What is a Public Adjuster?

After Hurricane Sandy, I started seeing newspaper articles about homeowners and businesses that needed the services of Public Adjusters A public adjuster is an insurance claims adjuster who advocates for the policyholder (middleman) in appraising and negotiating a claimant’s insurance claim. Aside from attorneys and the broker of record, public adjusters licensed by state departments of insurance are the only type of claims adjuster that can legally represent the rights of an insured during an insurance claim process.

A public adjuster will be most beneficial when it is clear that the insurance company will pay the claim and the only issue is the proper identification and valuation of the loss. Unfortunately, they will still need you to document your loss.  It was your house and you’ll still have to provide from memory or sift through debris to determine what you had. This is where a detailed Home Inventory and copies of all important documents, stored offsite of course, is so very important. If you’ve never documented your possessions you might find yourself doing more paperwork than you bargained for. Even with the public adjuster running interference between you and the insurance company you still must be 100 percent involved in the process.  Only you know the extent of your loss!

Most public adjusters get paid a percentage of whatever they recover for you. You can negotiate percentage, and it generally ranges 15% to 25% although some states cap the fee. Primarily they appraise the damage, prepare an estimate and other claim documentation, read the policy of insurance to determine coverage and negotiate with the insurance company’s adjuster. Public Adjusters can be aggressive in soliciting clients after a disaster, so take your time and get educated before deciding to retain one.

There are three classes of insurance claims adjusters: staff adjusters (employed by an insurance company or self-insured entity), independent adjusters (independent contractors hired by the insurance company) and public adjusters (employed by the policyholder). “Company” or “independent” adjusters can only legally represent the rights of an insurance company.

The public adjuster’s main responsibilities are to:

  • Evaluate existing insurance policies in order to determine what coverage may be applicable to a claim
  • Research, detail, and substantiate damage to buildings and contents and any additional expenses
  • Evaluate business interruption losses and extra expense claims for businesses
  • Determine values for settling covered damages
  • Prepare, document and support the claim on behalf of the insured
  • Negotiate a settlement with the insurance company on behalf of an insured
  • Re-open a claim and negotiate for more money if a discrepancy is found after the claim has been settled

Typically a policyholder hires a public adjuster to document and expedite their claims, obtain a more satisfactory claim recovery, more quickly, and completely restore their residence or business operations, and insulate themselves (although you still must be 100 percent involved) from the stress of engaging in an adversarial role with a large corporation.  

However, the cost of hiring outside experts, no matter how well-earned, can be an added burden when they are borne entirely by the policyholder. The added burden can be alleviated by the work of a public adjuster. However, policy holders who are not properly indemnified (underinsured) by their insurance carriers may be left with little choice but to hire professional assistance to recover the claim payment to which they are entitled.

Public adjusters must be able to recognize claims that may be insubstantial and disputable and explain such problems to the client. The everyday meanings of terms like “collapse”, “partial collapse” and “extent of physical damage” might be entirely different from their legal interpretations, requiring the adjuster to clarify such terms for the client.  Regulations regarding the uses of these terms are constantly in a state of flux, so it’s important for public adjusters to have a firm grasp of the law including the division of legal responsibilities between insurance companies and policyholders.

When to contact

While it is not always clear when a policyholder may benefit from hiring a public adjuster, the most benefit is likely to be realized if they are engaged immediately in case of a loss. Shortly after the insurance company receives notice of a loss, an adjuster representing the insurance company will visit the policyholder to gather facts about how the loss occurred the magnitude of the loss, and the possibility of subrogation (transfer of your claim to another insurance company). Incorrect, incomplete or inadequately expressed answers to the adjuster’s questions may reduce the amount that can be claimed. A public adjuster engaged early in the process, before the fact-finding stage, will have more opportunity to help the policyholder receive a fair settlement for all losses legitimately covered under the insurance policy. However, any time during negotiations with the insurance company and even after a settlement has been received by an insured; a public adjuster may be able to negotiate for a higher amount

There are dangers in the public adjuster business and not all home/business owners have a good experience. Insurance settlements are always slow to arrive, and it’s not unusual to have to wait for several months or even a year for that final check from your carrier after a major house fire. And not all of their clients have that kind of patience. Public adjusters can also be a godsend, if you lose everything, have no documentation or detailed inventory, and are underinsured you might need an advocate to act on your behalf and get a fair settlement from your insurance company.

