Insurance Appraisal Process A Policyholder s Best Chance to Resolve an Insurance Claim Dispute
Insurance Appraisal Process A Policyholder s Best Chance to Resolve an Insurance Claim Dispute
Many homeowners and business owners find themselves disagreeing with their insurance company’s analysis of their insurance claim However, most are unaware that they can dispute the insurance company’s findings via the insurance appraisal process! Even though the policyholder (you) submits a contractor’s estimate, receipts for repairs or materials, or even photos showing damages that the insurance company did not include for repairs they still won’t budge . .Most policyholders are unaware of how to dispute and resolve their claim with the insurance company Policyholders have a choice and a voice within their policy for this very purpose It’s called The Appraisal Clause - also know as The Appraisal Provision Now, don’t let this scare you It may seem like a fancy clause that would take a law degree to understand However, a simple way to understand it is that it’s the insurance industry’s version of arbitration Although similar, the Appraisal Process is NOT an arbitration or mediation and the umpire is not an arbitrator, mediator, or judge Insurance Appraisal, Mediation, and Arbitration are separate things . .In short; Arbitration requires attorneys and a legal process, where Insurance Appraisal does not require attorneys or a legal process Arbitration is a dispute between two parties for any reason, where as, the Insurance Appraisal Process is a dispute between the “value or cost,” to repair or replace property only - bee it an automobile, plane, train, couch, house, commercial building, etc . .Most Policies Have the Appraisal Clause . .If you feel you’re at a dead end with your insurance company and want to resolve your claim you’ll need to check your policy for the Appraisal Clause Most policies will have the provision listed under the “What to do after a loss,” section or the “Conditions” section of the policy Below, you will find a sample of a typical Insurance Appraisal Clause included in most policies Keep in mind that policies can be different in each state Therefore, you should read your own policy to see if this clause exists It will say something similar to the following ; . . . “APPRAISAL - If you and we fail to agree on the amount of loss, either one can demand that the amount of the loss be set by appraisal If either makes a written demand for appraisal, each shall select a competent, independent appraiser Each shall notify the other of the appraiser’s identity within 20 days of receipt of the written demand The two appraisers shall then select a competent, impartial umpire If the two appraisers are unable to agree upon an umpire within 15 days, you or we can ask a judge of a court of record in the state where the residence premises is located to select an umpire The appraisers shall then set the amount of the loss If the appraisers fail to agree within a reasonable time, they shall submit their differences to the umpire Written agreement signed by any two of these three shall set the amount of the loss ” . . .OK, But How Does the Insurance Appraisal Process Work? . .The Appraisal Process allows the policyholder (you) to hire an independent appraiser to determine the value of their damages In turn, the insurance company will also hire their own independent appraiser The two appraisers will then get together and select an umpire The umpire is basically the arbitrator, or what you might call the judge If a disagreement between the two appraisers arises, they can present their differences to the umpire who will make a ruling . .OK; so far so good, the basics of the insurance appraisal process are beginning to come together We have an independent appraiser for the policyholder We have an independent appraiser for the insurance company Finally, there is an Umpire These three individuals are known as The Appraisal Panel The object of the Appraisal Panel is to set or determine The Amount of Loss The Amount of Loss is the total dollar amount needed to return the damaged property back to its original condition, either by repair or replacement . .Once the Appraisal Panel is set, the policyholder’s chosen appraiser and the insurance company’s chosen appraiser will review the documents, estimates, and differences between them The two independent appraisers will try to discuss and resolve the differences in damage and in cost For example; the insurance company may determine that brick on a home does not need to be replaced Where as, the contractor or appraiser for the policyholder says that it does have to be replaced The two appraisers will discuss their reasons for their position and try to come to an agreement, first if it should be repaired or replaced, and secondly the cost to return the brick back to it’s original condition prior to the loss . .One benefit of the Insurance Appraisal Process is that the two independent appraisers have not been subject to the bickering and anger between the policyholder and the insurance company Basically, it’s the hope that cooler heads will prevail All the appraisers really have is the amount of the damage and the difference between the two estimate numbers They do not have the previous baggage or anger that led up to the Appraisal The process was designed so that these two individuals, who have no interest in the outcome, could discuss a settlement based on the facts presented to them . .Sometimes issues arrive where the two independent appraisers can’t agree on certain items In this event, the two appraisers will submit their differences to the chosen umpire The three will discuss the issues and try to reach an agreed settlement of the differences As stated above; the settlement or final number is called The Amount of Loss The final amount is known as the Appraisal Award The Award is signed by the individuals who agree on The Amount of Loss However, only TWO of the three individuals need to agree (An agreement between the two independent appraisers, or the umpire and either appraiser) Once any TWO of the three individuals on the Appraisal Panel sign the award the dispute is over! The amount on the Award binding and is paid by the insurance company, to the policyholder . .Can I Use An Insurance Attorney To Dispute My Claim? . .The Appraisal Clause was initiated to lower the number of lawsuits filed against insurance companies The courts found that many lawsuits were entering the legal system where the cost to repair or replaced damaged property was being disputed In many cases the suites were being resolved when professional engineers and contractors could address the issues The Appraisal Process was created to get such individuals together and keep these disputes out of the courtroom Assuming you acquired an estimate of repair to your property for $100,000, from a contractor or insurance claims expert Your insurance company has created an estimate for $30,000 This would be a clear dispute between the amounts of damage This type of dispute is exactly what the Appraisal Clause was developed to resolve .
Source: www.rsstnx.com
Whole Life Insurance Advice?Is It Better?
If you have decided that whole life insurance is the route you want to take, you need to be well-aware of both its pros and its cons. Whole life insurance covers you for your entire life, as opposed to term life insurance which only covers you for a certain number of years. However, with that additional coverage comes additional costs. Isn?t that the way things always happen? With whole life insurance, not only are you paying for the cost of the insurance, but you are also paying for the cost of investment. Some have referred to the investment costs as ?forced savings,? and, admittedly, there are ways of saving for retirement that make more sense to some. As you get older, the cost of insurance coverage gets higher and the cost of investment gets lower. If you decide to cash in your whole life insurance policy, you may be paid in cash or in insurance that has been paid-up. Yet, with commission fees, market fluctuations, and hypothetical numbers that agents use for illustration purposes, it is not so easy to know how much you will cash in. Still, there are many wealthy people who opt to purchase whole life insurance policies, and for a good reason. Whole life insurance policies help them in estate planning. By setting up an insurance trust through whole life insurance, they can make sure the proceeds of their insurance policy are used to pay their estate taxes. This is helpful, as estate taxes would otherwise be left to be paid out-of-pocket. After understanding whole life insurance, it might not seem as safe and secure as its name sounds. Yes, you will be covered for life, but there are also additional costs for coverage that some people just do not need. If you have the extra money to invest in whole life insurance, by setting up an insurance trust, you won?t exactly be wasting money, either. <a href="http://www.ezquoteguide.com/">whole life insurance</a> - <a href="http://www.ezquoteguide.com/home/">home owners insurance</a> - <a href="http://www.ezquoteguide.com/health/">health insurance online</a>
Source: www.ArticlePros.com
