This Fire claim process walks you through all of the steps involved in restoring your home to its pre-fire state. Utilizing my claim experience as an adjuster we have assembled the Claim How Guide providing an expansive overview of the process, this guide will help you navigate your property claim in chronological order with a bulleted format of basic to detail information as it relates to your claim. Following a fire loss; oftentimes people will show up at your door; if you did not specifically call them, ask if they were sent by your insurance company! The field adjuster or desk adjuster can provide clear direction on this. Be careful of what papers/contracts you are asked to sign.
I have witnessed more than a few times where a vendor will pretend to be helping you resulting in high costs to you the insured, we call this fraud. We provide a list of honest vendors who will truly help you as you work through the fire claim process.
If you have a claim dispute read more about the Mediation and Neutral Evaluation process.
NOTICE: Section 817.234 of Florida Statutes provides in part: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.
Report your fire claim to your insurance carrier; Be sure to provide the best phone number/’s and email address. Share the date of loss and exactly what happened to the best of your knowledge. This will help the carrier to determine potential service vendors needed to effectuate your fire claim.
Although the adjuster has 24 hours to make contact with you from the time they receive the assignment, a fire claim is high priority for many reasons. You will likely receive a call in less time. Please be available at the appointed time, share any current receipts, invoices, or paperwork you have received as the result of your fire claim.
Additional Information:
The following may be directed by the field adjuster or the carrier desk adjuster:
Most insurance carriers use qualified vendors allowing you to choose vendors from their list or you may use a qualified Insurance vendor of your choice. Click the Find Qualified Vendors button to find a Qualified Vendor in your area.
Even with a fire claim, a water mitigation vendor will likely be dispatched by the carrier or the insured can contact a local mitigation company. Depending on the level of damage immediate service may be required.
Fire investigators may likely be sent by the carrier and by the state to document cause and origin and are the standard operating procedures when working a fire claim. A restoration contractor may be dispatched by the carrier (known as a preferred vendor) or the insured can contact a local restoration company. Depending on the level of damage immediate service may be required. Although it is rare some carriers require you to use their contractor for all repairs, this would be stated in the policy.
One of the first steps in your fire claim process is to secure your properties damaged areas by boarding or tarping roof, doors, windows, and other openings to protect your property from further damage. This is sometimes provided by a 3rd party.
Important: The carrier must be allowed the “right to inspect” the damage for cause and origin.
The insured (per policy) is required to protect damaged and undamaged property from further damage.
DO NOT ATTEMPT TO CLEAN ANYTHING ON YOUR OWN
The following may be directed by the field adjuster or the carrier desk adjuster:
Most insurance carriers use qualified vendors; however, they allow the insured to choose vendors in addition to the preferred vendor’s list.
During the initial stages of your fire claim, an adjuster will be on-site to inspect and document the damage. This is conducted by Adjuster and Fire Investigator separately and independently, they will:
The adjuster will discuss with you and the contractor (if involved), the scope of work required for your fire claim. Each will submit an estimate to the carrier regarding the scope of work to replace and/or repair damage caused to your structure by this peril.
Water Mitigation, Restoration Contractor, etc.
This may be multiple vendors or an individual vendor providing a combination of services.
Florida Contractor License Search
Utilizing an insurance qualified vendor can make your task more seamless.
There are insurance Preferred/Qualified vendors familiar with communicating a written itemized estimate and providing timely service to bringing the insured back to whole.
Since each contractor is looking at the same scope of work, the pricing should also be the same between these vendors, it boils down to who you feel comfortable with completing the task.
Avoid signing agreements that give the contractor the right to act on your behalf.
Example: Sample Contract Wording: To start our emergency and restoration service, you must sign the “Service Authorization Form.” This allows mitigation/restoration company to act immediately. We do not know your insurance coverage; therefore, we can’t know exactly what your insurance will cover. It is important to understand you are financially responsible for our services. Your deductible is payable before we start work. If for any reason insurance coverage cannot be verified at the time of our emergency service, an additional deposit may be required.
WATER MITIGATION: It is important to dry out your property as soon as possible, this may take 3 to 5 days by an IICRC, WRT Certified Technician.
RESTORATION CONTRACTORS: are (Licensed Contractor) a specialist in their field; in addition to knowing the requirements to conduct the appropriate repair they also understand the insurance format requirements such as documenting, “Scope of Work” and “Line Items”.
