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Reliant Blog

3 Signs Your Insurance Claim Needs Professional Help

2/4/2025

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You may need professional help with your insurance claim for many reasons. The three most common reasons are claim delay, underpayment of a claim, or no response from the insurance company.

Additionally, property damage claims can be difficult for a policyholder to navigate. There are different policy coverages, limitations, and sometimes exclusions within the policy you may be unaware of.

In some commercial insurance policies, there may be a separate deductible for each coverage limit.  There are also instances when the deductible is higher than the damage, and it may not be beneficial to file a claim.
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Claim Delays
The insurance company has sixty (60) days from the date they receive your claim to provide you with a coverage decision and either pay or deny the claim. 
 
There are circumstances when further investigation of a claim is requested by the insurance company. When the claim is filed but the source of the damage is unknown, they can request an additional inspection by their expert to determine the cause of the loss. This does not mean that you will be covered for the damage.
 
If you do not know whether you are covered or what has caused the damage, you should hire an experienced and licensed public adjuster to see if you have a covered claim.
 
Underpayment Of Insurance Claim
We receive many calls from policyholders, largely in part because they have not received enough money for their damage and cannot repair the property.
 
This can happen after a catastrophic event when insurance company resources are limited, and claim payments are being made without further investigation.
 
Also, there may be additional coverages, such as Personal Property or Additional Living Expenses that have not been addressed.
 
Lack of Communication
Per Florida Statute 627.70131, an insurance company is required to respond to your claim inquiry within seven (7) days. This includes emails, phone calls, and/or letters.
 
If you have not received any communication from your insurance company, you have the right to file a complaint with the Department of Financial Services at the below link:
 
https://apps.fldfs.com/ESERVICE/Default.aspx
 
If you are unsure if your damage is a covered claim, or what the cause of damage is, you should hire a licensed public adjuster. An experienced and knowledgeable public adjuster will have the resources and tools to determine if you have a covered claim.
 
If you have any questions about coverage or a new or underpaid claim, Reliant Insurance Adjusters have the knowledge and experience you need.  Call us at (561) 288-6434 or contact us here.

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    Karen Schiffmiller

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