10 Proven Tips to Prevent Your Hurricane Insurance Claim from Being Denied

10 Proven Tips to Prevent Your Hurricane Insurance Claim from Being Denied

Stewart Severino
October 16, 2024
Claims Handling
Bad Faith Insurance

Whether you own or rent a single family home or own a portfolio of properties along the coast, making it through hurricane season unscathed is becoming increasingly unlikely. The U.S. Environmental Protection Agency (EPA) explains that coastal counties in the United States “face permanent inundation and flooding threats from sea level rise, intense rains, high tide flooding, and severe storms,” adding that “scientists project that as the climate warms, there will be more intense hurricanes as well as increased rainfall.”

According to the EPA, “More than $1 trillion worth of property is located within 700 feet of the coast,” putting them at risk of extreme weather events, hurricanes, sea level rise, and high tide flooding, which can damage or destroy property or make real estate uninhabitable.

The following tips will help you avoid common pitfalls that frequently result in hurricane claims being denied. 

1. BEFORE HURRICANE SEASON: request a certified copy of your insurance policy. 

The Atlantic hurricane season runs from June 1-November 30 (this includes storms that form in the Atlantic Ocean, Caribbean Sea, and Gulf of Mexico). Before hurricane season starts (or as soon as possible, if it has already begun) request a certified copy of your insurance policy from your insurance carrier. It is important to use the language “certified copy” as this ensures that the carrier is attesting that the provided copy is true, updated, and accurate.

Most people think they already have this, but they sometimes only have the Declarations section, which is only a summary. A complete property insurance policy is typically 30-60 pages long. Upon request, the carrier has to provide a certified copy of the policy. If they do not provide it, consumers should report the situation to their state insurance agency. 

It can be overwhelming to read through your policy in its entirety. However, it is the only way to identify what is included in your coverage versus what is excluded, along with policy limits and other crucial details. 

Remember, that Tiger Adjusters can provide a free evaluation to help you understand the technical language contained in your policy document.

A Public Adjuster can help you secure a certified copy of your insurance policy.

2. HAVE BASIC INFO READY TO GO

When filing a claim resulting from hurricane damage, you should have the following info compiled to provide to your insurance adjuster: 

  • Date of loss: When did it happen?
  • Description of the damage 
  • Availability to schedule an inspection

When you call your insurance carrier, they will identify your policy based on your name and property address. If you secure a Public Adjuster before filing a claim, your Public Adjuster will submit this information on your behalf.

3. FILE A CLAIM IMMEDIATELY

Especially in the case of a catastrophic weather event, there will be an influx of claims filed with your carrier. Filing as soon as possible ensures that you are towards the front of the queue when the carrier starts addressing claims.

4. TAKE STEPS TO MITIGATE

Call a mitigation company following roof, water, or flood damage. Depending on the type of damage and its extent, they may advise you to tarp the roof, board up the windows, or install industrial fans to dry out interior walls and flooring.

You are obligated under your property insurance policy to perform appropriate mitigation to prevent further damage from happening. Not taking this step can undermine your ability to collect a settlement down the road.

5. DOCUMENT DAMAGE THOROUGHLY

Use your phone camera or a digital camera to take photos and videos of the damage. Capture as much as possible to submit as evidence along with your claim. Documenting as close to the date of loss as possible strengthens your claim as it directly ties the damage to a specific event (rather than a later date that hypothetically could have also caused the same damage).

Tiger Adjusters are experts at collecting documentation and compiling a comprehensive argument supporting your claim, and that meets the requirements for coverage under your policy.

6. IDENTIFY THE SOURCE OF ANY WATER

Depending on what type of policies you have and your coverage, the difference between flooding and water damage could be the difference between having your claim paid or denied. 

Simply put, flooding is water that rises from the ground up from an outside source. Typical property insurance policies do not cover flood damage; separate flood coverage is required.

Water damage, on the other hand, can come from a variety of different sources including a storm-created opening due to wind, sudden accidental burst pipe, corroded pipe, failed hot water heater or appliance malfunction.

