Public insurance adjusters evaluate property loss on behalf of a policyholder and help them file insurance claims in exchange for a fee. They are licensed professionals who work for individuals and businesses – not insurance companies – and can add tremendous value by getting the most out of an insurance policy’s coverage.
- What Is An Insurance Adjuster?
- When You Should Hire A Public Adjuster
- How Much Does A Public Adjuster Cost?
- How To Choose An Insurance Adjuster
- When You Need An Attorney, Not A Public Adjuster
Public insurance adjusters are the only property loss professionals who work on behalf of policyholders. Individuals and businesses hire public insurance adjusters when they need assistance initially filing a claim or feel a claim amount offered by an insurance company is incorrect.
Claims for flood, fire, smoke, wind and hurricane damage, as well damage due to other perils, can be filed and negotiated by public adjusters. Property losses might also result in other types of losses, such as business income, which public adjusters can evaluate.
What A Public Adjuster Does For You
Public insurance adjusters are experts in the details and language of insurance policies, as well as filing and adjusting claims. They commonly have prior experience in contruction (and other related fields) and use sophisticated software to undergo an independent evaluation of a client's property loss. Public adjusters aren't just better equipped than the average policyholder to estimate the costs incurred from a property loss -- they know exactly how to log and submit initial and supplemental claims and do this for a policyholder.
The process of evaluating, completing and submitting a claim for a policyholder is remarkably exhaustive. In the table below are item descriptions, quantities and costs pulled from an example of a property insurance claim form. It's unlikey a policyholder would be able to complete a form accurately with a similar level of detail, especially since every property and claim are different.
|Item Description||Quantity||Unit Cost||Total Cost|
|Replace Plaster Ceiling||165.00 SF@||$14.50||$2,392.50|
|Replace Plaster Walls||111.00 SF@||$14.50||$1,609.50|
|Replace Partial Wall Insulation||206.00 SF@||$1.25||$257.00|
|Replace Drywall Walls||328.00 SF@||$3.00||$984.00|
|Replace Base & Trim||52.00 SF@||$7.50||$390.00|
|Replace Wood Floor||165.00 SF@||$10.50||$1,732.00|
|Replace Carpeting||22.00 SY@||$36.00||$792.00|
|Replace Window||2.00 EA@||$575.00||$1,150.00|
|Replace Framed Opening||1.00 EA@||$225.00||$225.00|
|Repalce Radiator||1.00 EA@||$825.00||$825.00|
|Replace Electirc High Hat Fixture||4.00 EA@||$190.00||$760.00|
|Replace Electric Outlet||9.00 EA@||$90.00||$810.00|
|Spray & Seal Walls||437 SF@||$0.75||$327.75|
|Prime Paint Ceiling & Walls||601.00 SF@||$0.55||$330.55|
|Paint Ceiling & Walls||601.00 SF@||$1.00||$601.00|
|Paint Trim||1.00 LS@||$249.00||$249.00|
They also help clients negotiate with contractors and for better setllements with their insurer. Contact between adjusters and contractors is usually direct and at the site of a loss. Communication with the policyholder's insurance company is typically done via mail. Having an adjuster throughout the process not only protects the policyholder from any pitfalls due to inexperience, it is a time consuming process then labored by the adjuster.
Insurance companies, businesses and individuals all use insurance adjusters to evaluate property loss and determine the dollar amount a claim should pay out. To better cater to the different parties, there are three distinct types of insurance adjusters: company adjusters, independent adjusters and public adjusters.
Company insurance adjusters are employed by carriers and sent to evaluate claims filed by their company’s policyholders. Independent adjusters also work for insurance companies, but act more as consultants. Independent insurance adjusters are usually hired on an as-needed basis because of a surge in demand or for specific expertise.
Anyone considering filing a property insurance claim should also think about hiring a public adjuster, especially if the claim is for a high amount. As a policyholder, you have little to lose: Many public adjustment firms offer to visit a property loss free of charge to help a policyholder determine the severity of damage and whether they should file an insurance claim.
Even if a policyholder is confident in the dollar value of their property loss, it is good practice to get a second opinion. Frequently, adjusters visit a home or business and find that their loss estimate is far below what it should be. Public adjusters are professionals and it’s unlikely they will leave out costs in their calculations that a policyholder might forget or not know about. For example, if part of a roof is destroyed by wind, a homeowners risks miscalculating the cost of a new roof and neglecting to include the cost of removing the damaged roof altogether.
Submitting an accurate, detailed claim is crucial to getting the right about of money from an insurance company to cover a property loss. Remember, an insurance company will never voluntarily pay more than an amount claimed. Policyholders need to be conscious they are claiming the correct amount and hiring a public adjuster can help ensure that.
