Commercial Property Coverage: Difference Between BI and ALE

Navigating the complexities of commercial property coverage can be prone to misunderstandings. It’s crucial to grasp every aspect of your coverage to best prepare your property and business for anything that comes your way. Two terms that often cause confusion are Business Interruption (BI) and Additional Living Expenses (ALE). Let’s dive deeper into these policy elements, providing clarity for commercial property owners. 

Business Interruption (BI): Safeguarding Revenue Streams

What is Business Interruption Coverage?

Business Interruption (BI) coverage steps in when unforeseen circumstances disrupt your business operations. Whether due to natural disasters, fire, or other covered perils, BI provides coverage so that your revenue streams receive protection during the downtime. 

Key Features of Business Interruption

Revenue Loss Compensation

BI commercial property coverage covers the actual loss of income your business sustains during the interruption. 

Operating Expenses

It extends to cover ongoing expenses like rent, utilities, and payroll, easing the financial strain. 

Temporary Location Costs

If relocation is necessary, BI can cover the additional costs associated with setting up operations in a temporary space. 

Understanding the Waiting Period

BI policies often have a waiting period before coverage kicks in. It’s important to discuss and determine the optimal waiting period tailored to your business needs. 

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Additional Living Expenses (ALE): Sustaining Daily Life

What is Additional Living Expenses Coverage?

Additional Living Expenses in commercial property coverage is a vital facet that allows for the continuity of daily operations during unexpected disruptions. ALE steps in when your commercial property is rendered temporarily unusable for covered perils, providing support to maintain operational standards. 

Key Features of Additional Living Expenses

Temporary Operational Space

ALE covers the costs associated with relocating your business operations to a temporary workspace, such as a rented office or facility, allowing for minimal disruption. 

Equipment and Inventory Storage

In cases where your commercial property requires extensive restoration, ALE can cover the expenses related to storing equipment and inventory safely.

Technology and Connectivity

ALE extends to cover costs of setting up temporary communication systems allowing your business to remain connected and operational.

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Synchronizing Business Interruption and Additional Living Expenses Coverage

ALE and BI can work in tandem within commercial property insurance coverage, offering a comprehensive safety net. While BI is intended to safeguard your revenue, ALE is intended to provide coverage so that your daily operations continue seamlessly during the restoration period. 

Claim Considerations

It’s imperative to maintain a detailed record of expenses incurred during the temporary relocation. Working closely with a skilled public adjuster, like those at Premier Claims, can help navigate the intricacies of your policy, aiming for you to receive everything that is owed to you and minimize operational disruptions.

Conduct a Thorough Risk Assessment

Identify potential risks specific to your commercial property; moreover, this will allow you to tailor your insurance coverage to address the unique challenges your business may encounter.

Collaborate with a Reputable Public Adjuster

Engage with a knowledgeable public adjuster, such as Premier Claims, that will aim to handle your commercial property insurance claim with expertise and precision. 

Regularly Review and Update Your Policy

Stay ahead of changes in your industry and business structure so that your commercial property insurance policy evolves with your needs, providing comprehensive Business Interruption and Additional Living Expenses coverage.

Understanding the role of Additional Living Expenses and Business Interruption coverage empowers commercial property owners to make informed decisions, allowing minimal financial strain and operational downtime during challenging times. Remember, knowledge is your greatest ally in the world of insurance claims for commercial properties. 

When Should I Hire a Public Adjuster?

Understanding when to hire a public adjuster is the first strategic move in your claim process. Every decision plays a role in the pursuit of fair compensation for your property damage. We unravel the layers of timing – from the initial moments of property damage to the complexities of denied claims. 

Timely Claims Assistance

Understanding the Role of a Public Adjuster

Before going into the timing aspects, it’s crucial to comprehend the role of a public adjuster. These professionals act on behalf of policyholders, assessing and negotiating insurance claims aiming to earn a fair compensation for property damage. Their experience in the claims process can make a significant difference in the outcome. 

