Claims Review Services
As a contractor that makes your living from residential or commercial insurance claims, are you tired of your insurance related jobs being turned down or having your income reduced by Insurance Adjusters? We have a proven system that will allow us to perform claims review / review your active files and reopen inactive insurance claims that have been denied by Insurance Adjusters – up to 5 years from date of loss!! We can possibly add 15% or more to your bottom line on every one of your insurance claims related jobs you do.
Why Do Contractors need Public Adjusters?
We are licensed by the Georgia Department of Insurance; we are the only claims adjuster that can legally represent the rights of an Insured during an insurance claim process, especially with the passing of House Bill 423 and its revision, House Bill 610 on 07-01-2014.
House Bill 423
House Bill 423 Georgia details new laws at it relates to contractors and their employees. An exert from the bill states its purpose is
“to provide that certain acts by residential roofing contractors as they relate to insurance claims shall be considered violations of unfair trade practice; to provide for definitions; to provide for certain contractual requirements; to provide for notice language; to amend Article 1 of Chapter 23 of Title 33, relating to agents, agencies, subagents, counselors, and adjusters, so as to prohibit certain acts by public adjusters or persons acting as public adjusters to use rebates or other compensation as inducement for an insured to enter into a contract; to amend Code Section 43-40-25, relating to violations by licensed community association managers, salespersons, associate brokers, brokers, schools, and instructors sanctions and unfair trade practices, so as to change provisions relating to unfair trade practices; to provide for related matters; to repeal conflicting laws; and for other purposes.”
Click here >> House Bill 423 Georgia to download a copy of the bill.
House Bill 610
House Bill 610 has been created to define who can and can’t work with insurance related damages. Here is an exert from House Bill 610:
Article 1 of Chapter 23 of Title 33 of the Official Code of Georgia Annotated, relating to agents, agencies, subagents, counselors, and ad jesters, is amended by revising paragraph (13) of subsection (a) of Code Section 33-23-1, relating to definitions, as follows:
“(13) ‘Public adjuster’ means any person who solicits, advertises for, or otherwise agrees to represent only a person who is insured under a policy covering fire, windstorm, water damage, and other physical damage to real and personal property other than vehicles licensed for the road, and any such representation shall be limited to the settlement of a claim or claims under the policy for damages to real and personal property, including related loss of income and living expense losses but excluding claims arising out of any motor vehicle accident, and who, for compensation on behalf of an insured:
(A) Acts or aids, solely in relation to first-party claims arising under insurance contracts that insure the real or personal property of the insured, in negotiating for, or effecting the settlement of, a claim for loss or damage covered by an insurance contract;
(B) Advertises for employment as a public adjuster of insurance claims or solicits business or represents himself or herself to the public as a public adjuster of first-party claims for losses or damages arising out of policies of insurance that insure real or personal property; or
(C) Directly or indirectly solicits business, investigates or adjusts losses, or advises an insured about first-party claims for losses or damages arising out of policies of insurance that insure real or personal property for another person engaged in the business of adjusting losses or damages covered by an insurance policy.
Click here >> House Bill 610 Georgia to download a copy of the bill.
We will work for you!
Because of our extensive contracting experience coupled with the fact we are state licensed public insurance adjusters, we have the ability to quickly perform claims review and examine your Xactimate files and assist with the claim. We have been negotiating and settling claims for over 30 yrs. and we have a deeper understanding of what the insurance companies must pay when it comes to your jobs (we fight for your clients, so you get paid more for your jobs)
Our services include
- Collecting and dealing with Mortgage companies: we get you paid faster
- Overhead and Profit (O&P): we get O&P on most of our claims, and fight for it on all.
- Analysis of the insurance policy: we identify the types and extent of coverage
- Actual cash valve vs. replacement cost coverage
- Replacement Analysis: we assess the full cost of replacing damaged assets and determine how much of it is covered by the client’s insurance policy.
- Reviewing Estimates: we analyze and estimate the loss and determine the MAXIMUM that may be covered by your client’s insurance policy.
- Data Compilation: we review and enhance all data necessary to support the claim.
- Onsite Inspection: we will inspect the property and make sure the Xactimate report MAXIMIZES the potential of the claim.
- Adjuster to Adjuster Meeting: we will meet the insurance company adjuster on site to present the loss and its merit.
Who can Benefits from our Services??????
Any contracting company that deals with Insurance property losses (residential and commercial) such as General Contractors, Roofers and Water Mitigation companies can especially benefit from our services. Some public adjusting companies only deal with catastrophic losses, but we have set our services up to include a production based Xactimate review process so that for a very small fee we can help your company MAXIMIZE your clients claim while adding to your bottom line at no extra cost to your company.