Email acknowledgment within 24 hours of receipt
- Date of receipt
- Name of assigned adjuster
- Adjuster contact information
Insured contact within 24-48 hours of receipt
- Provide adjuster information
Reserve management
- Assignment form will have estimated reserve amount
- Field discovery of inadequate reserves are notified immediately
- First report must contain accurate reverse, which is due within 14 days
- Status reports and reserves updated every 30 days
- Reserves assigned by specific location
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- Commercial
- Building number
- Business personal property
- Business Income
- Commercial
-
- Residential
- Dwelling
- Other structures
- Personal Property
- Fair Rental Value
- Residential
Inspection within 72 hours of assignment
- On site inspection within 72 hours
- “Drive-by” acceptable in First Report (unavailable or uncooperative policyholder)
- Identify and determine cause of loss; Identify any concurrent causation issues
Scope of Damage-Building or Dwelling
- Complete walk-thru
- Accurate measurements
- Identify and document visible and possible hidden damage
- Identify quality of materials
- Age and useful life determination
Scope of Damage Personal Property
- Inspection of all damaged items on first adjuster visit
- Inventory to include:
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- Description
- Age
- Repair or Replace Opinion
Building Diagram
- Footprint
- Individual rooms
- Unique or non-standard features
- Measurements
- Identification of damaged area(s)
Photographs
- Exterior corners
- Sufficient photos to document extent of damage to structures and personal property
- Labeling
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- Claim #
- Insured’s name
- Date of Loss
- Description of photo elements
- Date taken
Subrogation opportunities:
- Inadequacy of roof fasteners on edge of roof membranes
- Improper or substandard nails or screws
- Improper or substandard decking attachments
- Recovery opinion including any expert inspection
Estimating:
- Estimates are written by the field adjuster
- Estimates are reviewed by DCG quality control section
- Consideration given to large repetitive loss that can affect contractor’s repairs
- Building material pricing to reflect localized pricing
- Sales tax included if a taxable entity
Estimate content:
- Individual room calculations
- Line by line RCV, depreciation and ACV calculations
- Overhead and Profit within established guidelines
- Florida pool and patio enclosures within established guidelines
- Never to include:
-
- Lump sum items
- Unnecessary use of adjustments for base service charges
- Date of Loss
- Identical and repetitive use of minimum charges on a room by room basis
Business Income Loss-defer to Carrier for approval to handle.
- Experts:
-
- Pre-approval requirement
- Utilization of pre-qualified experts
Valuation
- RCV & ACV required for both building and personal property
- Consideration of co-insurance criteria for ACV (varies by State)
- Physical Value (replacement cost less depreciation)
- Market Value
- Broad evidence (balanced calculation)
Reporting:
- First report 14 days:
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- Initial contact date
- Inspection date
- Subsequent reports every 30 days until closed
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- Dependent upon all damages having adjuster comment and documented