Immediate Action after Damage Occurs

Swift action is vital when property damage occurs. While policyholders might be tempted to start the claims process independently, involving a public adjuster from the start can streamline the process. A public adjuster’s early involvement aims to make a thorough assessment of the damage, setting the stage for a comprehensive and well-documented claim.

Before Filing a Claim

Policyholders often question when is the right time to bring in a public adjuster. Ideally, it’s before filing a claim. By consulting with a public adjuster beforehand, you benefit from their expertise in evaluating policy coverage, estimating potential damages, and strategizing the most effective approach. This proactive step can significantly impact the outcome of your claim. 

Denied or Underpaid Claims

If your insurance claim has been denied or you feel the compensation offered is inadequate, it’s not too late to hire a public adjuster. These professionals excel in reevaluating claims, identifying discrepancies, and negotiating on behalf of policyholders. Their involvement can lead to a fair resolution and the compensation you rightfully deserve. 

Complex Claims and Policy Understanding

Insurance policies can be intricate, and navigating complex claims requires a deep understanding of the language and nuances within. Hiring a public adjuster becomes crucial when faced with intricate claims, aiming for every detail is thoroughly examined, and your interests are protected. 

Premier Claims encourages policyholders to consider engaging a public adjuster early in the process or, if needed, at any point when challenges arise. Our team stands ready to provide the expertise and guidance necessary for the intricacies of the claims journey. Don’t wait; connect with Premier Claims today for a smoother, more informed claims experience.

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.

Involving Legal Professionals in Your Claim

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

Public Adjuster Near Me: Things to Look for and Consider

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!

 

Louisiana New Law: Allows for Public Adjusters

A new law, signifying a significant development for policyholders in Louisiana, has passed, forbidding property insurance policies from containing provisions that deny an insured individual’s right to hire a public adjuster. Before the introduction of this new law, insurance policies with anti-public adjuster clauses prevented policyholders from hiring a public adjuster. The legislation aims to provide all policyholders and businesses with greater control and expertise in navigating insurance claims. 

On June 12, 2023, Louisiana Governor John Bel Edwards signed into law a bill from Sen. Royce Duplessis, D-New Orleans, and Rep. Ray Garafalo, R-Chalmette, that prohibits insurance carriers from inserting anti-public adjuster clauses into property insurance policies. The new law (SB156) in Louisiana will take effect on August 1, 2023, and allow all policyholders to hire public adjusters.

Benefits for Policyholders:

Removing the anti-public adjuster clauses is a significant win for policyholders in Louisiana. Here are some key benefits that policyholders can expect:

Expertise and Representation: 

Licensed professionals with in-depth knowledge of insurance policies and claims processes, public adjusters actively operate. They can assess the full extent of damages, and strive for fair compensation per the policy.

Time & Stress Reduction: 

Navigating an insurance claim can be a complex and time-consuming process. By engaging a public adjuster, policyholders can offload the burden of handling paperwork, documentation, and negotiations. This allows them to focus on other important aspects of recovery, such as restoring their property or business.

Maximizing Claim Settlements: 

Public adjusters skillfully value losses accurately and ensure fair compensation for policyholders. They can help policyholders avoid potential underpayments or claim denials, leading to maximized settlements.

Rules and Regulations for Public Adjusters in Louisiana:

While the new law in Louisiana enables policyholders to hire public adjusters, it’s important to understand the existing rules and regulations governing their operations. Here are some key points to note:

Licensing:

Public adjusters in Louisiana are required to obtain a license from the Louisiana Department of Insurance (LDI). Additionally, the licensing process involves meeting certain criteria, including background checks and the successful completion of an examination.

Fee Limitations: 

Public adjusters charge fees for their services, typically calculated as a percentage of the insurance claim settlement. In Louisiana, these fees are regulated and should conform to state guidelines. Policyholders should discuss fee arrangements with the public adjuster before signing any contract.

