On Property Insurance Claim Tips Blog

Policyholder Question on Ceiling Collapse Insurance Claim

Q. We own a home that was built in 1964. Last Saturday our family room ceiling collapsed. There does not appear to be any moisture. The insurance company is telling us it’s normal wear and tear, the insulation was too heavy and thus the damage is not covered. There are no cracks in the ceiling, no sagging and our home is well maintained. Any thoughts on the cause? Our roof was replaced in May of 2010.Read More

Policyholder Question on Sewer Back-up Third Party Claim

Here’s a question I was asked to answer on the United Policyholders website: 
Q. My home was contaminated by sewer on May 7 and again on May 22 this year by a prime contractor hired by a state municipality MSD Metropolitan sewer District here in Asheville North Carolina. From what I understand, this is a third-party claim. The insurance company has done absolutely nothing to help me. I have been dealing with this for the last four months with pretty much no progress until this past week. They sent their first offer on Friday which is not close to reality. Is this considered a third-party claim? I have a copy of the pollution liability policy and it does not say anything about how it will replace my contents, actual cash value or replacement cost, nor does it say anything about provisions for Additional Living Expenses. Is there a possibility that is in a different policy? I just had an environmental company do some sampling for mold and other airborne fungi to be sure this has not spread in other parts of the house because it's been so long with no cleanup and decontamination. I’d like to know if any of your professionals have experience dealing with third-party claims and sewer damage and mold contamination.Read More

Tell Them You are Going to Hire a Public Adjuster

Ran into an old friend and his wife at a restaurant we both frequent the other night. Bob is a property manager and my firm has not only represented his family but also some of the properties he has managed over the years.  I had not seen him for a few weeks and he reminded me of his call to me some weeks back about a water leak in his home. It seems the shower pan had given out and when the leak finally showed up, the damage was pretty extensive. He called his insurance agent who told him the water damage would not be covered due to the language the insurance lobbyists had recently pushed through about water damage that is over 14 days old.

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Policyholder Question on Pipe Burst, Water Leak and Mold

Q. A pipe in my attic broke which caused flooding in a down stairs hall, bedroom and bathroom. When an assessment was done, mold was found. My policy has a cap of $5,000 on mold remediation. The contractor estimates for demolition and repair that are necessary to correct water damage have been categorized as mold remediation by my insurance company.

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