What You Need to Know About Insurance and Bad Faith Tactics

In the wake of Hurricane Helene, thousands of families are still displaced, uncertain of when—or if—they’ll be able to return to their homes. With homes flooded, roofs torn off, and belongings destroyed, the path to recovery is overwhelming. Many are still waiting to hear about loved ones, while others have only just begun the daunting process of gathering what remains to file insurance claims.

While you focus on your family’s safety and rebuilding your life, it’s vital to be aware of a harsh truth: not all insurance carriers will treat you fairly. This blog is here to help you navigate the claim process, protect your rights, and avoid falling victim to bad faith tactics used by some insurers.

What Is “Bad Faith,” and Why Should You Care?

Bad faith refers to deceitful practices by insurers who, rather than honoring the terms of your policy, choose to delay, deny, or underpay your claim. In the aftermath of Hurricane Helene, these tactics can slow down the recovery process at a time when you need immediate assistance. After enduring such a loss, the last thing you expect is for your insurance provider to offer a settlement that barely covers the damage. Yet, many victims are shocked when they receive an offer that feels like a slap in the face. If this sounds alarming, it’s because these strategies are all too common. Knowing what to watch for is your first line of defense.

Steps to Protect Yourself as You Start Filing Your Claim

If you’re just beginning to gather the items you need for your insurance claim, being aware of the possibility of bad-faith tactics is critical. Here’s how to approach the process carefully and protect yourself:

1. Document Everything Thoroughly

As you begin your claim, take detailed photos and videos of the damage—if and when it’s safe to do so. Thorough documentation will support your claim, whether it’s a collapsed roof, waterlogged furniture, or shattered windows. If possible, keep all receipts for emergency repairs, temporary housing, or any other related expenses.

Insurance carriers may try to dispute the extent of your loss. Having comprehensive documentation can help you counter any attempts to undervalue your claim.

2. Be Wary of Early Settlement Offers

Once you file your claim, your insurer may try to offer a quick, lowball settlement. This may seem tempting—especially if you’re displaced and need immediate assistance—but these offers often fall far below what your policy entitles you to receive. You don’t have to accept the first offer. Taking the time to review and negotiate can prevent you from being shortchanged.

As our Client Specialist MaKayla Fountain explains, “I’ve experienced many cases where the carrier has bullied the insured into settling the claim or settling for less. They threaten to drop the policy or raise the insured’s premiums. They put a lot of fear into the insured.” This fear often drives policyholders to accept offers that don’t come close to covering their losses.

It’s crucial to take a step back, understand your rights, and not let fear drive your decision.

3. Understand Your Policy

Before you file, review your insurance policy to understand what’s covered and what’s not. Many homeowners are unaware of certain exclusions or limitations, which can lead to surprises down the line.

Insurers may use complicated language or fine print as a shield, denying claims that are otherwise valid. Knowing your coverage helps you argue against such tactics.

4. Stay Persistent, Even When They Delay

If your insurer is slow to respond or repeatedly asks for unnecessary paperwork, don’t give up. These are classic bad-faith moves designed to wear you down. Keep communication records—emails, phone call logs, etc.—to demonstrate your compliance and persistence.

Delays can work to the insurer’s benefit. By documenting their lack of action, you can push back and even build a case for bad faith, should the issue escalate.

How to Spot the Signs of Bad Faith

As you navigate the claim process, keep an eye out for red flags. Insurers often employ tactics designed to frustrate policyholders into settling for less:

1. Unexplained delays

If weeks go by without an update or if your adjuster keeps disappearing, this could be a delay tactic.

2. Repeated requests for more documentation

While it’s normal to submit basic documents, such as proof of loss or receipts, multiple or irrelevant requests might signal bad-faith behavior.

3. Sudden changes in your policy’s interpretation

If your insurer starts interpreting policy terms in ways that seem unfair, unusual, or contradictory—they may be trying to reduce your payout unjustly.

If you notice these signs, it might be time to bring in outside help.

Why a Public Adjuster Could Be Your Best Ally

During this difficult time, your insurance carrier should be your partner in recovery—but as we’ve discussed, that’s not always the case. A public adjuster works for you, not the insurer, helping to ensure your claim is handled fairly and accurately.

