Insurance Claim Appraisal may help resolve disputes

Did you know that the Insurance Claim Appraisal process can help resolve your claim dispute?

It is all too common for insureds to have disputes with their insurance companies over anything from coverage on a claim to not being paid enough on a claim.  If you find yourself in this position you may have more than one option.  First, many states offer a claim Mediation Program sponsored by the State and in many situations you also have the option of an Insurance Claim Appraisal if it is a dispute of the value of a loss.  In this post we are going to talk about the appraisal process and how it can help resolve your insurance claim dispute.  (If you would like more information about the mediation program please follow this link to another post we wrote on the mediation program.)  The way the appraisal portion reads in most policies where it is available is something like this:

If you or we fail to agree on the amount of loss, either may: 2. Demand an appraisal of the loss.  In this event each party will choose a competent appraiser within 20 days after receiving a written request from the other.  The two appraisers will choose an umpire….The appraisers will each set the amount of the loss.  If the appraisers fail to agree to an amount they will submit the differences to the umpire.  A decision agreed to by any two will set the amount of the loss….

The process will work similarly to how it reads.  Here are the typical steps to the process:

  1. You choose a competent appraiser to represent your interest through the process.  Many Public Adjusters are also Appraisers and can assist you through the process.
  2. You or your appraiser will notify the insurance company of your intent to invoke the appraisal provision of your policy.
  3. The insurance company will appoint an appraiser to represent them in the process.
  4. The 2 appraisers will exchange lists of umpire they would like to have in the event they are unable to come to an agreement.
  5. If the 2 appraisers are unable to agree on an umpire, either party may petition the courts to appoint an umpire.
  6. Upon the umpire being selected the 2 appraisers will most likely meet at the loss location to inspect the property and each put together their own valuation of the loss.
  7. The 2 appraisers attempt to negotiate a fair settlement to the claim.  If they are not able to come to an agreement they will then engage the services of an impartial umpire.
  8. Any 2 of the 3 party appraisal panel will sign the appraisal award and submit it to the insurance company for payment.

The results of the appraisal are binding to all parties.  This process can be a great alternative to lengthy litigation however there are mixed opinions on the process.  In Florida we have seen many companies taking this provision out of their policy as the Florida Insurance Code does not require it to be in the policy.  If you don’t feel that the insurance company has paid you enough for your loss, you may want to check and see if this provision is in your policy as it may be a good option to settle your dispute.

We posted a story about a claim where it was eventually settled with the Insurance Claim Appraisal process. The story may give you a better understanding of how the process works.


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What our clients say…

  • 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 

    David L. AvatarDavid L.

    Claim Concepts did a great job getting us the money need to replace all that was ruined by the water damage caused by a leaking under the sink water treatment system. We were very happy with the results. - 10/02/2017 

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    Awesome experience, highly recommend. They are also very nice and strive to satisfy all their clients. After my insurance company decided to give me nothing almost, hire them and so easy they do all the work and nothing to lose. - 11/02/2019 

  • Rick P. AvatarRick P.

    Eric & Jesse were great to work with. They were very efficient and kept us updated though out the entire process. They were able to negotiate a satisfactory settlement. Thank you Claims Concepts (Eric/Jesse) for all your help!! I highly recommend Claim Concepts if you ever need a Public Adjuster. - 10/23/2018 

    Leslie P. AvatarLeslie P.

    Eric was dynamite! Always answered the phone and responded to my emails. Their service was basically free because they were able to negotiate more than I spent on repairs! THANK YOU CLAIM CONCEPTS! I will refer you to everyone! - 6/17/2020 

    Marilyn P. AvatarMarilyn P.

    We had a water leak in our house. We called insurance and they send an appraisal guy to determine the damaged. What a bad experience when he gave me instructions of what to do taking pictures forward to him etc. When the insurance final the case they send us a check for much less to cover all the damage.We found Greg Hoover, He response immediately and guides us in what to to do. He fought for us with the insurance company and we get exactly He told us in his appraisal. Highly recommended him. Very professional - 10/02/2017 

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