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Do I need a Public Adjuster?
According to the terms and conditions of the insurance policy a formal request can be made to an insurance carrier requesting financial benefits. This is known as filing a claim. Before any insurance claim can be paid out to the insured party the claim has to be analyzed and approved. Then the funds can be released.
Policy holders have to submit a claim via a formal application to receive their benefits. The insured person has to file a claim as the first step towards obtaining benefits. If there are third parties making a claim on behalf of the insured this will not be addressed until the claim has been filed and approved by the insurance carrier.
The insurance carrier that issues the policy will be paid monthly by the insured person, or someone on their behalf. This is known as a premium payment. The premiums paid are not held in account for the insured. They are actively used to settle other claims and to build up equity in the company. It is furthermore used when the insured has a financial disaster, such as a pipe bursting. An insurance claim can be filed for approval when any of this happens to the insured party.
The claims are usually begun by filling out an online application or using the toll free number and calling the insurance carrier. There are other authorities who may handle the filing of claims as well, including an attorney at law. Keep in mind, if the claim does not come under weather or "Act of God" then it can increase the premium amount.
As part of the review process, the insurance carrier may have the damage evaluated by an adjuster. This will provide them with an assessment of both damage and repair cost. The adjustor will make sure the damage was caused by what the claimant is saying and will check to make sure contractors are not inflating their prices. If you are filing a claim you need to understand the adjustor works for the insurance carrier. They are usually going to accept whatever he says. Sometimes things can be underpriced, or even disregarded, by the adjustor so you need someone reviewing the process also.
Insurance claims are not always recognized by the company and there can be several reasons behind this. If the payments have not been kept up they do not have to honor the claim. You might have "endorsements" on your policy that exclude certain things from being part of the claim. When filing you have to keep in mind there are covered conditions listed on the policy. Things not listed may not be covered. If the reason for the claim is recklessness then the claim may not be approved. Acts of God may also prevent the claim from getting approved. The policy will list precisely what is covered and what is not and the benefits for the various areas of coverage. The pay-out is the end result of a claim. And until the claim has been analyzed and approved benefits are withheld. If you are rejected a claim you may not be in the wrong. Have a skilled person review your claim and policy as often insurance firms do deny legitimate claims.
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