Many public adjusters do not charge a fee to visit the site of a loss and determine whether they will work with a policyholder on a case. However, they do charge a fee for working with a policyholder to file a claim.
Typically, a public adjuster will charge a percentage of whatever a policyholder’s insurance carrier ultimately pays for a claim. For example, say a policyholder hires an adjuster with a 10% fee and their insurance company ultimately pays $100,000 for their claim. The policyholder would then owe the public adjuster $10,000.
The fee percentage varies between adjusters and is usually capped by local state law. For example, in the state of Florida, fees cannot exceed 20% of a reopened or supplemental claim limit. There also is a 10% fee limit for claims resulting from events named a state of emergency by Florida’s governor.
Public adjusters also cap the dollar amount their fees can reach per claim. Generally, public adjusters with less experience might cap their fees at $5,000 per claim. Experienced adjusters might cap their fees at much higher amounts, such as $10,000 or $15,000. For example, a public adjuster might collect a fee of $15,000 for a $350,000 claim, instead of their normal 20% fee which would amount to $70,000. They also might negotiate a lower percentage fee for large claims, such as property losses of $1 million or more.
There are a number of things a policyholder can do to make sure they are hiring a good public adjuster. The first thing they should check is whether the public adjuster can legally practice. Public insurance adjusters must be licensed in every individual state they practice in. Like other professionals, they also must be bonded and participate in continuing education courses to maintain their licensure. Do not work with any other individual, such as a contractor or an attorney, that offers to provide claim adjustment services if they are not licensed to do so. Practicing without a license is against the law and the license is an important benchmark of knowledge and qualification.
Will your adjuster be handling your claim personally? Some public adjustment firms might send one adjuster to do an estimate and another to follow up and thoroughly analyze a claim. As a policyholder, you might prefer to work personally with a single adjuster, but having a firm send more than one person might not be a bad thing. Another adjuster might take over a claim simply because they have more expertise in or experience with a certain type. For example, one adjuster might know their firm is interested in working on your fire claim, but another adjuster with the firm might have more experience with fire damages and handle your claim from that point on.
Ask your public adjusters for referrals. A referal from an aquaintence that already worked with an adjuster is best. However, if no one you know can make a recommendation, ask the public adjuster under consideration for the contact information of some of their previous clients. Make sure others have had a good experience working with them.
Does your public adjuster have the right level of experience? Depending on the severity and complication of a claim, a policyholder might want to seek out a more experienced public adjuster. Ask what types of claims they have worked on, and do they have experience with your insurer? Ask public adjusters how long they have practiced and what types of claims they have worked on. An adjuster should display this information on their website and, generally, more experienced adjusters charge a higher fee. Adjusters with less experience tend to charge less than 10% of a claim's payout, while more experienced adjusters typically charge 15% or more. Remember, the number of years an adjuster has practiced or the volume of claims they handle each year are not necessarily indicators of their experience level. For example, a very experienced adjuster might only take on a dozen claims per year, but only because they might be choosing to work on large, complicated claims for high dollar amounts.
What are the adjuster's terms of communication? A public adjuster generally handles a claim entirely for their clients, but some policyholders might still want some level of involvement. Discuss this with your public adjsuter before you hire them. You want to hire an adjuster with whom you are comfortable communicating with in regards to your claim.
Policyholders should also vet public insurance adjusters the same way they would any other professional they plan to hire. Beyond checking references, search for and read reviews of public adjusters online. The National Association of Pubic Insurance Adjusters (NAPIA) has a directory of its members, but membership does not preclude someone from being a licensed or qualified adjsuter for your claim.
Policyholders who file a claim and receive a proposed settlement from their insurer they see as unfit, frequently think they need to hire an attorney to dispute their claim. In that case, they usually do not – they need to hire a public adjuster.
In fact, policyholders commonly hire public insurance adjusters at that point in the claims process. A public adjuster can assist them in reopening a claim file and filing a supplemental claim for additional payments, if necessary.
However, if an adjuster negotiates back and forth with an insurance company and still believes the policyholder is owed a larger settlement, the policyholder might have to turn to litigation. Should a policyholder decide the cost of an attorney and filing a lawsuit against their insurance company is worth the desired settlement, then a lawsuit might be a viable next step. If a policyholder hires an attorney and seeks the desired settlement through litigation, there is a good chance their attorney will choose to use the policyholder’s public adjuster as an expert witness.
It is possible that any insurance company might refuse to negotiate with a public adjuster or refuse to pay a policyholder’s desired settlement. In that situation, hiring an attorney and litigation would be the only option. Fortunately for policyholders, this is generally uncommon.