Home insurance claims: When to make them

Homeowners insurance is a product you buy, but hope never to need.

The company you’ve paid to protect you can become your adversary.

While it’s the insurer’s job to restore you financially, it’s your job to prove your losses. And your perspective on what’s fair compensation won’t always jibe with your insurer’s.

Know when to hire help.

The more information you can provide on your claim, the more likely you’ll get what your due. If you’ve taken the steps outlined in this lesson, you shouldn’t need outside help in filing your claim. The insurer will send an adjuster to assess what was lost, stolen, or damaged, and offer a settlement to replace or rebuild. Independently, you should get three estimates from local contractors whose reputations you’ve researched.

But if you’ve faced a very big, traumatic loss and don’t feel confident going it alone, consider hiring a public adjuster licensed by your state to walk you through the process.

Typically, they take between 5% and 15% of the settlement. Because the public adjuster works for you, he or she has no obligation to reduce costs for the insurer.

Twelve states — Alabama, Alaska, Arkansas, Iowa, Kansas, Mississippi, Louisiana, North Dakota, South Dakota, Tennessee, Virginia, and Wisconsin — don’t have licensing laws that apply to public adjusters. But you can obtain the names of public adjusters in every state who have passed the voluntary certification process sponsored by the National Association of Public Insurance Adjusters.

Information is the best protection.

Whatever your claim, your best protection is to keep good records. Record your version of the event; take photos, if possible. Get the police report. Call your insurer as soon as you’re able, and keep notes of all related conversations.

Track resulting medical, home-care, baby-sitting, or housekeeping bills, since some policies cover a portion of those costs. Keep track of living expenses if you’re forced to live elsewhere temporarily.

Add this to your reading list.

Truth be told, you’ll be most satisfied with your settlement if you know in advance what’s covered. That means eyeballing your policy now. Pay particular attention to the exclusions section, which as the name implies, outlines what’s not covered.

Why subject yourself to such torture? An insurer’s definitions can make the difference between comfort and calamity. Check out the declarations page, which outlines the limits of your coverage. Coverage D of the homeowners policy, for instance, outlines how much an insurer will cover if you have to relocate temporarily. Does your insurer pay up to 10% of your home’s insured value, or offer to pay “reasonable” expenses over 12 to 24 months?

Finally, update your policies regularly. Inform your insurer of improvements and additions to your home — including redecoration — of $5,000 or more.

About the Author

David W. Clausen is the CEO of Coastal Insurance Solutions. With over 20 years' experience and over 1 billion insured, David and Coastal Insurance Solutions are the recognized leaders in high net worth insurance. For the fifth consecutive year, David Clausen has been awarded Top Producer by Insurance Business America. David is a trusted high net worth insurance expert who’s published more than 200 articles. His articles & press releases have generated over 500K pageviews and has been featured on blogs such as Google News, Yahoo Finance, CNBC, Market Watch, Fox, The New York Times, etc. David founded Coastal Insurance Solutions in 2001 after earning a BBA from the State University of New York College at Oswego.

IBA's Top Retail Broker 2023
Digital badge for the 2023 Insurance Agents of the Year Award, featuring intricate design elements that symbolize excellence and achievement in the insurance industry.
IBA's Top Retail Broker 2023
Digital badge for the 2023 Insurance Agents of the Year Award, featuring intricate design elements that symbolize excellence and achievement in the insurance industry.

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