As Joey Cafaro, Senior Desk Adjuster, explains, “After significant damage, policyholders naturally focus on recovery, often overlooking the need to protect themselves, which can lead to underpaid, delayed, or denied claims. Consulting with a public adjuster early on protects their interests from the start. As experts, we thoroughly document all aspects, understand industry cost standards, and navigate policy details that can impact coverage. While policyholders juggle jobs and families, our full-time role is to combat insurance carrier delays, aiming to ensure claims are settled fairly and promptly.”

Leveling the playing field

Insurers have teams of adjusters and lawyers protecting their interests—and you should, too. A public adjuster is your advocate, ensuring your claim is not undervalued or unjustly delayed.

Expert knowledge of insurance

With a public adjuster on your side, you can rely on their knowledge of the industry, understanding of bad faith tactics, and ability to fight for the settlement you deserve.

The road to recovery after Hurricane Helene is long and uncertain. Filing an insurance claim during such a chaotic time can feel overwhelming. However, understanding the possibility of bad-faith tactics will help protect you. Keep track of your documents, stay persistent, and never hesitate to ask for help from a public adjuster if you feel your insurer isn’t acting in your best interest.

Bad faith tactics shouldn’t stand in the way of rebuilding your life. If you’re still waiting for your claim to process, or if your insurer hasn’t provided the assistance they promised, remember—you have the right to fight back.

Contact Premier Claims today to set your claim up for success!

Steps to Take After Property Damage

As you’re sitting at your dinner table, drinking your coffee, and eating your breakfast, you open up Facebook, and all you see are photos, videos, and news articles about the hail storm that swept through your neighborhood. You see that one of your friends posted a picture of a golf ball-sized hail near one of the office buildings you own. You realize there is a VERY good chance your building has damage. What do you do? Do you know how to navigate the claims process after property damage?

Here’s a comprehensive guide on what to do after property damage:

1. Mitigate Further Damage

First and foremost, prioritize your own safety and that of others. If the damage poses any immediate danger, take necessary steps to mitigate further impact or loss to your property. This could involve actions like boarding up windows, covering exposed areas, or shutting off utilities if necessary. Safety should always be the top priority.

2. Document the Damage

Capture thorough photographic and video evidence of all damage. This documentation is crucial as it serves as tangible proof of the extent of the damage for your insurance claim. Take pictures and videos from multiple angles, including close-up shots and wider views, to capture the full scope of the damage.

Focus on Exterior Components: Inspect and document any damage to the roof, siding, windows, and surrounding landscape features such as foliage. Look for signs of dents, punctures, missing shingles or tiles, and debris accumulation.
Immediate Assistance: If you cannot immediately document the damage yourself, contact our team promptly. We can dispatch someone to conduct a thorough damage assessment and gather the necessary information for your claim.

3. Contact Our Team for Guidance

Reach out to our team as soon as possible for professional assistance. Premier Claims specializes in navigating the complexities of insurance claims and can provide invaluable guidance from the outset.

Assessment and Documentation: Our team will conduct an on-site inspection to gather comprehensive evidence of all recoverable damage under your insurance policy.
Detailed Damage List: We’ll help you create a detailed list of all damage, impacted areas, and any structural issues. This includes a summary of the date, time, and severity of the event that caused the damage.
Compile Records: Gather any relevant records related to your property, such as maintenance records, previous inspection reports, repair receipts, and prior photographs. These documents strengthen your claim by providing a history of the property’s condition.

4. Initiate the Claims Process

After reviewing the evidence and records, if we determine there is sufficient damage covered under your policy, we will initiate the claims process on your behalf.

Notification to Insurance Carrier: We will notify your insurance carrier of the damage incurred and provide all necessary documentation to support your claim.
Advocacy and Support: Throughout the claims process, our team will advocate for your best interests and work hard to get you fair compensation for the damage to the property. Dealing with property damage can be daunting, but taking proactive steps and partnering with our experienced team can make a significant difference in the outcome of your insurance claim. By promptly documenting the damage, compiling necessary records, and initiating the claims process with our guidance, you can lay a solid foundation for a smooth and successful resolution.

Contact us today to learn more about how we can assist you in navigating the insurance claims process and recovering from property damage effectively. Your peace of mind is our priority.

When disaster strikes and your property is damaged, hiring a public adjuster can ensure you receive a fair settlement from your insurance company. However, many policyholders hesitate to sign a contract with a public adjuster. Understanding the reasons behind the hesitation is crucial for policyholders and public adjusters.

Concerns About Fees and Costs

One of the primary reasons policyholders are reluctant to sign contracts with public adjusters is the fear of high fees. Many worry that the percentage charged by public adjusters will significantly reduce their settlement amount.

