Do
you need your own claims adjuster?
Dana Dratch, Bankrate.com, September 23, 2003

Angry
that your insurance company isn't moving as fast with that claim
check as you'd like? Or maybe the adjuster's offer is less than
you need to cover your losses? Perhaps you need your own adjuster.
Public
adjusters assume all of the duties necessary to get your claim processed,
including making an inventory of the loss and presenting your case
to the insurance company. A good public adjuster has experience
in the industry and will understand your contract and the company's
responsibilities right down to the fine print. In exchange, a public
adjuster receives a percentage of your claim.
"For
the most part, people like using [a public] adjuster because they
like the idea that someone is working on their behalf vs. someone
working on behalf of the company," says P.J. Crowley, vice
president of the Insurance Information Institute.
But
the decision to hire your own adjuster is far from a slam dunk.
Finding a competent public claims adjuster is a lot like finding
a medical specialist during a health crisis: It takes some research
at a time when chances are you need to move fast.
Since
you will be paying the adjuster yourself, you don't want to hire
one unless it's really necessary.
"If
they're good, it really makes a lot of sense," says Chris Farrell,
host of the nationally syndicated television show "Right on
the Money!" and author of Right on the Money: Taking Control
of Your Personal Finances. "And if they're bad at it, you've
really created a nightmare for yourself."
There
are some horror stories. "Some public adjusters, to justify
their fee, will exaggerate their claim," says James Markham,
senior vice president and general counsel for the American Institute
for Chartered Property Casualty Underwriters and the Insurance Institute
of America.
And
some insurance company adjusters may bristle if you bring in your
own expert, he says.
"Some
company adjusters are instantly suspicious or even antagonistic
whenever they have to deal with a public adjuster," Markham
says.
Most
often, public claims adjusters are called in for large property
claims, says Rick Lambert, chair of the agent and broker section
committee for the Chartered Property Casualty Underwriter Society.
For
smaller claims (less than $25,000) or auto claims, which are typically
based on a fairly standard formula, it's probably a waste of money
to hire a public adjuster, he says.
If
you have a large property claim and are considering a public adjuster,
ask yourself two questions: First, is your company acting quickly
to replace your losses? Second, have those efforts been effective
and fair?
"Is
the company out there within 12 hours, or has it been a week since
the fire and no one's come?" says Lambert, also vice president
of Early, Cassidy & Schilling Inc., an independent insurance
agency in Rockville, Md. "Most good companies are going to
come out there pretty quick."
Most
well-known companies also are going to play fair when it comes to
claims, he says. But, Lambert admits, in today's economy when companies
are hurting, "Some are going to play hardball."
There
are also a few other instances when it could be practical to hire
a public adjuster:
You've sustained a partial loss. Half the house burned down. Now
you've got to document which of your possessions survived the
fire, which burned and which are damaged beyond repair.
You don't have the time to follow up on your claim. Whether you're
a two-income couple with kids or a busy professional who travels
frequently, filing a claim and following it through will take
time, especially if you don't have a record of your possessions
and their value.
You had loved ones injured or killed in the incident. If you're
spending your days at the hospital or mourning a family member,
you may not even want to think about the claims process.
The loss is business-related. Rather than assign an employee to
handle the claim, some companies will outsource the job.
Even
though you'll want to move fast, you still have to do your homework
before you hire a public adjuster.
"It's
delegating," says Farrell. "You're hiring their knowledge
and expertise. It looks good on paper, but it's easy to get ripped
off."
And
while it should go without saying that you don't hire the public
adjuster who knocks on what's left of your door after a fire or
tornado, plenty of desperate folks have done just that and really
regretted it.
Here's
how to find a reputable public claims adjuster:
1.
Poll the people you trust. Call your accountant, your lawyer and
your neighbor. Ask if they've ever used a public claims adjuster
or know anyone who has.
2.
Contact the National Association of Public Insurance Adjusters.
This trade organization, which represents 110 of the industry's
largest firms, maintains a searchable database of members who
have at least two years of experience and uphold a professional
code of conduct, according to David W. Barrack, the group's executive
director. In addition, the organization also offers a certification
program. A Certified Professional Public Adjuster must have five
years of experience and pass an exam, while a Senior Professional
Public Adjuster must have at least 10 years of experience and
pass a more rigorous test.
3.
Once you get a few names that look promising, interview them.
Ask about rates, references and credentials. Contact their references
and quiz former clients on the adjuster's performance. Was the
person effective? Available? Fast? Accurate? Did he or she deliver
what was promised? If the adjuster claims any kind of certification,
get the name of the accrediting body and call it.
4.
Call your state insurance office. Many states license or regulate
public claims adjusters. If yours does, make sure your prospect
is in good standing with no unresolved complaints. It won't hurt
to call the Better Business Bureau while you're at it.
5.
Ask your insurance agent. Sound like a conflict of interest? Not
really. You're hiring an adjuster to represent you to the insurance
company. So what is this person's reputation within the industry?
Generally
speaking, the fee is around 10 percent, and the percentage may vary
with the size of the claim, says Barrack. But beware, some public
claims adjusters are charging up to 50 percent, according to Farrell.
Even
though shopping for price is important, "emphasize competence
and integrity above fees," says Markham. "The ugly truth
is that exaggerated claims can cross the line to fraud. And the
fact that you have a public adjuster doing it doesn't absolve you."
Don't let the adjuster steer you toward particular contractors,
says William W. Baldwin, president of The Baldwin Company Inc.,
a Charlotte-based public insurance adjusting firm.
"There
should be no ties to a construction business," he says. "To
me, there's a conflict of interest."
Wonder
if your hired gun might damage your relationship with your insurance
company, especially at renewal time? A more important question might
be, "Why was it necessary to hire a public adjuster in the
first place?"
"There
has to be an element of trust and confidence here," Crowley
says. "If you don't trust your insurance company, chances are
at renewal time you should be shopping for someone you do trust."
Dana
Dratch is a freelance writer based in Atlanta.
Our clients are the insured policyholders - property owners and business owners telling the story of increased insurance settlements, full policy limits paid and successful recovery from hurricanes, fires, sinkholes, hidden decay, water and smoke damage and other property loss insurance claims and catastrophic (CAT) disasters. Examine our SUCCESS STORIES LIBRARY, PAGE
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