. One way to do this is by debunking the public adjuster myths that surround the insurance industry. One common misconception we encounter is the belief that public adjusters delay claims, leading people to believe that hiring a public adjuster will negatively impact their claim.

The Truth Behind the Myth

Insurance claims inherently involve a series of steps, documentation, assessments, and negotiations. The complexities of the claim itself and the policies and procedures of the insurance carrier primarily dictate the duration of this process however, our team of public adjusters at Premier Claims possess a deep understanding of these procedures. Their expertise streamlines the entire process, ensuring they effectively navigate each step, avoiding delays.

Understanding the Public Adjuster’s Role

A public adjuster’s fundamental responsibility is to advocate for you, the policyholder. Their expertise lies in comprehending the intricate language of insurance policies, assessing the damage thoroughly, and negotiating with the insurance carrier on your behalf. However, contrary to the myth, their involvement expedites the process by:

Accurate Assessment

Public adjusters meticulously evaluate the damage, aiming to account for all aspects of the claim. Their precise documentation prevents back-and-forth with the insurance company, saving time. Additionally, this detailed approach strengthens the foundation for a smooth negotiation process.

Negotiation Expertise

Public adjusters are skilled negotiators. They engage with the insurance carrier, presenting a well-documented claim and advocating for a fair settlement promptly. Furthermore, their experience often leads to swifter resolutions.

Policy Knowledge

Understanding the intricacies of insurance policies is crucial. Therefore, public adjusters actively interpret policy language, aiming to maximize every entitlement and coverage benefit, thus preventing unnecessary delays in processing or delaying a claim due to misunderstandings.

It’s important to debunk the misconception that public adjusters delay claims, ensuring accurate information prevails in the industry. Gain valuable insights from Dana Langfeldt, a seasoned Public Adjuster at Premier Claims, as she dives deeper into the crucial support public adjusters provide to policyholders. Understanding that the public adjuster doesn’t negatively impact the claims processing timeline is crucial. Instead, they actively expedite the process, fighting on your behalf, to try to secure a rightful settlement.

Understanding Different Types of Adjusters