 If you need the services of a public adjuster please do your homework and select a good reputable firm. Consider the following criteria when choosing a public adjuster:

  • Don’t hire the first adjuster that comes along. Their ability to find and market to you says nothing about their abilities to serve you. 
  •  Make sure your public adjuster is experienced in his field.  He should belong to a number of groups including, the National Association of Public Insurance Adjusters, (NAPIA) Windstorm Insurance Network (WIND), and United Policyholders of America. Many of these groups have strict ethical standards that members are held to and also have online directories that list their members. 
  • Make sure they obey the law. 
  • No public adjuster should make any promises of what they can do for you before first reading   and carefully reviewing your insurance policy as well as looking carefully at the loss.  Just as a good doctor must first look at a patient before treating them, the same should apply to public adjusting. They need to meet you, see your loss, and review your records (the policy among other things) before outlining a plan to get you back on track for a full recovery. 
  • Make sure the public adjuster is licensed by the state of Connecticut or other States where the loss occurred. Contractors or restoration companies posing as public adjusters who tell you they can adjust your claim or negotiate with your insurance company are committing a crime. Just as a contractor cannot adjust your claim, a public adjuster cannot have a financial interest in your loss except for their approved public adjusting contract fee. 
  • Do ask for and call any references a public adjuster might give you. Especially ask for references to clients with similar claims. Does your adjuster deal with your insurance company on a regular basis? Your public adjuster’s reputation with the insurance carrier can dramatically affect your claim. Make some calls and speak to references. You can usually find out about experience and reputation from folks in your community.  
  • Beware of local contractors and remediation companies that offer to file your claim and then fix the damage. There has been some serious abuse in this area. In some cases these firms’ contracts will require you to sign over your settlement check to them. Sometimes they will spend less fixing your property and pocket the rest. In other cases there has been overreaching and unconscionable bills run-up which the insurance company then refuses to pay because the policyholder alone signed the work authorization without authorization from the insurance company. This often results in a construction lien being placed against the property.  In some cases, contractors offering to estimate the damages are practicing public adjusting without a license which is also against the law.  The advice here is to be careful. Always maintain control of your settlement check and keep the estimating and repair parties separate. Read and understand any work authorization form presented to you before signing it. 
  • The adjuster is offering to handle your claim for a small percentage. Of course the type, size and complexity of the loss will impact the cost.  Most reputable adjusters charge between 5% and 15%. Anything less should be a red flag that the adjuster will not put in the proper time or effort in handling your claim or that you don’t need an adjuster for this particular claim. Also be aware that in a declared state of emergency by an authorized government agency, public adjuster contracts are limited to the percentage that you can be charged. 
  • The adjuster pressures you to sign a contract on the spot. Don’t sign anything unless you have read it and understand it. Sleep on it – life experience is that a good night sleep will often help resolve any conflicts, questions, thoughts or concerns you may have.
  •  Note how long your adjuster has been in the business. During the hurricanes of 2004-2005 and Sandy in 2012, the number of licensed public adjusters increased significantly in New England. Unfortunately, many of these individuals were trying to make a quick buck on all the outstanding claims that occurred.  Insurance companies like working with a reputable and ethical public adjuster. It makes their job easier and gets the claim settled faster. It also makes the process easier and less stressful for you.

Extreme Heat Alert for Connecticut

EXTREME HEAT ALERT

 Know the signs and symptoms of heat stroke. They include:

Body temperature greater than or equal to 105 degrees Fahrenheit.

  • Skin that is hot and dry with red spots.
  • Mental confusion.
  • Loss of consciousness
  • Convulsions

Note: If you are experiencing these symptoms, dial 911 or visit a hospital emergency room.

Be Prepared for the Extreme Heat Conditions:

  • Have the phone number of your family doctor clearly posted next to your phone (and stored in your cellular phone).
  • Drink more fluids (nonalcoholic), regardless of your activity level. Don’t wait until you are thirsty to drink. Warning: If your doctor generally limits the amount of fluid you drink or has you on water pills, ask him/her how much you should drink while the weather is hot.
  • Don’t drink liquids that contain caffeine, alcohol, or large amounts of sugar–these actually cause you to lose more body fluid. Also, avoid very cold drinks, because they can cause stomach cramps.
  • Stay indoors and, if at all possible, stay in an air-conditioned place. If your home does not have air conditioning, go to the movies, shopping mall, public library, or a friend’s house/apartment with air conditioning–even a few hours spent in an air conditioned environment can help your body stay cooler when you go back into the heat .(See listing of designated cooling centers below)
  • Electric fans may provide comfort, but when the temperature is in the high 90s, fans will not prevent heat-related illness. Taking a cool shower or bath, or moving to an air-conditioned place is a much better way to cool off.
  • Wear lightweight, light-colored, loose-fitting clothing.
  • NEVER leave any person or pet in a closed, parked vehicle.
  • Visit adults at risk at least twice a day and closely watch them for signs of heat exhaustion or heat stroke. Infants and young children need much more frequent watching.
  • If you must be out in the heat, limit your outdoor activity to early morning and evening hours. Cut down on exercise. If you must exercise, drink two to four glasses of cool, nonalcoholic fluids each hour. A sports beverage can replace the salt and minerals you lose in sweat. Warning: If you are on a low-salt diet, talk with your doctor before drinking a sports beverage.
  • Try to rest often in shady areas.
  • Protect yourself from the sun by wearing a wide-brimmed hat (also keeps you cooler) and sunglasses and by putting on sunscreen of SPF 15 or higher (the most effective products say “UVA/UVB protection” on their labels). 

Although any one at any time can suffer from heat-related illness, some people are at greater risk than others. Check regularly on:

  • Infants and young children
  • People aged 65 or older
  • People who have a mental illness
  • Those who are physically ill, especially with heart disease or high blood pressure

Keep Pets Safe and Cool During Heat Waves

Never leave your pets in a parked car – On a warm day, temperatures inside a vehicle can rise rapidly to dangerous levels.  On an 85 degree day, for example, the temperature inside a car with the windows opened slightly can reach 102 degrees within 10 minutes. After 30 minutes, the temperature will reach 120 degrees. Your pet may suffer irreversible organ damage or die. If you see an animal in distress in a parked car, contact the nearest animal shelter or police.

Limit exercise on hot days – If your pet gets overheated, spray him with cool water, when possible. If you are outdoors, buy a bottle of water an slowly pour it over your pet to aid in the cooling process. Avoid taking pets outdoors at the hottest times of the day, try to keep pets in an air-conditioned environment, limit activity and provide lots of cool water during periods of extreme heat.

Recognize the signs of heatstroke – Some signs of heatstroke are heavy panting, glazed eyes, a rapid heartbeat, restlessness, excessive thirst, lethargy, fever, dizziness, lack of coordination, profuse salivation, vomiting, a deep red or purple tongue, and
unconsciousness. If the animal shows symptoms of heatstroke, take steps immediately to gradually lower her body temperature and contact your veterinarian as soon as possible.

Many pet owners enjoy bringing their dogs with them for a day at the beach on beautiful coastal Connecticut. Always make sure there is plenty of shade areas available and never keep your best friend out in the sun too long.

Take care and stay cool!

 

 

Overwhelmed and Underinsured

Those two words describe the people in Connecticut, New York and New Jersey, whose homes and businesses where wiped out by Hurricane Sandy last year. The fact is, about two thirds of the homes in the United States are underinsured.  Most people who own homes are underinsured and non inventoried. 

Sure you can inventory your own property (it’s better than no inventory at all)  but it lends more credibility with the Insurance companies and provides for a smoother, faster settlement to your claim if it’s done by a professional third party.  After we perform a complete home/business inventory the owner gets a dollar amount total in all of our reports. Some owners realize, after seeing their report, that they are not adequately covered and immediately make arrangements to amend their insurance policies to increase coverage.

Insurers sell the promise that they’ll “put you back where you belong”, but they don’t always deliver. Homeowners and businesses (policyholders) take the insurers at their word and rely on agents to set their policy limits at full replacement value. But when policyholders come up short, they are shocked to learn that the laws in most states give agents immunity for failing to fully insure properly.

Homeowners would be wise to update their insurance policy and home inventory at least on an annual basis. After each annual follow up inventory Fairfield Home Inventory will update your reports and safe store them, or you can store them off premises yourself, until the next update is requested.

What You Need to Know About Renters Insurance

Renters insurance provides financial protection against the loss or destruction of your possessions when you rent a house or apartment. While your landlord may be sympathetic to a burglary you have experienced or a fire caused by your iron, destruction or loss of your possessions is not usually covered by your landlord’s insurance. Because in most cases, renters insurance covers only the value of your belongings, not the physical building, the premium is relatively inexpensive.

By purchasing renters insurance, your possessions are covered against losses from fire or smoke, lightning, vandalism, theft, explosion, windstorm and water damage (not including floods). Like homeowners insurance, renters insurance also covers your responsibility to other people injured at your home or elsewhere by you, a family member or your pet and pays legal defense costs if you are taken to court.

