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A video explaining the obligations of the public insurance adjuster



See the entire video at https://youtu.be/AoJnf_MhiQI [1965652] Most policyholders do not have their own ability to investigate, evaluate and negotiate significant losses in property insurance. While some losses, such as a small fire loss that requires only minor repairs, can be easily handled, others, which involve more complex damage and various potential causes of loss, are much more difficult to assess. Resolving them may require expertise to understand the extent of coverage provided by applicable property insurance, scientific or other specialized background to determine the cause of a specific loss, the ability to determine the cost of repairing or replacing the damaged property and calculating the loss of the time element. (business interruption).

In such cases, the policyholder can hire a public insurance adjuster (PA). PAs are licensed by almost all states and their contract forms must be approved by the state. All PA services claim to be experts in adjusting property losses. most are. They only represent policyholders when they fulfill the obligation to prepare, submit and adjust insurance claims. PA should handle all details of the claim, in close cooperation with the policyholder and the insurer to obtain a quick and reasonable settlement. . But this fee is negotiable. The insured should try to lower it as much as possible. For a larger loss, more than one PA will arrive at the site to apply for a contract. A fee quoted by one can be reduced by seeking lower fees from the others. Prices can be negotiated from a minimum of 3% to a maximum of 40%, although the average fee is 10% to 15%. When considering a PA, the insured must take into account the fact that even if the insurer pays the full amount of the loss, the cost of the adjustment fee may not leave enough money to completely repair the damaged structure.

After being retained, the professional PA

  1. should immediately inspect the loss site;
  2. analyze injuries;
  3. collect the necessary support for the claim;
  4. review the coverage to determine the parts of the loss that are covered;
  5. 19659007] assess the value of the loss; and
  6. negotiate with the insurance company to achieve the end result.

© 2020 – Barry Zalma

Barry Zalma, Esq., CFE, now limits his practice to employment as an insurance consultant specializing in insurance coverage, handling insurance claims, fraud and insurance fraud almost equally for insurers and policyholders . He also acts as an arbitrator or mediator for insurance-related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims lawyer and more than 52 years in the insurance industry. He is available at http://www.zalma.com and zalma@zalma.com.

Mr. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award.

For the past 52 years, Barry Zalma has devoted his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to enable insurers and their claims staff to become insurers.

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