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What is a Insurance Public Adjuster?
A formal request to an insurance company seeking a payment in accordance with the terms of the insurance policy is considered a claim. Insurance claims are reviewed by the company for their validity and then paid out to the insured or requesting party (on behalf of the insured) once approved.
An insurance claim is the actual application for benefits furnished by an insurance company. Policy holders have to first file a claim before any money can be disbursed to you, the Insured, other contracted service. The insurance company may or may not approve the claim, depending on its own assessment of the situations.
Those who take out insurance policies must maintain regular payments called insurance premiums to the insurance firms. Much of the time, these insurance premiums are used to settle somebody else's claim or to build up the available financial assets of the insurance company. Occasionally, however, something unforeseen will occur that causes real financial destruction, such as a hurricane, a flood, a tornado, a burst pipe or a fire. At this point, the insured policy holder has the right to file an insurance claim in order to receive money from the insurance company.
In general, the insurance claim is started by calling the insurance company’s toll free number or by submitting a form on line. Quite a few times, a recognized authority - like a public adjuster or an attorney - can file the necessary forms directly with the insurance company. The policy holder may not want to file if the damage is trivial as any acts that are not weather connected or an “Act of God” related might increase your insurance premiums or give cause for canceling your policy completely.
After a claim is filed, the insurance company may well send out an adjuster to assess the damages. This person's job is to objectively evaluate the damage and prepare a repair estimate for the insurance company. This is to prevent probable fraud by making certain that the damages are related to the peril and for general contractors who may inflate their charges for extra reimbursement. Insurance firms tend to accept the adjustor's analysis as the final word, but it is really important to remember that this adjuster works for the insurance company, not you. Items are often overlooked or underpriced, so it is essential that you have an insurance public adjuster that works for you to review this.
Many insurance claims will not be recognized by the insurance company for any number of reasons. If a claimant's insurance premiums weren't paid completely, the policy itself is probably not active. Also, some items might not be covered under your policy or have “endorsements” that have excluded it from your insurance policy. One other reason that a claim may be refused is a failure to fall under covered conditions. Nearly all insurance coverage spell out precise areas which qualify for benefits, and if the accident or damage claim was caused by carelessness or an inescapable "Act of God," the insurance company has the right to withhold payments. A claim is the only way to officially ask for benefits under an insurance policy, but until the insurance company has examined the situation, it will remain just a claim, not a pay-out. It is really important to have a trained person evaluate your policy if you are denied. Insurance corporations regularly reject claims that ought to have been approved.
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