UNDERSTANDING THE FEE STRUCTURE

Public adjusters typically work on a contingency fee basis, meaning they only get paid if you do. In most states, the fee represents a percentage of the settlement amount, incentivizing the adjuster to maximize your claim. However, some states require the fee to be calculated on an hourly basis. Discussing and understanding both fee structures upfront is vital to avoid any surprises.

Fear of Increased Premiums

Another common concern is the fear that hiring a public adjuster will increase insurance premiums. Policyholders worry that making a claim, especially with professional assistance, might flag them as high-risk to their insurers.

CLARIFYING PREMIUM IMPACTS

Filing a claim, with or without a public adjuster, can affect your premiums.

Suppose multiple claims are filed after a storm. In that case, your insurance carrier may raise the premiums for all policyholders in an affected area to help mitigate the financial impact of the widespread damage. However, a public adjuster’s expertise can improve your claim’s outcome. Public adjusters are motivated to help you make the most of your claim so that your property can be adequately restored, aiming for you to be fairly compensated for your losses. Insurance carriers primarily base premium adjustments on factors such as fault and Catastrophe Area designations. To learn more about what can affect your premiums, read our blog: Will My Insurance Premiums Go Up?

Worry About Policy Cancellation

Policyholders sometimes fear that hiring a public adjuster will cause their insurer to cancel their policy. This concern stems from the belief that insurance companies might view the involvement of a public adjuster as adversarial.

UNDERSTANDING INSURANCE POLICIES

It’s illegal for an insurance company to cancel your policy simply because you hire a public adjuster. Public adjusters work to ensure you receive a fair settlement, and their involvement shouldn’t negatively impact your policy status. Public adjusters exclusively represent the policyholder’s interests, aiming for your claims to be maximized without jeopardizing your policy. Their role as your advocate can provide a buffer between you and the insurer, helping to facilitate a smoother claims process.

Belief That There Is No Damage

Some policyholders hesitate to sign contracts with public adjusters because they believe their property has not suffered significant damage. They might think the damage is too minor to warrant professional assistance.

ASSESSING THE DAMAGE

Public adjusters identify and document damage that policyholders might overlook. Even seemingly minor issues can lead to substantial claims. An initial consultation with a public adjuster can help determine the true extent of the damage. Their professional damage assessment can uncover hidden damages and ensure that all aspects of your loss are documented, potentially increasing your settlement.

Lack of Trust and Transparency

Finally, the hesitation often comes from a need for more trust or understanding of what signing a contract entails. Policyholders might fear hidden clauses or unfavorable terms.

ENSURING TRANSPARENCY

Before signing a contract, you should thoroughly read and understand the terms. A reputable public adjuster will be transparent about their fees, processes, and what you can expect. Don’t hesitate to ask questions and seek clarification. Policyholders should feel comfortable with their public adjuster and verify their credentials and references to build trust. Public adjusters who are open and communicative can help ease these concerns, fostering a collaborative and trust-based relationship.

Addressing these common concerns can help policyholders like yourself feel more confident about signing a contract with a public adjuster. Our team at Premier Claims wants you to make an informed decision and know that we’re here to help every step of the way. Remember, working with a public adjuster aims to make the most of your claim. A licensed public adjuster’s expertise and advocacy significantly benefit policyholders, ensuring professional and effective handling of the claims process.

Who are the players in the intake process?

Think of the claims intake process as one big video game, where the decision maker or policy owner plays the most integral part of the claims game. Throughout your quest for a fair claim payout, you’ll meet some additional key figures or characters to help you along the way.

Player Character or Protagonist: The Policy Owner

The policyholder is the main character. They’re the ones whose name is listed under “Named Insured” in the policy. This person is typically the business or building owner who either knows all of the information needed in connection to the property or knows the best person to ask for help obtaining the necessary information.

Ensure you know the differences between signee, named insured, and claimant. Not sure what they are? We’ve got you covered.

Signee vs. Named Insured

- - Signee: The person who signs any document or contract. They acknowledge and accept the terms of the document.
  - Named Insured: The person or entity specifically named in an insurance policy as the primary policyholder who receives coverage and benefits.

Named Insured vs. Claimant

- - Named Insured: The main policyholder identified in the insurance policy who has the legal rights and responsibilities associated with the policy.
  - Claimant: The person or entity making a claim under the insurance policy, which could be the named insured or another party eligible to claim benefits due to an insured event.