Contractual Agreements: 

Public adjusters must provide written contracts to policyholders, outlining the terms and conditions of their services. The contract must clearly state the fees, scope of work, and any additional expenses that policyholders may incur during the claims process.

Prohibited Activities: 

Public adjusters are prohibited from participating in any deceptive or fraudulent practices. Furthermore, they have a fiduciary responsibility, must act ethically and in the best interests of the policyholders they represent. Violations of these regulations can lead to disciplinary actions by the LDI.

Louisiana’s new law granting policyholders the ability to hire public adjusters is a significant step toward empowering individuals and businesses when dealing with insurance claims. With the expertise and representation provided by public adjusters, policyholders can expect a smoother and more favorable claims experience. By leveraging this new legislation, policyholders can navigate the complexities of the insurance world with confidence, knowing they have dedicated professionals on their side.

Premier Claims Louisiana #765044

 

How to Identify Hail Damage

Is your property at risk of hail damage?

Knowing how to identify hail damage and the signs can save you time, money, and a lot of headaches.

Our expert team has put together an invaluable video guide that walks you through the process of how to identify hail damage on your property. From common indicators to safety precautions and essential tools, this video is a must-watch for anyone concerned about the integrity of their property following a hailstorm. Don’t miss out on these expert insights—watch now to protect your investment!

 

https://www.youtube.com/watch?v=US8M-_aZEUM

 

For more articles related to hail damage, check out the following:

The Impact of Hail: Understanding Size, Formation, and Damage

Importance of Acting Promptly After a Date of Loss

 

 

 

 

 

 

Condo Association Restored After Hurricane Ian

Confidential Condo Association

Cape Coral, Florida
Hurricane Ian
September 2022


In the wake of Hurricane Ian, this five-building complex suffered from both roof damage and first-floor flooding. Despite the insurance carrier’s attempts to stall the process by repeatedly reassigning the claim, our team remained steadfast. We put together irrefutable estimates that clearly demonstrated that the policy limits had been met. Taking into account the widespread damage, we guided residents through their individual claims and managed the inspections and repairs for each unit. In the end, we achieved full coverage up to the policy limits for every building in the association and extended free consultation services to residents to aid in their recovery.


Insurance Carrier Offer: N/A

Premier Claims Settlement: $1,077,000

 

 

History of Hurricane Preparedness Week

May 1st through the 7th is National Hurricane Preparedness Week. If you don’t live in an area prone to hurricanes, you probably haven’t given them much thought. However, if you live in Florida or the surrounding area, chances are hurricanes have impacted your life in one way or another.

How did Hurricane Preparedness Week start?

Prior to 2004, Hurricane Preparedness Week had been known as Hurricane Awareness Week. The first Hurricane Warning Service originated in Cuba and was adopted by the United States Weather Bureau during the 1870s. On June 1, 1956 the National Hurricane Center was founded in Miami, Florida.

The change from Awareness to Preparedness was an initiative to encourage communities to be prepared prior to a hurricane hitting land. Costing billions of dollars in damages every year just in the United States alone, hurricanes are considered one of Mother Nature’s most destructive events worldwide.

Outside of the United States, hurricanes are often referred to as typhoons or tropical cyclones. Other countries, such as China, experience the same destructive forces and are reported to have the most typhoons annually than any other country in the world.

With continual changes in weather patterns and rising sea levels, hurricanes will continue to be destructive storms hitting our coast. As a community, we hope we can use this week to educate our neighbors on preparing before the hurricane, how to stay safe during the storm and what to expect following a devastating hurricane.

Follow us this week as we continue to cover different topics and provide resources to prepare for this upcoming hurricane season. If you’re still battling your insurance claims from prior hurricanes, please reach out to our team members to help get you the support you need: click here.

Additional resources:

National Today Hurricane Preparedness Week,

National Weather Service Hurricane Preparedness Week

NOAA: National Hurricane Preparedness