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

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Online life insurance quotes make life insurance shopping easy. The drudgery of purchasing life insurance is being eliminated by the using the web. The search engines will take you right where you need to be with a variety of options. It?s an insurance buyers dream. There are hundreds if insurance carriers online and there are a wide variety of products. That is the landscape that exists and so it behooves you to take advantage. The best approach to online shopping is to prepare yourself before you start your search. There are two very important questions that need to be answered before you start the process. Why am I buying Life Insurance? ? Believe it or not there are a lot of folks shopping for life insurance without a well defined reason. When you purchase life insurance without a credible purpose in mind then you are throwing money away. People usually drop their life insurance because they do not understand why they purchased it in the first place. Guard against this type of purchase or you may end up repeating this many times. A short needs analysis will give you a basic understanding on the purpose and the amount needed to protect your family and or business. Should I purchase Term or Permanent Insurance? ? This may not be an either or type question. You may want to purchase both. The rule of thumb is that term insurance is purchased for temporary needs and permanent insurance is purchased for lifetime permanent needs. The difference in rates between term and permanent can be significant and so it is better for you to pre-determine a fixed amount that you can afford in your budget. That will help you determine what type of policy to purchase. A nice balance of permanent and term life insurance is preferable but your budget may only allow for term insurance. That?s alright. You can convert the term life to permanent life in the future. <a href="http://www.ezquoteguide.com/">Recommended Whole Life Insurance Company</a> <a href="http://www.ezquoteguide.com/home/">Home Insurance</a> <a href="http://www.ezquoteguide.com/car/">Car Insurance</a>
Source: www.ArticlePros.com

This entry was posted on Sunday, August 2nd, 2009 at 6:51 pm and is filed under Insure One. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.

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