Loss Adjuster

How To get The Best Insurance Claim Settlement

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How To get The Best Insurance Claim Settlement

Obtaining The Best Insurance Claim settlement can be a difficult process and can potentially become a power struggle between your best interests and the insurer’s, often involving negotiations and private arbitration. Insurance companies are experts in their field when it comes to settlements and know exactly what to use to reduce pay-outs or even repudiate your insurance claim.

In order to obtain the best insurance claim settlement offer you need to know how to respond to a low offer and also to recognise that it is a low offer. So, how can you tell if you have received a low insurance claim settlement offer? Well, if it appears unreasonable, it probably is.

To get the best insurance claim settlement, one thing to keep in mind is that the insurance company always wants the settlement pay out to be the lowest amount legally required. They will never offer the most they are willing to pay straight away because they expect negotiations. Never accept their initial offer and make sure that your counter-offer is well documented.

How to Respond to a Low Settlement Offer to get Best Insurance Claim Settlement

An Insurance Claim Settlement offer may often fall short of the claimant's expectations. This is common but you should not be discouraged by it. Insurance companies negotiate settlement agreements every day, so it is usually hard to negotiate for your own best insurance claim settlement if you do not think their offer is reasonable.

For example, the Insurance Loss Adjuster could state that you did not act fast enough to secure your property in a weather related incident. The issue there is what actually caused the damage and wording in your policy may allow for one thing but not another to be covered. Remember that you should not have to reiterate any wording that is already present in your insurance policy.

First of all, you don’t have to accept their offer. You can respond by asking the Loss Adjuster to justify the offer. What you want them to explain is why exactly this amount? The adjuster should then tell you in detail how they arrived at the proposed settlement amount. This way to get the best Insurance Claim Settlement, you can properly address all the issues they bring up that make your claim weaker.

You can also then come back with a counter-offer which is well documented. Hiring a Loss Assessor can make a huge difference here because they will recognise a low offer and know exactly how to proceed. Loss Assessor will know the itemised extent of your damage and what the insurance company always counts on is that you do not know the value of your claim.

How to Maximize The Best Insurance Claim Settlement

 Whether your claim is for a fire, flood , theft or a burst pipe, the steps involved in making sure that what you finally receive is fair are similar. The key to the Best Insurance Claim Settlement is documentation. You need evidence such as photographs or surveillance videos that actually show the extent of the damage. It is very helpful to have a loss assessor detail the actual costs of your loss.

When it comes to property damage the insurer has two options: to repair damage and replace property or to settle the claim as a cash payment. If your insurance offers a cash settlement as an option, you should make sure you receive a settlement which accounts for the true cost of your losses. To receive the Best Insurance Claim Settlement offer you should have a very clear determination of all those costs.

According to Financial Mail hiring a Loss Assessor such as an Oakleafe Claims’s team of professionals can increase your settlement by as much as 40%. This is because you will have claim technicians and chartered surveyors on your side who know exactly how this process works and aren’t in any way bound by the insurance company’s bottom line.

The insurer will always look for common mistakes, such as failing to immediately protect the property from further damage to reduce your settlement. To receive the Best Insurance Claim Settlement offer you need someone who is on the look out to maximize it. Then you will be on your way to Obtain The Best Settlement from your Insurance Company.

How to Obtain Best Business Interruption Settlement

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When it comes to commercial claims receiving a fair settlement is even more difficult if business interruption occurs. This is when a business has to shut down or stop operations as a result of damage resulting in loss of sales. Since business interruption claims are subject to estimates of sales if the loss had not occurred, they cannot be exact, and any settlement is almost always the result of negotiation.

A Loss Assessor like Oakleafe Claims can accurately calculate the Loss of Profit and Increased Cost of Working in any business interruption claim and properly guide you through the entire process of receiving the Best Insurance Claim Settlement.

The best way to get a business interruption settlement is through private arbitration and insurance companies are expert negotiators. It helps to have someone in your corner who is equally skilled at negotiating. Sometimes just the fact that you hired a loss assessor can increase the settlement offer because the insurer knows that you are not at the negotiating table alone.

Don’t Let the Insurance Company Tell You What’s Best

Insurance companies are known to use less than fair tactics to pressure people into accepting their initial offer – because it’s the lowest one. This is what they always want because it works out best for them and they will often lead you to believe it is the best offer for you as a claimant. Don’t believe them and do not fall for their lines.

The only way to actually know the real cost of your loss is by hiring a loss assessor because the loss adjuster is employed by the insurer. Someone like an Oakleafe Claims professional will not be swayed by any insurer because they know the industry and also because they are not emotionally affected by the loss.