Important: The initial estimate can only be written for damages seen (based on your policy contract); if there are additional damages discovered or components required during the repair or replacement process a supplement can be applied for by the vendor/contractor through the Desk Adjuster for additional coverage. Insurance vendors know how this process works.
Below is an excerpt from an Estimate:
Any upgrades and improvements will be at an additional cost to the insured and worked out between you and the contractor.
SUPPLEMENT: The restoration company knows how to document and file for a supplement if needed, saving you tremendous time in the process!
Important: If the estimate received from the contractor is higher than the settlement amount, you should notify your carrier before work begins. The carrier must have the opportunity to review and/or view the additional proposed damages.
See #11 below: CONTRACTOR – WORKING WITH THE RESTORATION CONTRACTOR and preferred vendors:
Download our Content Worksheet here
Fires cause a variety of damage, during your fire claim, avoid moving items from the place they were damaged unless absolutely necessary to protect from further damage. If applicable photograph and start making a list of items damaged by this event.
Note: When restoration begins with contents it is always good to be on site for any questions and directions regarding inventorying of contents.
Working with Mitigation and/or Restoration company – Inventory and clean damaged contents. Many items can be saved through the cleaning process. This allows your contents coverage to work for you by minimizing your cost of content replacement.
Ozone and deodorizing process are commonly used for removing odors.
Fire claim deductibles apply to every policy. Policy language follows individual State Statutes. Most states consider it a Felony if a vendor offers to pay your deductible.
The following information may not apply to this loss.
ALE is additional costs incurred by the policyholder if you are temporarily displaced and required to be out of your home residence. During a catastrophic event other housing options may be limited and not available in your immediate area.
Incurred expenses: is when the policyholder pays out-of-pocket for food and lodging known as upfront cost to the policyholder and then submits for reimbursement per policy guidelines. These are out-of-pocket costs considered for reimbursement.
Food Expense/Receipts:
Download your Additional Living Expenses worksheet.
Important: There is a limit to your ALE coverage, I have seen a few people spend their entire coverage before they were able to get back into their home. Yes, they had to stay with other family members.
Working your Fire Claim Process with qualified/preferred vendors.
Choosing a contractor who understands the insurance process can save you time and frustration, you will be required to sign a “Work Authorization” for them to begin work. Always remember to read before you sign!
Restoration vendors know how to submit accurate line-item pricing, so the insured receives the appropriate coverage for their damages.
A DRAW may be required by the contractor if the job exceeds $10,000.00 this helps cover initial expenses such as permitting, dry-out, storage cost, restoration, materials, and labor.
If you have a mortgage and/or an additional insured listed on your policy; your settlement check will be sent with all insureds and additional insureds name printed as Pay To.
Note: A separate check will be issued for each Coverage Category:
Coverage A – Dwelling
Coverage B – Other Structures
Coverage C – Contents
Coverage D – (ALE) Additional Living Expense
Example: ABC Contracting and John & Mary Smith. The contractor may have you (the insured) sign the check so he can deposit funds for his company to do the work. The insurance carrier can provide more detail and suggestions for this process.
Example: Bentworth Mortgage, Inc and ABC Contracting and John & Mary Smith.
Every financial institution has specific guidelines. You will want to contact your mortgage company for specific instructions on depositing the check and how the funds will be distributed.
Understanding the estimate and how Recoverable Depreciation is applied. (Recoverable Depreciation may not apply to some policies and/or specific coverages).
Note: Some items may be ACV only, based on the individual policy.
Special Note: If the rebuild cost is less than the original estimate. The final check will reflect the difference (as the insured is not permitted to profit from a loss).
If your policy states ACV “Actual Cash Value” – Depreciation will apply and is not recoverable. (You will receive no additional monies.)
Sometimes ACV only applies to specific line items within an estimate.
Request for settlement to carrier/adjuster for additional damage not previously discovered regarding the same loss, that was not addressed on the prior estimate.
The term is specific to the cause; if the insured has received a settlement for repair or replacement and not effectuated the completion for which you received coverage; the carrier can deny any future claims that may be related regarding the failure to repair.
Example: Named insured receives settlement to replace or repair the roof shingles and chooses for whatever reason to NOT replace roof shingles and additional damage occurs, the carrier has no responsibility to place coverage for additional damages that occur, as the insured did not provide due diligence in protecting the property with timely repair or replacement.
Example: Failure to Repair because insured chose $2,500.00 deductible and damages total $2,600.00.