Handling of insurance claims
Individuals and business owners purchase
insurance policies to protect against monetary losses. In the event of a
loss, policy holders submit claims, or request for payment seeking
compensation for their loss. Adjusters, appraisers, examiners, and
investigators deal with those claims. They work primarily for property
and casualty insurance companies, for whom they handle a wide variety of
claims alleging property damage, liability etc.
Their main role is to
investigate claims, negotiate settlements, and authorize payments to
claimants. They must be mindful not to violate their rights under
Federal and State privacy laws. They must determine whether the
customer's insurance policy covers the loss and how much of the loss
should be paid.
Adjusters plan and schedule the work required to process
a claim. They investigate claims by interviewing the claimant and
inspecting the property damage to determine how much the company should
pay for the loss. The information gathered, including photographs and
statements, either written or recorded is set down in a report that is
used to evaluate the claim. When the policyholder's claim is approved,
the claims adjuster negotiates with the claimant and settles the claim.
Some large insurance companies centralize claims
adjustment in a claim center, where the payout amount is estimated and a
check is issued immediately. However cases handled by independent
adjusters, or those involving business losses or homeowner claims such
as hurricane or fire damage, all require a senior adjuster to physically
inspect the damage and determine proper compensation. Often insurance
carriers use the service of independent adjusters on a freelance basis
in lieu of hiring them as regular employees. In this case the
independent adjusters work in the interest of the insurance company.
Helpful Tips
Know
your policy: It’s important to understand what your policy
says. The policy is a contract between you and your
insurance company. Make sure you know what’s covered
and what’s not and what the deductibles are. If you
have any questions about the policy, the time to ask is before you need
to make a claim.
Make temporary
repairs: If your home is damaged, you should
make whatever temporary repairs are needed to protect your home or
business from further damage. These should always be
covered by your policy. Just remember not to start
any permanent repairs until you hear from an adjuster.
If you make any temporary repairs, make copies of the bills for
your records, just in case the adjuster loses them.
Document, document, document:
This is important both before you need to make a
claim and when you need to make one. Save the
receipts for items you buy. That will help prove what
items you had and how much those items cost.
Photographs and/ or videotapes of you home / business ( both pre and
post disaster form) can also be beneficial. These
will help you establish an inventory of your belongings should the need
arise. Take photos or videos of the damage before you
begin cleaning up. Many cell phones now have cameras
built in, so be sure you know how to use yours if you have one.
If you don’t have a camera phone, keep one disposable camera in
your glove compartment and one at home or business.
How Can Calling Flag Help
Flag Cleaning & Restoration is an industry expert
in disaster recovery and as such, knows how to file your claim properly
and correctly. Your insurance company expects you to be vigilant about
home maintenance. You must pay attention to any water leaks that need to
be attended to, properly maintain your oil burner, keep chimneys
cleaned, in general paying attention to keeping your home or business
adequately maintained.
Even after a flood or natural disaster,
your homeowners insurance company expects you to act quickly to minimize
any water, mold or fire damage to your property. In the event of a
flood, mold discovery, fire, smoke or oil burner puffback damage, call
Flag to assess the damage and begin the cleanup process without delay,
since the longer you wait, the more damage occurs and the greater the
repair costs.
In the case of a fire, once the fire department has been notified to
extinguish the fire, call the experts at Flag to contain and
clean up the the damage caused by either the fire itself or the damage
caused by putting out the fire(water damage, sheetrock damage, etc.)
When Flag Technicians Arrive At Your Loss
Flag will inspect
the property to determine the damages and the scope of needed cleaning,
restoration, and repairs. What were the items that were affected by the
fire, smoke, water or mold damage? What is the proper method for
cleaning? Will your personal belongings need to be relocated while your
house is restored? .
Flag will protect the unaffected areas that were not
affected by mold, soot and odor before the damage spreads to these
areas. It will save you money! Flag will separate material that can be
salvaged from materials that must be replaced, and prepare an inventory
of items that are damaged beyond repair. We will work to restore the
damaged salvageable materials. Flag will provide you or your adjuster a
full scope of the damages and estimate the cost of repairs.
Pretesting allows Flag to focus on saving precious items or keepsakes
for you. Once the mitigation begins, our technicians will keep you
informed and answer your questions, all while working to help make the
fire damage “Like it never even happened".
NASSAU
(516) 498-3524 SUFFOLK (631) 226-9800
(800)794-3524