Claims

Appraisers

Are you at an impasse with your insurance company? Unable to agree on the amount of your loss? If so, you may have the option to engage in an Appraisal.  Most policies have an Appraisal clause that allows either party to demand for an Appraisal. It is especially important to know that if either party invokes the Appraisal clause, you will have to hire and pay for your Appraiser, while your insurance company will have to hire and pay for their Appraiser. Considering asking for an Appraisal? Contact us immediately for further information regarding our services.

About the Insurance Appraisal Clause

If your insurance policy denies your claim or attempts to underpay, you have recourse. In an insurance policy, every word counts, and in this case, your policy may be on your side. Most homeowners policies include a provision called the insurance appraisal clause. An insurance appraisal is a process in which you and your provider will make a good-faith attempt to resolve disputes without resorting to immediate litigation. In other words, the insurance appraisal clause is a lot like a court appeal. You are requesting a second evaluation after your insurance provider has made an initial determination. You can invoke the insurance appraisal clause if your claim has been unfairly denied or undervalued. Unfortunately, less than 4% of all appraisals will result on a win for the policyholder. Your chances of maximizing your claim increase exponentially if you hire a public adjuster before your provider makes their determination.

Why should you hire an insurance appraiser?

Filing an insurance claim is difficult for any homeowner, and the situation is exponentially worse when you feel your claim has been severely undervalued or unfairly denied. In this case, you should utilize your insurance appraisal clause and hire an insurance appraiser. You can only hire an insurance appraiser after the insurance company has made their initial determination. A public adjuster is not the same thing as an insurance appraiser! At Avner Gat, we are qualified and experienced as both insurance appraisers and public adjusters. A public adjuster will guide you through the initial claims process and negotiate with the insurance company on your behalf. This occurs prior to either party requesting an appraisal. Once the policyholder or provider requests an appraisal, we are qualified to step in and negotiate on your behalf. In either case, our team is dedicated to maximizing your claim and seeing that you receive the full benefits you are entitled to under your policy.

What is the insurance appraisal process?

The first thing to be aware of is that appraisal is generally mandatory if requested by either the policyholder or the insurance provider. The insurance appraisal process begins with this request. Next, each party is required to select and hire their own insurance appraiser. At Avner Gat Inc., we operate as both public adjusters and experienced appraisers. We have over 25 years of experience evaluating homeowners insurance claims, and we understand the tricks and doublespeak that insurance companies oftentimes employ. After each party has selected an appraiser, both appraisers will mutually agree upon an unbiased insurance umpire. This umpire will evaluate both independent reports and reconcile any differences. Ultimately, the process will end when the umpire delivers a determination.

What is an insurance umpire?

An insurance umpire is an individual employed to settle disputes between the policyholder and their insurance provider. An insurance umpire is required to be competent, unbiased and to operate independently from the insurance company. Furthermore, the insurance umpire will produce a written report or estimate for any property damages and will have the skill and experience to distinguish fair replacement cost values and actual cost values. So, what exactly does the umpire do? The insurance umpire comes into play once the appraisal clause has been invoked. In the insurance appraisal process, both the policyholder and the insurance provider will hire an appraiser to evaluate loss. The insurance umpire acts as a judge, evaluating both reports and making an independent determination. To settle a dispute through an insurance appraisal, the insurance umpire must register his or her opinion in favor of one of the evaluations. When the insurance umpire and one of the appraisers agree, your insurance provider is required to honor that determination.

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