Unmasking Insurance Industry Tactics

Unmasking the Insurance Industry’s Fear of Public Adjusters

 

Over the years, we’ve encountered countless insurance policies with clauses buried in the fine print—clauses that could make any property owner’s blood boil. Sneaking these in where policyholders are least likely to notice is one of the oldest tricks in the book. Take this example from a client’s policy, where a critical clause was tucked away on the very last page. It read:

No Public Adjuster:

It is understood and agreed that a condition of this policy is that the insured shall not hire, engage, retain, contract with, or otherwise utilize the services of a public adjuster, whether or not licensed in the state where the property is located or any other jurisdiction to inspect, evaluate, or adjust any loss covered by the policy. 

Let’s break this down and ask the tough questions.

The Real Reason Behind the Clause

Think about it: If an insurance carrier does its job correctly and pays out fair and adequate settlements, why would they care if you hired a public adjuster

The truth is, they know a public adjuster’s involvement can:

1. Expose Lowball Offers

One of the most critical roles a public adjuster plays is fighting for your carrier’s offer to reflect the actual value of the damage to your property. Public adjusters have the training and experience to spot when a settlement offer may be too low or doesn’t fully account for the extent of the damage. They often uncover discrepancies between what the policy actually covers and what the insurer is willing to pay out. Without a public adjuster, you may never realize the insurance carrier is trying to undercut your claim’s true value, potentially leaving you with a settlement that’s less than what you deserve. 

2. Increase Payouts

Numerous studies have demonstrated claims handled by public adjusters result in significantly higher settlements for policyholders. Public adjusters have the ability to more accurately assess the damage, gather the right documentation, and negotiate with the insurance carrier to better secure a fair settlement.

3. Hold Insurance Carriers Accountable

The purpose of getting a public adjuster involved with a claim is to hold the insurance carrier accountable at every step of the process. This means closely monitoring how the claim is being handled, knowing and preparing for requisite claim deadlines, and fighting for the insurer to fulfill its obligations. It is our belief that with someone dedicated to protecting your interests, insurance carriers are much less likely to cut corners or try to settle for less than what you’re owed. Public adjusters are trained to spot discrepancies in value and coverage and will challenge insurance carriers if they attempt to underpay or delay your claim. 

By inserting this clause, the insurance carrier eliminates a critical safeguard for policyholders. They’re essentially saying, “Trust us, we’ll be fair—but don’t involve anyone who might question our fairness.”

Why Is This Problematic?

1. Restricts Your Rights

Insurance is a contract, and you’re paying for coverage. Prohibiting you from hiring an advocate is a blatant overreach of authority. 

2. Lacks Transparency

Burying this clause in the fine print suggests they don’t want you to notice it. 

3. Create Power Imbalance

Without a public adjuster, most policyholders are left at the mercy of insurance carriers and their adjusters. 

Most people never even receive a full copy of their insurance policy to know this clause exists in the first place. Carriers often withhold the fine print or include it in a way that’s hard to access or understand.

What Can You Do?

If you find this clause in your policy, don’t panic—but don’t ignore it either. Here’s what you can do:

1. Consult a Public Adjuster

Even if your policy includes this clause, consult a professional to understand your options. Some states may prohibit enforcing such clauses.

2. Read Your Policy Carefully

Always review the fine print before signing any insurance agreement. 

Don’t have your full insurance policy? Our team is here to help. At Premier Claims, we offer a free policy review to help uncover these hidden clauses. Submit your insurance policy for review here. 

3. Know Your State’s Laws

Insurance regulations vary by state, and some states may have protections against clauses like these. Utilize resources like the Insurance Information Institute to learn more about your state’s insurance regulations. You may also look at your state’s Department of Insurance website for specific laws. 

Don’t Let the Fine Print Define Your Outcome

When an insurance carrier goes out of its way to restrict your ability to hire a professional advocate, it speaks volumes about their priorities. They’re not just selling you a policy—they’re selling you trust. But when trust comes with strings attached, it’s time to weigh your options.

At Premier Claims, we’re here to advocate for policyholders, whether the insurance carriers like it or not. If you’re unsure what’s hiding in your policy, take advantage of our free policy review service. If you’ve experienced damage and don’t want to go it alone, we’re here to help. 

 

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When Trust Is for Sale

How Insurance Carrier Scandals Hurt Policyholders

Insurance is built on trust. You pay your premiums; in return, you expect your carrier to have your back when disaster strikes. But what happens when that trust is undermined—not by a denied claim but by insurance carrier corruption at the highest levels?

