How does a Public Adjuster determine the value of a claim?

How does a Public Adjuster determine the value of a claim?

Stewart Severino
October 16, 2024
Claims Handling
Public Adjusting

Public Adjusters are trained to understand the intricacies of insurance policies and can interpret clauses that seem like gibberish to most property owners. They are experts in determining the settlement you are entitled to based on the terms of your insurance policy. 

Public Adjusters do this by extensively assessing your property, gathering detailed evidence to support a fair resolution. With a comprehensive collection of photographs, videos and notes, a Public Adjuster will begin creating an estimate outlining the full extent of the damage and the true value of your claim. 

Key Factors Considered in Claim Valuation

Public Adjusters consider several factors to determine the value of your claim. These are each critical to support a fair payout for the losses sustained.

One of the first things a Public Adjuster evaluates is the extent of the damage. This involves a thorough inspection of the property to assess the severity and scope of the loss. They look for visible signs of damage and also hunt for potential hidden damages that might not be immediately apparent.

Once they understand the work needed to return your property to its previous condition, Public Adjusters use standard construction materials pricing to complete an estimate of the cost of making repairs or replacing, depending on your policy terms.  

Your insurance policy's coverage limits and exclusions will significantly influence the claim value. A Public Adjuster evaluates policy language to determine what is and is not covered, the amount of your deductible, and whether any mitigation that could affect the settlement was applicable or necessary. 

They will also determine whether your coverage provides Actual Cash Value (ACV) or Replacement Cost Value (RCV). RCV will cover the cost of replacing your property with similar quality new items up to the policy limits. ACV only pays up to the item’s pre-damage depreciated value (Keuren, 2024).

Infographic: How does a Public Adjuster Determine the Value of a Claim
Infographic: How does a Public Adjuster Determine the Value of a Claim
Additional Losses to Consider

In some circumstances, a Public Adjuster may assist you in filing other types of claims, along with your primary property damage claim. These could include the cost of additional living expenses if your home is not habitable or a flood claim if you have a separate flood insurance policy (South Carolina Department of Insurance, n.d.).

Damage to a commercial property could make you eligible for a business interruption claim which compensates you for loss of income due to the property damage (Wild & Newman, 2022)

Regardless of the specific circumstances, a Public Adjuster can only negotiate a settlement up to the limits of your insurance policy and according to your coverage. They cannot help you seek compensation beyond what your policy coverage provides, even if the value of the damage exceeds this amount. They also cannot negotiate with the insurer to change the policy terms. 


Recover Your Losses with Tiger Adjusters

Navigating the insurance claim process is a huge challenge. Relying on a Public Adjuster to determine the true value of your claim can make it less daunting.

Don’t leave the outcome of your claim to your insurance company’s adjuster. Choose the talented team at Tiger Adjusters to represent your interests and provide the knowledge and skills you need to get the compensation you deserve. 

References

Keuren M. (2024, March 6). RCV vs. ACV. Bankrate. Retrieved September 23, 2024, from https://www.bankrate.com/insurance/homeowners-insurance/rcv-vs-acv/ 

South Carolina Department of Insurance (n.d.). Understanding the Claim Payout Process. Retrieved September 23, 2024, from https://www.doi.sc.gov/953/Understanding-the-Claim-Payout-Process 

Wild, E. & Newman, A. (2022, October 22). Calculating Business Income Losses for a Business Interruption Claim. ReedSmith. Retrieved September 23, 2024, from https://www.policyholderperspective.com/2022/10/articles/insurance-coverage/calculating-business-income-losses-for-a-business-interruption-claim/ 

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.
What are the benefits of hiring a Public Adjuster?
What are the benefits of hiring a Public Adjuster?
Imagine having a savvy friend in the insurance world, someone on your side to help maximize your claim to cover all damages rather than be shorted by your insurance company. That's a Public Adjuster. They're licensed professionals who advocate for the policyholder in appraising and negotiating a claimant's insurance claim.
When should I hire a Public Adjuster?
When should I hire a Public Adjuster?
Minor damage does not normally require a Public Adjuster. But for significant insurance claims, such as roof damage, flooding, or fire, or when you feel the insurance company isn't playing fair, it's wise to bring on a Public Adjuster. You can hire a Public Adjuster before a claim is filed, during an open claim and after a claim is settled (state law varies on the timeline to reopen a settled claim).
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