Property Insurance Claims: Negotiating Unfamiliar Terrain
ADJUSTERSINTERNATIONAL.COM 3 the loss to your agent/broker, you are likely to be asked, “How much is your loss?”
Be very careful how you answer this question! Your response can set the tone for the rest of your claim
adjustment. Avoid being forced to guess at a dollar amount you aren’t sure of. You are not required to give a
dollar estimate at this time. This is a very critical point! The insurance company will establish a reserve of
funds for your claim. If you estimate a lower value than your actual loss, it becomes more difficult to settle at
a sum higher than that reserve amount. Shortly after you notify your insurance company an adjuster representing
your carrier will visit you to gather facts about how the loss occurred, the magnitude of the loss and the
possibility of subrogation. Once again, be careful how you answer these questions, especially if you are not well
versed in property insurance and how your coverages are written. Be cooperative, but do not guess at the answers.
Keep inmind that the company adjuster’s interests do not always coincide with yours. There will be plenty of
opportunity to respond to inquiries with greater specificity later, after you have had an opportunity to check
your facts and evaluate your loss thoroughly. Once the preliminaries are over, you must assume the responsibility
of measuring your own claim, using experts and consultants who work for you. Obtain Expert Opinions A broken water
pipe released thousands of gallons of water into a facility that produces sterilization equipment for major
pharmaceutical companies. While much of the manufacturing equipment was spared, the entire operation was shut down
due to damaged software that controls valves for a highly volatile gas used in the sterilization process.
Insurance company experts inspected the equipment and suggested its continued use. Uncomfortable with their
findings and method of testing, the company retained its own experts, who discovered failures in 90 percent of the
software’s functions. When presented with these findings the insurance company authorized the replacement of all
software, along with associated hardware that was also damaged. This also resulted in an extended business
interruption claim because of the additional time required for restoration. Concentrate on Maintaining Operations
Fire struck an international mail order company specializing in sporting goods merchandise and memorabilia. The
resulting damage to the main warehouse and call center was extensive, suspending the entire operation during the
firm’s busiest time of the year. The fire caused heavy smoke damage to the company’s inventory, including items
sold but not delivered. The claims professionals hired to assist the company referred the insured to another firm
that could handle their sales calls. Facing the possibility of losing their customer base, the insured also
contacted all of their suppliers and arranged drop-shipping — to continue operations and keep clients satisfied
during the recovery process.
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