Signee vs. Claimant

- - Signee: The individual who signs the document, which could include contracts, agreements, or forms.
  - Claimant: The individual or entity filing a claim for benefits under an insurance policy, regardless of whether they signed the policy.

The Guide: The Property Manager

The property manager serves as a point of contact for the building’s condition. They may provide essential information about the property and assist with gathering documentation throughout the claims process. Their job is to oversee the property and ensure that its condition is up to par. They should have records of any issues with the building and repairs made, the insurance policy, and inspection records. When it comes to providing information on any changes to the property or past issues, they are an excellent resource.

Information Hub: Your Broker or Insurance Agent

Your broker or broker agent is the keeper of policy knowledge. They’re key when trying to track down your policy. That isn’t a problem if you’ve never seen your policy. Your broker is required to give you a copy if the signee asks. If you are getting a runaround when requesting a copy of your policy, Premier Claims is happy to assist.

The Ally: Premier Claims

Premier Claims is your claims team’s muscle and brains. Throughout the intense battle with the insurance carrier, we will always be on your side, advocating on your behalf. We are experts in the claims process and have the tenacity and drive to fight for your rightful compensation.

Your Arsenal

One of the first steps in the claims process is to gather all necessary information about the property. The policy owner should have access to their insurance policy documents, including the declaration pages outlining key coverage details. This readily available information can expedite the intake process and facilitate smoother communication with the insurance adjuster.

You should also have a detailed timeline of the building. Whether it’s recent renovations, prior damage, or maintenance issues, you should be prepared to provide insights into the building’s history. This information can help the adjuster properly assess the extent of the damage.

Once Premier Claims has the primary information concerning your property, we can start investigating and ultimately battling it out with the villain of the claims process: the insurance carrier.

Property inspections are a crucial part of the insurance claims process, providing an accurate assessment of a property’s condition. For property owners, the fear of discovering damage can be daunting. Inspections that lead to no damage can leave a property owner relieved, yet frustrated by the time spent in getting the inspection done. However, receiving a damage-free inspection report is valuable and can lead to more benefits for the policyholder.

Understanding the Inspection Process

Property inspections serve to assess the condition of a property and complete documentation. When conducted by experienced professionals, these inspections help in identifying potential issues that might not be visible to the untrained eye. Insurance companies use these findings to determine coverage and policyholder benefits.

No Damage, No Worries

Discovering no damage during an inspection can provide policyholders with peace of mind. It means that their property is in good condition and doesn’t require immediate repairs. This situation also prevents the hassle of filing claims, which can be time-consuming and emotionally draining.

Proactive Maintenance and Preventing Future Issues

A damage-free inspection is an opportunity to continue proactive maintenance. Policyholders can use this information to reinforce their property’s resilience against future risks. Regular maintenance and addressing minor concerns, guided by the inspection results, becomes a strategic investment in potentially minimizing the likelihood of extensive damages.

Creating Baseline Evidence

A damage-free inspection provides baseline documented evidence of the state of the property. Should the property experience future damage, the prior damage free findings serve as evidence to support future insurance claims filed on the property. Brent Roberts, Inspections Manager at Premier Claims, recommends, “In the event of future damage to a property, it’s ideal to have a prior thorough inspection that resulted in no- or minimal damage to the property. This provides a good baseline of documentation, and photo evidence, can be compared with new evidence to identify all damage.”

Lower Insurance Premiums

Regular inspections with no reported damage can reflect positively on a policyholder’s insurance profile. Proactive property maintenance could lead you to lower premium options. By demonstrating the property’s well kept condition over time, policyholders can potentially secure more affordable insurance rates. In addition, a history of minimal claims reflects responsible property ownership, potentially enhancing the policyholders standing with the insurance company.

Empowerment through Knowledge

Being informed about the property’s condition empowers policyholders to make strategic decisions. Armed with this knowledge, they can better understand their property’s vulnerabilities, improve its resilience, and make informed choices regarding insurance coverage and risk management. Policyholders should view inspections as an opportunity to understand the true condition of their properties.

While discovering damage can be concerning, a damage-free inspection can be equally as valuable. It signifies a well-maintained property, potential cost savings on insurance premiums, and a positive impact on the policyholder’s overall insurance history. If you have any questions or concerns regarding property inspections, claims management, or insurance policies, don’t hesitate to reach out to our team. We are here to educate, guide, and provide peace of mind to policyholders across the nation.

Surviving Hurricane Helene and Bad Faith Tactics