The Allegations That Shocked the Industry 

A case involving State Farm and a billion-dollar lawsuit has revealed the dark side of insurance carrier scandals, showing just how far some companies will go to protect their profits.

According to a report by FindLaw, State Farm “allegedly gave campaign donations to Judge Lloyd Karmeier during one of the nation’s most expensive judicial races in 2004.” What followed is even more alarming. Judge Karmeier went on to win his seat on the Illinois Supreme Court and cast a deciding vote to overturn a $1 billion verdict against the insurer just a year later. 

At the time, State Farm claimed it had raised $350,000 for Karmeier’s campaign. However, FindLaw highlights that “an FBI investigation discovered that State Farm donated between $2.4 and $4 million.” This revelation has since led to allegations of fraud and a class-action lawsuit against the company. 

Adding to the controversy, Allstate’s Chief Executive Officer, Thomas Wilson, made his company’s priorities crystal clear. As reported by Clark Law Firm, Wilson said, “Our obligation is to earn a return for our shareholders.” This statement echoes the industry’s focus on profits, sometimes at the expense of fairness and justice, a sentiment that resonates through other troubling corporate actions.

What This Means for Policyholders

This case isn’t just about judicial ethics but the balance of power. For policyholders, it raises uncomfortable questions:

Ashley Balsbaugh, Associate Counsel at Premier Claims, explains, “In a day and age where industry corruption remains a prevalent issue, it is so incredibly important that property owners arm themselves with as much claim support as possible to overcome any unfair biases or preferences reinforced in the political realm.”

Why You Need an Advocate

At Premier Claims, we know stories like this aren’t isolated incidents—they’re symptoms of a system that often prioritizes profits over people. While not every case involves multimillion-dollar campaign donations, the underlying principle is the same: policyholders need someone in their corner to demand fairness and accountability.

We work to level the playing field, helping property owners navigate the complex claims process and ensuring they receive the settlements they owe. 

This case serves as a reminder that the fight for fair treatment doesn’t end with your insurance policy—it extends to the courtroom, the claims process, and beyond. At Premier Claims, we take that fight seriously. 

If you’re dealing with an underpaid or denied claim, you don’t have to go it alone.

Contact our team today! 

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What Do I Do After a Hurricane?

Post Hurricane Helene Responsibilities as a Policyholder 

As you brace yourself for the impending hurricane, it’s perfectly normal to feel a mix of anxiety and anticipation. While we can’t control Mother Nature (trust me, we’ve tried), we can control how we respond when the storm clouds roll in. Knowing your responsibilities as a policyholder can protect your property and make the recovery process much smoother. 

1. Act Quickly to Mitigate Damage

Once the winds start howling, your first job is to mitigate further damage—a fancy way of saying, “Stop the damage from getting worse!” Here’s how to do that without losing your cool:

2. Notify Your Insurance Carrier Immediately

Once you’ve taken steps to secure your property, it’s time to let your insurance carrier in on the action. Here’s how to make the call count:

3. Take Charge of the Recovery Process with Premier Claims

After notifying your insurance carrier, it’s time to take charge of the recovery process—and you don’t have to do it alone! Here’s how Premier Claims can step in and assist you:

4. Lean on Your Community for Support

Finally, don’t forget about the power of community. After the hurricane is the perfect time to channel your inner neighborly spirit.

Weathering the Storm Together

Facing the aftermath of a hurricane can feel daunting, but understanding your responsibilities as a policyholder can empower you during this challenging time. Taking proactive steps to mitigate damage, notifying your insurance carrier promptly, and leaning on your community for support can turn a stressful situation into a more manageable one.

If you need help navigating the claims process, remember Premier Claims is here to guide you every step of the way. Connect with our team today, and together, we’ll turn this stormy season into a story of resilience and recovery.

Filing a Claim Without Losing Coverage: Know Your Rights

The fear of being dropped by your insurance carrier is a common concern among policyholders, but it’s important to understand that such action is unlikely and illegal. Let’s delve deeper into this misconception and explain why filing a claim shouldn’t jeopardize your coverage.

Filing a Claim Isn’t Something to Fear

Legal Protection for Policyholders

Contrary to popular belief, insurance carriers are prohibited by law from dropping policyholders simply for filing a claim. Laws and regulations bind your insurance adjuster and govern their operations like a set of rules directs a public adjuster. These regulations safeguard policyholders against unfair treatment and allow policyholders to receive the protection they’ve paid for.