In some cases there may be “concurrent causation” — property damage that is the result of two or more causes. One cause of loss may be covered, while another is not. The causes of loss may occur simultaneously or in sequence (Enes, 2023). This can occur if there is wind damage or roof damage in addition to rising water. 

A Public Adjuster brings immense value to the table in helping to delineate damage and identify its appropriate cause to ensure coverage. Call Tiger Adjusters for assistance with complicated hurricane claims! 

A qualified licensed Public Adjuster assist policyholders with over coming claim delays and denials.
7. BE AWARE OF COMMON EXCLUSIONS

Common exclusions related to hurricane damage include roof surfaces endorsements, which tie a maximum payout amount to the age of the roof at the time regardless of the cost to repair or replace. For example, if the roof is between 10-12 years old, the max payout might be $5000. This is especially common in the Gulf states. 

Wind-driven rain results in leaks in the roof/ceilings, doorways and windowsills. However, unless there was a specific opening caused by, say, a tree branch crashing through the ceiling, any water damage could be excluded.

Foundation shifting from high wind, which is similar but different from settling, is covered under most policies but is difficult to differentiate from settling (not typically covered). 

8. UNDERSTAND THE CLAIMS PROCESS & COMPLIANCE TIMELINES

Compliance timelines vary from state to state, however in each state there are compliance milestones in the property insurance claims process that govern how long the insurance carrier has to acknowledge your claim once submitted, and how long the insurance carrier has to inspect and investigate your claim. 

Holding insurance adjusters to these compliance timelines ensures that your claim doesn’t stall out or fall through the cracks.

9. DEMAND TIMELY RESOLUTION

There are also compliance regulations that dictate how long your insurance carrier has to issue payment after an inspection, issue a reservation of rights to extend the timeline, or issue a denial or partial denial. 

Compliance timelines are hard and fast rules; they do not change and there are no exceptions or special circumstances. These guardrails help protect consumers from long, drawn out claims. 

10. CALL A PUBLIC ADJUSTER

As an insured policy holder, there is a disproportionate possibility that you will be either delayed, erroneously denied, or grossly underpaid for the value of your claim. A Public Adjuster will hold your carrier accountable to be sure you get the coverage you are owed under your policy.

Get in touch with Tiger Adjusters today for assistance with your hurricane claim. Contact us to discuss your situation and schedule a free inspection. 

SOURCES:

Enes, E. (2023, March 2). Concurrent Cause Issues in Insurance: How to Unravel the Language. Woodruff Sawyer. Retrieved December 26, 2024, from https://woodruffsawyer.com/insights/concurrent-cause-unravel-the-language 

National Oceanic & Atmospheric Administration (n.d.). Tropical Cyclone Climatology. National Hurricane Center & Central Pacific Hurricane Center. Retrieved December 26, 2024, from https://www.nhc.noaa.gov/climo/ 

United States Environmental Protection Agency (n.d.). Climate Change Impacts on Coasts. Retrieved December 26, 2024, from https://www.epa.gov/climateimpacts/climate-change-impacts-coasts 

Stewart Severino
Stewart Severino has 25 years experience in MarTech and Innovation where he has lead a number of startups and corporate initiatives developing audiences, acquisition, retention, and customer lifecycles. In addition, he holds a Masters of Arts in Christian Leadership from Dallas Theological Seminary
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FAQ

Can I hire a Public Adjuster after I've settled with my insurance?
Can I hire a Public Adjuster after I've settled with my insurance?
Yes, negotiations can be reopened, especially if you feel you've been shortchanged. Beware that state law effects the timeline for how long after a claim is closed that it can be reopened. Most claims have a five year period after closing in which they can be reopened.
Do Public Adjusters work for insurance companies?
Do Public Adjusters work for insurance companies?
No, Public Adjusters do not work for an insurance company. They legally work and advocate for you, the homeowner or commercial property owner (policyholder).
What qualifications should I look for in a good Public Adjuster?
What qualifications should I look for in a good Public Adjuster?
A state license, experience, references, good communication skills, and a fair fee structure. All of which Tiger Adjusters representatives offer.
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