For instance, when it comes to insuring property most people have what’s called a policy of indemnity. Policies of indemnity refers to insuring buildings and their contents. This type of insurance is designed to restore the property to the condition it was before the loss or damage happened.

The insurer considers “the condition it was before the loss” in very broad terminology and what it means to them is the minimum required towards a similar condition. What it means to you as a claimant is very different – that is your home or business, your time and effort. You should receive everything you are entitled to and not just the bare minimum in case of loss.

Conclusion

Responding appropriately to a low offer and documenting your damage well to present a counter-offer is only half the battle. You also need your insurance company to agree that you deserve more. Most of the time it will be a compromise between their number and yours. The more evidence you have to support the amount you are asking for, the stronger the probability that your insurer will have to agree. Once they do always confirm in writing and keep records of all communication.

In summary, Obtaining The Best Insurance Claim Settlement from your Insurance Company can be a bit tricky but the steps outlined above can be of great help. If you keep in mind that what your insurer wants to pay is the minimum, if you properly document your loss and if you have a qualified Loss Assessor fighting for you, chances are much higher that you will receive the best settlement offer possible.

 

Insurance Claims, What should I do? FAQ

Insurance Claims, What should I do? FAQ

I just had a Fire or a Flood and I need to Claim, What should I do? The very first thing you need to do is to engage a Loss Assessor. It is your responsibility to mitigate any damage and prevent it from spreading. Insurance Loss Assessors have vast experience in Insurance Claims Management 

Insurance claims – 1 in 5 Claims Repudiated

Insurance claims – 1 in 5 Claims Repudiated

New statistics claim that one in five home insurance claims is repudiated (not paid) by Insurance companies. The Association of British Insurers published figures to promote transparency and understanding with consumers and the general public.

Insurance Fined For Playing Devil’s Advocate

When dealing with a claim, Insurance Companies would usually hire a Loss Adjuster who would actually seem independent but are actually paid for and only work for the Insurance Company. This means that when the Adjuster's time come to adjust your loss, they would be working with a small bias

A Short guide to flood recovery

A Short guide to flood recovery

Recent storms have made us more aware of the effects that heavy can have on our communities. Making good damage to your home after flooding is tough. It doesn’t have to be too difficult with the right assistance. Maybe you reside in a high-risk flood area. The following will help you in the event of a flooding incident

Characteristics of fires

Characteristics of fires

The Dangers of Smoke Residue The fire triangle- Fuel, Oxygen and Heat. In laboratory conditions these 3 elements balanced result in complete combustion. In the real world of Fire insurance claims , the unequal balance of the 3 elements result in smoke residue (soot) being produced to some degree.

Insurance Complaints On the Rise!

Insurance Complaints On the Rise!

According to a leading Insurance claims management company, about 2 in 10 of the claims they are assigned to end up with a complaint. These are valid claims that Insurers have accepted they will pay who have failed to meet with the policyholders expectations.

Why Business Needs Public liability Insurance

Why Business Needs Public liability Insurance

If you choose to own your own business, and you have the public coming onto your property or you are involved in a repair type service where you either destroy or fix clients property, then one thing that you will need is public liability insurance.

Cyber Liability Insurance Claim on the rise

Cyber Liability Insurance Claim on the rise

Cyber Crime A relatively recent number of claims are appearing and in ever increasing numbers relating to cybercrime. Information technology is prevalent in both our personal and working environments, and we rely on the use of computers and the web to store data every single day.

Top Reasons An Insurance Claim Is Rejected

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If you have had an insurance claim that has been rejected (also known as repudiation) by your Insurance company, it may often feel like all hope is lost. Here we try to address some of the problems which can cause an insurance claim to be rejected and what you can do to avoid this.

Rejected Building Insurance Claims

Having the correct insurance policy

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Most rejected insurance claims and policies we see are under insured. The value of reinstating your property is not what the market value is. Remember that about 30% of the rebuild is in the ground. Add to that legal, professional and local authority fees and you can see that the sum you have covered in the policy gradually eroding.

Make sure your home is not undervalued as this is the most an insurer will pay out. In some cases an insurer may even return your premium and cancel the policy as you have grossly misrepresented their risk. Remember it’s your responsibility not the insurance company to obtain accurate values for reinstatement.

Rejected because Lack of Maintenance

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Another reason insurers reject property insurance claims is if the loss or damage was the result of “gradual deterioration” or a lack of “maintenance”, you will not be covered. Things such as failed damp proof course and some rot are examples of this.

Poor design and faulty workmanship. In this instance you will not be covered. If you believe the cause to be as a result of negligence by a contractor then you may be wise to seek legal advice regarding a claim against the supplier or installer. Your building insurer is likely to reject (repudiate) any claim in this regard.

