Loss Adjuster

I just had a Fire or a Flood and I need to Claim, What should I do?

I just had a Fire or a Flood and I need to Claim, What should I do?

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 fire and smoke and fire damage insurance claims

Characteristics of fire and smoke and fire damage insurance claims

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 Company Complaints on the Rise!

Insurance Company 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 a Business needs Bespoke Insurance

Why a Business needs Bespoke 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.

Smoke Damage After a Fire

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Unless you are in the industry, most will be unaware of the toxicity of smoke. It’s not just heat that causes damage. Temperatures in even the smallest of fires regularly exceeds 1000 degrees centigrade.  Smoke is insidious and remains a big problem long after a fire has been extinguished.

Fire and smoke damage is extremely destructive, and is one of the most unpleasant things you can experience

Fire and smoke damage is very complex, and this should be considered when it comes to fire and smoke repairs. As well as the smoke, you normally have to contend with water damage emanating from fire brigade hoses used to extinguish the flames. This can often cause more damage than a fire itself. The associated problems of fire and smoke damage may go beyond the surfaces, walls and ceilings to issues that are not detectable just by looking.

If the smoke or water has been absorbed into the building’s superstructure, these will require more than cleaning. Identifying this is critical and requires specialist knowledge and equipment.

Smoke will ruin furniture, textiles, upholstery and electrical items. Some items can be restored however more than likely anything damaged will usually have to be replaced. Smoke leaves an acidic film on surfaces. Very often a chemical reaction occurs when the smoke particles are airborne. Chlorides from plastics that have burnt mix with hydrogen in the air to become hydrogen chloride and we all know the corrosive potential of this compound. Any surfaces damaged by smoke that is left untreated will compromise the very integrity of your structure. Smoke damage causes discoloration and leaves an unpleasant odour.

Different types of materials burning release a multitude of toxins that become airborne. Spiders webs are a great way to see the particles as these stick to the webs and are jet black. The oily film you feel on all the surfaces is acidic and harmful. It may react your skin and can cause irritation.

A smoked property is unsafe. Let’s be clear, until it has been decontaminated the potential exists for serious harm. Most of the toxins present are known carcinogens. Smoke damage clean-ups must be undertaken by professionals and requires specialist knowledge and cleaning equipment.

Ventilate the property. Remove any radical particles that remain airborne/. Open your windows and doors.

This is the maximum you can do. The odour and contaminates will not get any better than this achieves.

Smoke damage cleaning products react with the smoke residue as they attack the soot, creating fumes that can be harmful to your respiratory system. The clean-up is arduous and a complicated process that involves a specific sequence of steps. It is impossible to remove 100% of the smoke particles and anything whereby the ability to clean is reduced, should be replaced.

Cyber Liability Insurance Claim

Cyber Liability Insurance Claim

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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Building Insurance Claims

Most 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.

Another reason insurers repudiate 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 s 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 any claim in this regard.

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 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.

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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 repudiated.

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.

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.

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. 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.

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.

Business Interruption Insurance covers financial losses that are a direct consequence of a fire or flood. Remember that it will assist with elements such as loss of profit, loss of rental and additional staff costs. 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.

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.

Jeweller only offered 50% worth of claim by Insurer for stolen jewellery

Jeweller only offered 50% worth of claim by Insurer for stolen jewellery

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.