Florida Insurance Claim Mediation Program

What is State of Florida Insurance Claim Mediation Program and how to get the outcome you are seeking.

Florida Insurance Mediation Program assistance from licensed Florida Public Adjusters

Have a Professional on your side is crucial when disputing an insurance claim.

The Florida Department of Financial Services began the Florida Insurance Mediation Program as a way to assist in resolving claim disputes between the Insurance Companies and you, the policyholder.  Here is how it works, first you request assistance through the Florida Insurance Mediation Program by contacting the Florida DFS, you can either submit your request through their website or call the number listed.  After the request is made there is a 21 day period for the insurance company to review your file and possibly attempt to settle the matter prior to the mediation conference.  After the 21 day waiting period you will hear from a mediator to set up the date and time of the conference.  Often times policyholders will choose to bring a representative, possibly a Florida Public Adjuster or an Attorney, in this event you should advise the mediator of who will be attending with you.

When you arrive at the mediation conference you will meet with a representative of the insurance company and a neutral mediator.  The Mediator in these conferences has no binding authority to force either side to settle the claim, they are simply there to facilitate the process and potentially help the parties understand each others points of view to assist in reaching an amicable resolution for the dispute.  After a brief introduction the mediator will most likely ask for you to state your case explaining why you are in mediation and then allow the insurance companies representative to state their case.  At this point many times the mediator will move the parties into different rooms and speak to each party individually in hopes that an agreement can be made.  Keep in mind that the mediation process is NOT binding unless both parties agree to a settlement.

We receive many last minute phone calls from insureds that are scheduled for the Florida Insurance Mediation Program and are in a slight state of panic as the mediation date gets closer and they realize that they are entering uncharted waters.  It can be an intimidating process to go through alone.  The insurance companies representative has most likely been to hundreds of these hearings while you as the insured most likely have not been to even one.  For that reason I would like to offer a few tips to any insured going through the Florida Insurance Mediation Program without representation.

MEDIATION TIPS FROM THE PUBLIC ADJUSTERS AT CLAIM CONCEPTS:  

  1. BE PREPARED!  If your claim is denied, read and reread the reason for denial.  Reference your policy to see the context of
    Florida Insurance Claim Mediation Program Assistance from Florida Public Adjuster

    Our Public Adjusters are experienced in representing policyholders with all different types of claims throughout the Florida Insurance Mediation Program.

    what they sited.  Sometimes the policies can be confusing, they may exclude an item and them include it through endorsements.  If your claim was underpaid, have a solid argument stating exactly what was underpaid and why you feel it was underpaid.

  2. KNOW WHAT YOU WANT!  Many times I have heard mediation horror stories from clients that went to mediation alone.  The first question I ask is what were you asking for?  You need to know what you want to get out of the mediation if you want it to be successful and you need to have the documentation to back it up.  Don’t go in blind, have estimates, receipts, invoices, etc…with you.
  3. DO NOT GET EMOTIONAL!  I have heard stories of insureds getting very heated and   sometimes even storming out of the room.  Remember the old phrase, “You attract more bees with honey..”  It is so very true in mediation.  Yelling, cussing and insulting the insurance company’s representative is not going to get you what you want.
  4. KNOW YOUR OPTIONS!  The Florida Insurance Mediation Program is not the only avenue to resolve your claim.  Depending on the situation you may have an Appraisal provision that you can invoke or of course there is always litigation.  Knowing your options and their pluses and minuses will help you make the best decision for you.
  5. IF NOT COMFORTABLE BRING REPRESENTATION!  The insurance companies do have an advantage in this process being that they are sending in a seasoned representative and most of the time the insured shows up representing themselves.  This is why the insurance companies encourage the process.  Whether you bring a Reputable Public Adjuster, Attorney, Engineer, etc…I do feel you will have a greater chance in resolving your dispute.

If you are thinking about going through the process or are already scheduled for the Florida Insurance Mediation Program and have any questions, give us a call, we are happy to help out.  You can also read the State’s brochure on the mediation program here.

 

 

 

 

 

 

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What our clients say…

  • Poh W. AvatarPoh W.

    My house caught on fire in late March 2019. Initially I tried to deal with insurance adjuster myself but it quickly became too much work for me to handle.Fortunately, my boss was in a similar situation and highly recommended me to talk to Claim Concepts. I contacted Greg Roover (the owner), we had a great conversation and contracted CC to be my public adjuster. I met with Eric Thomas (one of Greg’s associates, super friendly and professional) the next day to previewed my burnt house and went over logistic.4 months later not only did I got my insurance claim approved, Eric managed to get the full insured amount as well. Great Job Claim Concepts! I would highly recommend Claim Concepts especially if you find yourself in a fire or hurricane claim situation. - 11/02/2019 

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    In a rather difficult time, Greg was reassuring, very professional and genuinely interested in our project. We had frequent updates and he saw the situation through to completion. I highly recommend Claim Concepts. - 10/02/2017 

    Bryan B. AvatarBryan B.

    Greg was very helpful with my insurance claim. He was always just a phone call away. I hope I never have another mishap in my home, but if I do I will not hesitate to contact Greg Roover at Claim Concepts. - 10/02/2017 

  • Joel Z. AvatarJoel Z.

    The most professional organization that you will ever deal with.They really know the inner workings of insurance companies and how to get you what you deserve.It was an absolute pleasure working with Eric and the entire staff.They let you know step by step where you are in the negotiations and conduct themselves as true gentleman.I cannot praise their work ethics and follow through anymore than by giving them my heartfelt “thanks”, for a job well done.Ellen & Joel Zeiger - 10/02/2018 

    Larry G. AvatarLarry G.

    Great company, Greg did a fantastic job! I highly recomend Claim Concepts. - 1/17/2018 

    Patrick S. AvatarPatrick S.

    These guys are professionals and they get the job done the right way. - 1/23/2019 

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