EXCESSIVE Holidays

Beware of taking long holidays. If you leave a property Unoccupied  for 30 consecutive days or more without advising your insurer, they could have grounds to repudiate a claim. This is especially true for fire claim damage and water damage.

Material value changes

Material change in the risk – insurers must be informed of any “material increase” in the value of the risk they are covering. For instance, with home prices and building costs escalating so quickly, the replacement value of homes has increased. Any alterations to your property will likely increase the value and there could be risk of damage during construction. If this happens, seek the advice of an insurance claims management company.

Rejected Contents Insurance Claim

Non-compliance with security requirements – make sure you are familiar with policy conditions and endorsements. Should you fail to comply with your policy conditions on minimum security, your claim could be rejected.

You must have what’s known as an “insurable interest” in the property, in other words a financial interest in insuring the asset. If you only part own it or not at all then you will find insurers will reduce proportionally or even refuse to pay at all.

Disclosing all details

Check that you have provided all details in the policy form as correct and accurately as possible to your best k knowledge. Insurance companies will try to reject claims on the basis inaccurate provided information.

How Oakleafe Claims Can help

Loss Assessors Oakleafe Claims offer a mid term survey to identify material changes and problem areas in a policy that needs the policyholders attention. Key to this are the warranties and conditions that are the spine of any cover.

Rejected Insurance Claims (Repudiation):

The term repudiation in Insurance claims management refers to the rejection by Insurers to pay a claim. They will relate this rejection to a specific reason such as non-adherence to a warranty or condition in your contract of insurance.

It is always advisable to seek the help of a claims management company in this instance. Sometimes it can be easily turned around with the production of information in the right manner which has been misinterpreted by the Loss adjuster.

What Is Business interruption?

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Business Interruption is largely missed by most policyholders if you don’t ask for it to be on your insurance policy. That’s usually due to business owners believing that other insurances such as buildings and contents policies will take care of everything if their operations are interrupted by events such as Burglary Damage, Impact Damage, fire insurance claims, building insurance claims.

So what is Business Interruption?

Business Interruption Insurance covers additional costs of working and financial losses that are as a result of an Insured incident. E.g. Fire or flood. The policy will reimburse for the additional cost over and above your normal day to day expenditure such as staff costs and loss of revenue E.g. loss of profit, or loss of revenue depending on the level of cover you have bought.

Why is Business interruption Important?

Business interruption looks forwards not backwards so quite often a BI claim runs for several years as the financial loss to a business continues long after it reopens. You may also have other costs such as marketing and advertising that are needed to get customers back on board. These are all taken into account with Business Interruption.

A good Loss Assessor will be able to help calculate this. Remember Loss assessors work for you and Loss adjusters represent the insurance company. Any claim where there is BI will usually need the assistance of an insurance claim management company or specialist.

Those policies will usually put the damage right, but they make no allowance for the resulting financial loss to your business. For all businesses, the lack of business interruption cover can often lead to a business termination! There are many causes of business interruption. No one ever expects these disasters to occur to their business so when they do they usually expect other policies to cover all of their losses.

When is Business Interruption Useful?

Let’s talk about an example where a pipe burst in a business. Yes, the stock and plant or machinery can be replaced, as can computers or other materials. However, a soaking wet building could need a few months to dry out.

We have seen some badly flooded buildings take more than six months to be usable again. Imagine if the equipment has a long order lead time – some bespoke machinery can sometimes take just as long to replace.

If you cannot trade in the interim, you will lose income, use all your reserves up and possibly run out of money. You may lose experienced staff as well as valuable customers. Customers are fickle they will go down the road if you are unable to meet their needs.

Loss Assessors experts in Business Interruption

Insurance claims management is an art. A Loss Assessor is an Independent entity hired and paid by the insured (policy holder) to negotiate, prepare & present an insurance claim with the insurance company and loss adjuster (insurance company).

The Loss Assessor receives a fee that is usually a percentage of the claim amount received by the insured but on average gets a policy holder far more than they would do themselves.

According to the Times, engaging a Loss Assessor gets you about 30 – 40% more than you could on your own merits. At the end of the day you are entitled to what the policy caters for, even though this is often not what insurers offer you.

Conclusion

An Insured Incident can have a big effect on the day to day operation of your company which can cause severe financial problems. A loss assessor can arrange interim payments from your Insurers which will enable your company to continue trading during such a difficult time.

 

Jeweller offered 50% worth of Stolen Jewels

Jeweller offered 50% worth of Stolen Jewels

An owner of a jewellery store has had £2,225 worth of goods stolen in February. After contacting the insurers (Legal and General) looking to claim. Their insurance only offered them £1,257 in cash to replace what they had. Or the absurd offer of vouchers in full amount to use in a different jewellery store.