Working With Your Insurance Company

 

In the aftermath of a disaster event, older adults may find that they have had damage to their person and/or property.

In large scale disaster events, the Federal Emergency Management Agency (FEMA) will usually set up areas within existing emergency shelters for citizens to apply for disaster aid. Local aging services providers may be available at the shelter to work with older adults on their applications and to help them understand the potential benefits. Even if a person decided to weather a storm in his or her own home, he or she may still go to a shelter to apply for disaster assistance, including help with filing insurance claims.

In other cases where the event was not as large scale, older adults will have to work with their insurance agencies on their own. To prepare ahead of time, make a copy of your policy and contact information to include in your disaster suitcase. The more quickly your claim is filed, the sooner your claim can be processed and paid. Just be sure that you have evaluated the full scope of the damage before making the claim.

 

 

Things to consider:

• If telephone service is still available, anticipate that the telephone lines will be busy. Reaching the insurance agency may be impossible for days or weeks. Consider driving to the main office if roads are open and if it is safe to do so. If open, leave a written request for the agent to contact you and include phone numbers and hours when you might be reached.
• Do not expect the insurance agent to call you after the disaster without a request that they do so. It will be your responsibility to initiate contact, describe the type of loss, produce policy numbers to verify coverage, and to request an insurance adjuster.
• If possible, limit the number of people involved with the insurance company to just one from your family.
• It is often more prudent to delay settlement of claims until a full and thorough assessment can be made of the damages, in addition to the survey done by the adjuster.
• If the disaster is wide-spread in the area, the insurance company that has insured the agency property will probably contract with individuals and other companies to assess damages and adjust claims.
• Each insurance company which underwrites coverage may utilize a different insurance adjuster. Be prepared for dealing with more than one adjuster (for instance -- an adjuster from the flood insurance company, an adjuster from the vehicle insurance company, and an adjuster from the company underwriting general liability insurance on the agency building).
• If there is significant building damage, consider contacting an independent architectural engineer to survey the building and to submit an estimate of the damages.
• You should meet with the insurance adjusters to survey the loss, at the site of the loss.
• If there is a conflict over the type and amount of damages attributed to the disaster, the amount of coverage available, or the amount of insurance reimbursement funds due, you have the right to demand the assignment of a new adjuster.
• You should receive a written statement of loss from the adjuster (many utilize a computer form). The loss statement should contain the full name of the adjuster, the company for which he/she works (unless he/she is an independent adjuster), and the description of the loss. If the loss is building damage, the statement should have a room-by-room survey of the damage, a drawing of each room damaged, a listing of building materials to be replaced or repaired, and the cost of such repairs.
• Insurance adjusters utilize a manual which estimates the cost of replacing or repairing interior and exterior damages. For instance -- the manual lists the average cost of removing carpet by square yardage and the amount it will cost to install new carpet by square yardage. The loss statement submitted to the agency by the adjuster should be carefully scrutinized:

• Did the adjuster use the correct total square footage of the building when computing the needed materials?
• Are all computations correct with no mathematical errors?
• Were adequate amounts included for debris removal or site preparation?
• Is the amount offered for specific building materials or labor realistic in the after-disaster market?

It is best to take each activity to be accomplished and analyze the steps needed to complete the job. Receiving adequate compensation for damage to a roof, for example, must take into account all preparations for re-roofing -- removal of the old roof from the building, hauling away all debris, yard clean-up, replacing damaged rafters, purchasing new materials, installing new underlayment, installing new roof covering.

Are the amounts offered for materials and labor adequate? Following a disaster with significant building damage, area prices for all building supplies will probably escalate and remain high. Labor costs will also increase. Consider checking costs of materials and labor from area merchants and businesses to confirm the amounts allotted to the repair, and request that any amounts considered low be increased by the adjuster.

After all claims are settled and a check is issued by the insurance company and received by you, it is still possible to submit supplemental claims. Generally, claims are accepted up to a year after damage occurs. Remember that each insurance company has a grievance procedure and is overseen by the State Insurance Commissioner. Should the amount of the claim be in dispute, the agency is not forced to accept the offer made by the adjuster or the insurance company local agent. The local insurance agent can and should explain all grievance procedures.

If you want to confirm that an insurance adjuster is licensed or have questions about the adjuster’s actions, you can call the Agent Services Division of the NC Department of Insurance at 919-733-7487.

 

*courtesy NC Department of Crime Control and Public Safety

 

There may also be assistance available from the Internal Revenue Service, and FEMA may offer low interest loans as well as unemployment assistance.

In North Carolina, the NC Department of Insurance works with the NC Department of Crime & Public Safety to provide you with information to plan ahead and prepare. Other governmental agencies offer assistance as well.

• After the Fire
• After the Storm
• Before & After a Storm Hits - Insurance Tips
• Disaster Mediation Service
• Disaster Recovery and Preparation Publications From NCDOI
• Flood Insurance FAQs
• Flood Insurance - What You Need to Know
• Home Insurance and Preparations
• Home Inventory Calculator
• Insurance Tips
• Seven Steps in Making an Insurance Claim
• What to Do in the Event of a Disaster

 

Help may be available from you local aging services provider. They may assign staff to assist older adults with understanding forms, completing forms, and understanding other related resources that may me available.

 

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