Preserving Your Coverage

You purchase insurance coverage to protect your property against unforeseen events, including storm damage. Filing a claim is fundamental to utilizing your insurance coverage as intended. Whether the damage appears minor or significant, it’s crucial to address it promptly to prevent future complications.

Mitigating Future Risks

While the damage you’ve sustained may seem insignificant at the time, it may escalate into a larger problem over time. Delaying or forgoing the claims process could leave you vulnerable to costly repairs or liabilities in the future. Your risks may be at their highest once the statute of limitations for filing a claim has passed. By addressing the damage promptly, you’re taking proactive measures to protect your property and mitigate future risks. To learn more about filing a claim, read our blog: https://premier-claims.com/blog/when-should-i-file-a-claim/

Empowering Policyholders

At the heart of insurance coverage is the principle of protection and support for policyholders. Your insurance carrier should be there to assist you in times of need, not to penalize you for seeking the coverage you’ve paid for. By understanding your rights and the legal protections in place, you can confidently pursue the resolution of your claim. Going through the claims process without fear of repercussions from your insurance carrier for filing a claim sounds rather nice, does it not?

Moving Forward with Confidence

Don’t let your fears prevent you from accessing the coverage your insurance carrier has agreed to issue. By filing a claim for the damage to your property, you’re exercising your rights as a policyholder and taking proactive steps to safeguard your investment. Trust in the legal protections and move forward confidently, knowing that your insurance carrier cannot drop you for simply utilizing your coverage as intended.

Advocate for Your Rights

Ready to address the damage to your property and secure the coverage you deserve? Contact Premier Claims today to learn how our team of experts can assist you in navigating the claims process with confidence. Let us be your trusted partner in advocating for your rights and protecting your property against unforeseen risks.

Where is My Insurance Policy?

Hiring an insurance broker can save you a ton of money. They can quickly compare plans of dozens of insurance carriers, taking the stress off of your plate. While that is great in the long run, when it comes time to file an insurance claim, you’re left wondering which carrier your insurance policy is even with.

Not having a copy of your insurance policy can land you in hot water. Even worse— you don’t know who your insurance carrier is! Take action and ensure you have your policy ready to go when you need it most.

Where do I start?

This is where Premier Claims steps in. When you hire us, it’s like getting a hammer when you’ve been driving nails in with the end of a screwdriver. The screwdriver was able to get the nail into the wood. However, the hammer is more accurate and cuts time in half. 

Are you having a tough time getting your insurance information from your broker? One of our representatives is happy to help get the info you need. As an additional service, we offer free policy reviews. To have your insurance policy reviewed, use the following link: https://premier-claims.com/policy-review/

Our tenacity does not waver throughout the claims process. We are your hammer. We are going to call who we need to call, meet who we need to meet, and debate who we need to debate in order to get what you are owed. 

What’s next?

As we gather your insurance information, we’ll make sure you have a digital file with all necessary documents in case of another catastrophe.

These include:

Once we start the claims process, we will need to track down all of these documents to get a clear picture of your property. The more information our adjusters have, the smoother the claims process. 

Insurance Appraisal: Don’t Gamble Your Investment Away

Unlock Your Claims’ Potential

Did you know that without undergoing the appraisal process, you could end up settling for less than you are entitled to under your insurance policy? Playing it is risky, with the odds seemingly stacked against you. Insurance carriers play hardball, leaving you feeling overwhelmed and outmatched. But fear not because appraisals may just be your secret negotiation weapon.

Without the backing of a thorough appraisal, insurance carriers may lack the motivation to offer you an increased, and likely owed, settlement amount. By forgoing this crucial step, you could potentially leave money on the table. Ultimately, it hinders your ability to recover entirely from the damage.

The Dreaded “A” Word

Contrary to popular belief, appraisals aren’t the Grim Reaper of your claim. Instead, think of them as your trusty sidekick, helping you navigate the murky waters of insurance disputes. By enlisting the services of an expert appraiser, like those utilized by Premier Claims, you’re taking proactive measures to protect your interests and secure the compensation you deserve.

It is possible that without an appraisal, you could leave thousands of unrecovered dollars on the table. You could use that unrecovered money to rectify property damage and rebuild your business entirely. An appraisal intends to lead to a more accurate assessment of damages, potentially resulting in an increasing settlement amount. It tends to expedite the claims process, thereby reducing stress and uncertainty for the policyholder. Don’t let fear of an appraisal hold you back from determining what you are rightfully owed.