Renters insurance covers your additional living expenses if you are unable to live in your apartment because of a fire or other covered peril. Most policies will reimburse you the difference between your additional living expenses and your normal living expenses but still may set limits as to the amount they will pay.

There are two types of renters insurance policies you may purchase:

  1. Actual Cash Value – pays to replace your possessions minus a deduction for depreciation up to the limit of your policy
  2. Replacement Cost – pays the actual cost of replacing your possessions (no deduction for depreciation) up to the limit of your policy

With either policy, you may want to consider purchasing a floater. A standard renters policy offers only limited coverage for items such as jewelry, silver, furs, etc. If you own property that exceeds these limits, it is recommended that you supplement your policy with a floater. A floater is a separate policy that provides additional insurance for your valuables and covers them for perils not included in your policy such as accidental loss.

Source: Insurance Information Institute

Home/Business Insurance tips from NAIC

NEARLY HALF OF AMERICANS UNPREPARED
FOR DISASTERS, NEW SURVEY REVEALS
What You Need to Know About Insurance Before Disaster Strikes

 As the nation braces for the hurricanes, wildfires, tornadoes and floods that accompany the spring and summer disaster season, nearly half of U.S. consumers are insufficiently prepared – in terms of their insurance coverage – to deal with potential losses, according to new research by the National Association of Insurance Commissioners (NAIC).

The NAIC’s national survey revealed a significant lack of preparedness among consumers in documenting their belongings. Nearly half – 48 percent – said they did not have an inventory of their possessions. Of those consumers who reported having a checklist, 32 percent had not taken any pictures and 58 percent had no receipts validating the cost of their possessions. In addition, 44 percent of respondents acknowledged that they had not stored their inventory in a remote location.

“A comprehensive third party inventory of your belongings and their value will help you file an insurance claim after a disaster,” said NAIC President and Kansas Insurance Commissioner Sandy Praeger. “Creating an inventory and storing it in a safe location away from home is one of the most basic – and most effective – disaster preparedness steps anyone can take to help protect themselves and their financial future.”

The NAIC survey also found that 43 percent of U.S. adults with homeowners or renter’s insurance owned policies that provided a replacement cost payout. Of the remaining consumers, 27 percent indicated their policies insured their homes for the actual cash value, while another 28 percent did not know which type of coverage they purchased.

Actual cash value is the amount it would take to repair or replace damage to a home and its contents after depreciation. Replacement cost is the amount it would take to replace or rebuild a home or repair damages with materials of similar kind and quality, without deducting for depreciation.

“Many consumers are not able to recover after a disaster because they don’t realize how depreciation can impact their assets,” Praeger said. “It is important that consumers understand the implications of purchasing an actual cash value policy vs. replacement cost insurance. In the event of a disaster, the difference could mean thousands of dollars in payout.”

The NAIC survey also found that the majority of consumers do not have the coverage necessary to protect themselves from specific types of losses that are not reimbursed under standard policies:

  • 69 percent do not have earthquake insurance.
  • 65 percent do not have flood insurance.
  • 56 percent do not have insurance for a water line break.
  • 55 percent do not have insurance for a sewer line break.

“Many homeowners and renters are vulnerable, especially if they live in disaster-prone areas,” said NAIC Executive Vice President and CEO Catherine J. Weatherford. “Consumers should review their insurance policies yearly with their agent or company to make sure they have the coverage needed to protect their family and their belongings.”

The NAIC offers insurance tips and considerations through its public-education program, Insure U: Get Smart About Insurance, at www.InsureUonline.org. The site is also available in Spanish at www.insureuonline.org/espanol.

Disaster Preparedness Tips for Homeowners and Renters from the NAIC

  • Take an inventory of your valuables and belongings. This should include taking photographs or a video of each room. This documentation will provide your insurance company with proof of your belongings and help to process claims more quickly in the event of disaster.
  • To enable filing claims more quickly, keep sales receipts and/or canceled checks. Also note the model and serial numbers of the items in your home inventory.
  • As you acquire more valuables – jewelry, family heirlooms, antiques, art -consider purchasing an additional “floater” or “rider” to your policy to cover these special items. These types of items typically are not covered by a basic homeowners or renter’s insurance policy.
  • Remember to include in your home inventory those items you rarely use (e.g., holiday decorations, sports equipment, tools, etc.).
  • Store copies of all your insurance policies in a safe location away from your home that is easily accessible in case of disaster. You may want to store your policies and inventory in a waterproof, fireproof box or in a safe, remote location such as a bank safe deposit box. Consider leaving a copy of your inventory with relatives, friends or your insurance provider and store digital pictures in your e-mail or on a Web site for easy retrieval.
  • Know what is and is not covered by your insurance policy. You might need additional protection depending on where you live. Make sure your policies are up to date. Contact your insurance provider annually to review and update your insurance policy.
  • Keep a readily available list of 24-hour contact information for each of your insurance providers.
  • Find out if your possessions are insured for the actual cash value or the replacement cost. Actual cash value is the amount it would take to repair or replace damage to your home or possessions after depreciation while replacement cost is the amount it would take to repair or replace your home or possessions without deducting for depreciation. Speak with your insurance provider to determine whether purchasing replacement coverage is worth the cost.
  • Speak with your insurance provider to find out if your policy covers additional living expenses for a temporary residence if you are unable to live in your home due to damage from a disaster.
  • Appraise your home periodically to make sure your insurance policy reflects home improvements or renovations. Contact your insurance provider to update your policy accordingly.

Hurricanes Happen

As hurricanes become more frequent and widespread, it’s important to know your cordless phone’s limitations.  Though most phone lines are underground, and thus unaffected by high winds and fallen trees, a cordless phone requires electricity, so it will do you no good if the power is off.  Most corded phones are powered by the phone lines and so are more likely to keep working during a power outage.  While you can charge a cell phone through a vehicle adapter, it might not work if the nearby cell towers are damaged.  For these reasons, it’s always a good idea to keep at least one corded phone line in your home.

2013 Hurricane Season begins June 1st

NOAA’s 2013 Atlantic Hurricane Season Outlook indicates that an above-normal season is most likely, with the possibility that the season could be very active. The outlook calls for a 70% chance of an above-normal season, a 25% chance of a near-normal season, and only a 5% chance of a below-normal season….

Based on the current and expected conditions, combined with model forecasts, we estimate a 70% probability for each of the following ranges of activity during 2013:

  • 13-20 Named Storms
  • 7-11 Hurricanes
  • 3-6 Major Hurricanes
  • Accumulated Cyclone Energy (ACE) range of 120%-205%

Be Prepared for this coming Hurricane Season contact us for a free Home Inventory Estimate.

Why a Home Inventory?

12 REASONS WHY YOU SHOULD GET A HOME INVENTORY!
  1. Marriage: You’re getting married and joining 2 households.
  2. Divorce: Thinking of divorce?  You should make sure that you have a record of everything so that you can split the contents of your home equally.
  3. Guardianship: You have a parent who is ill and you’re considering putting them in a facility where they will get the care they need.  Now you have to go thru everything in their home to consider what to keep; sell or donate to family members or charity. Or, your parents live in another part of the country.  Do you know what they have?
  4. Moving: You’re moving across the country or the city and you’re using a moving company.  Make sure that what you put on the truck comes out in the same condition or, that it comes out at all.
  5. Second Home/Rental Property: You have a furnished rental property and you want to make sure that the state of any furnishings in the house, are in the same condition when your tenants moved in as when they move out.  And, you want to make sure that nothing is missing.
  6. Pre-Nuptials:  You’re considering marriage and you want to create a Pre-Nuptial Agreement.  A full record of what you brought into the marriage would be an excellent way to CYA.
  7. Collections: You have a collection that is either valuable monetarily or personally.  Have a record of those valuables in case you ever lose them,  they get broken, stolen or destroyed.
  8. Storage Unit: Do you know what you placed in storage? Most people don’t have a clue and you could have valuable items just waiting to be stolen or ruined!
  9. Interior Decorating: You are having your house redone by decorators and contractors.  Shouldn’t you have a record of all of your valuables and their condition?  It never hurts to be sure that your valuables remain in your home and that you have proof of any possible damage.
  10. Mediation: a form of alternative dispute resolution (ADR) or “appropriate dispute resolution“, is a way of resolving disputes between two parties. A third party inventory can help the parties come to a final decision based on the facts given.
  11. Disaster: A disaster strikes.  Fire, flood, hurricane, tornado, theft, earthquake, sink hole.  Do you have a record of all that you lost for your insurance claim?  Don’t wait until you’re in the middle of chaos and beyond distressed to try to remember what you own.
  12. Renters: Need to have an inventory because they are responsible for the items in the house they are renting.