Who Needs a Public Adjuster Anyway? Newsflash, You Do!

You might be thinking, “But do I really need a public adjuster?” The answer is a resounding yes. Public adjusters are the Jedi masters of the claims world, wielding their expertise like a lightsaber against the dark forces of insurance carriers. With a public adjuster by your side, an experienced professional will guide you every step of the way.

So, don’t gamble your investment away. Embrace the challenge, arm yourself with knowledge, and remember— Premier Claims is here to guide you every step of the way. Take charge of your claim and fight for a fair settlement.

Ready to protect your investment? Contact Premier Claims today for a consultation, and let us help you navigate the appraisal process confidently. Your future self will thank you.

Guide to Filing a Claim: The Essentials

Filing a property insurance claim can be a meticulous process, but being armed with the right information is key to a successful outcome. In this comprehensive guide, we’ll explore the essential information you need to file a property insurance claim effectively. Whether it’s understanding the details of the incident or gathering crucial documents, this guide ensures you’re well-prepared, with a focus on optimizing your claims experience.

What You Will Need Before You File a Claim

1. Policy Number

Your policy number is the gateway to your coverage. Ensure you have it readily available when filing a claim. This unique identifier is crucial for your insurer to locate your policy quickly. 

2. Detailed Description of the Date of Loss

Provide a thorough and accurate description of the event that caused the damage. Include specific details such as how the incident occurred, the extent of the damage, and any immediate actions taken to mitigate further harm after the date of loss.

Date and Time of the Incident

Pinpointing the exact date and time of the incident is crucial for establishing the timeline of events. This information helps streamline the claims process and ensures accurate assessment. 

Location of the damage

Specify the location where the damage occurred. Whether it’s your home, business, or a specific area within the property, clarity in the damage location aids in a swift and accurate assessment. 

3. Photos or Videos of the Damage

Visual evidence can be powerful when filing a claim. Capture photos or videos of the damage as soon as possible after the incident. These visuals provide a clear representation of the extent of the damage, supporting your claim. Partnering with a Public Adjuster to conduct a thorough inspection can help to expedite the claims process, allowing for a more accurate representation of your properties damage.

List of Damaged Items

Create a detailed inventory of all items that sustained damage. Include information such as the make, model, and serial numbers. This comprehensive list forms the basis for evaluating the extent of your losses. Maintain receipts or any documentation proving the value of the damaged items. This documentation can be crucial for establishing the monetary value of your losses when aiming to receive a fair compensation. 

4. Relevant Police or Incident Reports

If applicable, include any police or incident reports related to the event. These reports provide an official record of the incident, offering valuable documentation for your claim. 

Contact Information for Witnesses

Collect contact information for any witnesses to the incident. Witness statements can serve as valuable evidence to support your claim, providing an independent perspective on what transpired. 

5. Check with Your Insurance Carrier

Check with your insurance carrier for specific requirements unique to your policy. Policies can vary, and understanding any additional documentation or steps required will hopefully eliminate any added stress throughout your claims journey. 

Perfecting the process of filing a property insurance claim is rooted in acquiring precise information. Whether it’s your policy number, detailed descriptions, or compelling visual evidence, each element contributes to the success of your claim. Premier Claims, armed with an array of resources, aims for a seamless claims process. Our dedicated team is here to thoroughly review your insurance policies so that your property is adequately protected in the event of damage. Empower yourself with this comprehensive guide, approaching property insurance claims with confidence.

Understanding Different Types of Adjusters

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.

Large Loss Agriculture Hail Claim Settled in 4 Months

RL Wilson Family Farms

Montgomery, Indiana
Hail Damage
May 2022


Before a claim was even filed, our team stepped in, effectively neutralizing any attempts by the insurance carrier to delay or underpay the claim. We carried out inspections of the property, both day and night, and assembled a comprehensive damage estimate for every asset involved. To speed up the process, we transparently shared all our findings with the insurance carrier, who initially estimated the claim at $1,892,000 based on our information. Not satisfied, we swiftly countered with precise costs for materials and labor, successfully elevating the settlement to an impressive $2,058,000—all in under 4 months.


Insurance Carrier Offer: $1,892,000

Premier Claims Settlement: $2,058,000 in 4 months