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April 17, 2008
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Mark your calendar for upcoming Roadmap to Recovery meetings… Thursday, May 1, 2008: Local Building Requirements
and Rebuilding “Green”
Thursday, May 15, 2008: Rebuild Options – A variety of contractors present their approaches to rebuilding
Thursday, May 29, 2008: Fund Control, Special rebuild vendor offerings and concept of Owner/Builder
Thursday, June 12, 2008: Post-Disaster Legal Issues Revisited, including overview of current status of Ins. Code Sec. 2051.5(c)
Click: www.rbcpc.org Firestorm
Road to Recovery Series- PDFs - Powerpoints
RBCPC Firestorm Recovery PlanThe mission is simple: To befriend Survivors of Firestorm 2007 and help
restore lives and homes by ministering to physical, emotional, and spiritual needs
R2R Presentations Available On-Line
SoCal 2007 WildfireRoadmap to Recovery:April 17, 2008, Meeting #11
Claims Handling Refresher Rancho Bernardo Community Presbyterian Church
SoCal 2007 WildfireRoadmap to Recovery:April 17, 2008, Meeting #11
Claims Handling Refresher Rancho Bernardo Community Presbyterian Church
Karen Reimus
www.unitedpolicyholders.org
The Fine Print…
The information provided in this program is intended for general educational purposes only. It should not be construed as legal advice
The speakers at today’s program are volunteering their time as educators
Neither United Policyholders nor the Rancho Bernardo Community Presbyterian Church endorse or warrant the quality or services of any volunteer speakers
United Policyholders announces: “Ask An Expert” On-Line Forum A new information resource for ’07 Firestorm Survivors
On the Forum, you can pose a question to: A Lawyer A Claims Handling Professional A Previous Catastrophic Loss Survivor
“Ask An Expert” is restricted by invitation only. If you are a 2007 Firestorm Survivor and wish to receive an “invitation”, send an e-mail to: [email protected] Please put: “Ask An Expert Invite” in the subject line of your
e-mail.
Mark your calendar for upcoming Roadmap to Recovery meetings… Thursday, May 1, 2008: Local Building Requirements
and Rebuilding “Green”
Thursday, May 15, 2008: Rebuild Options – A variety of contractors present their approaches to rebuilding
Thursday, May 29, 2008: Fund Control, Special rebuild vendor offerings and concept of Owner/Builder
Thursday, June 12, 2008: Post-Disaster Legal Issues Revisited, including overview of current status of Ins. Code Sec. 2051.5(c)
Claims Handling RefresherRon Reitz
for
Roadmap to Recovery Meeting
April 17, 2008
Objectives
Provide useful tips for effective claims handling
Provide tools to address challenges of poor claims handling by the insurer
Learn how to identify and resolve issues of underinsurance
Dealing effectively with your mortgagee
Content
• Who We Are and Why We’re Qualified
• Role of Public Adjuster
• Most Common claims issues
• Claims handling tools
• Addressing Under insurance
• Dealing effectively with mortgagee
• Q&A
Who we are
• Locally-based public insurance adjusters, licensed nationally
• NAPIA, CAPIA, NAIC
• Experts in mortgage servicer rights under the policy
• Extensive work on Katrina, Rita and Wilma claims (worked with over 5,000 homeowners)
Role of public insurance adjuster
• Bring insurance expertise to clients
• Reduce pressure on clients to comply with all policy provisions
• Assess policy coverage, determine claim amounts, present claim and negotiate an equitable settlement
• Dispute denials and maximize recoveries
How to Select A Public Adjuster
• Check licensing status with the CA Department of Insurance
http://www.insurance.ca.gov/0200-industry/0070-check-license-status/• Is the Public Adjuster a member of the California Association of
Public Insurance Adjusters (CAPIA) or the National Association of Public Insurance Adjusters (www.napia.com)
• What credentials do they have such as professional designations other licenses, professional affiliations (BBB)
• Do they have Professional Liability insurance• Do they require payment in advance• Do they have verified references• How do they give back to the community
Most common challenges
• Low-balling
• Under insured
• Proving your claim
• Multiple adjusters
• Compliance with CA Fair Claims Practices
Regulations
• Determining amount of claim
Maintain a claims log Follow-up in writing Have Regs on hand Ask for a certified copy of policy Understand authority levels Know chain of command Inquire where reserves are set Request copy of the adjuster’s detailed scope Request copy of the insurer’s claim file Resolving an impasse
Effective Claims Management
Addressing Underinsurance
• Use detailed, independent scope of loss as the basis
• Ask carrier to reconsider policy limits
• Involve underwriter and Broker
• Talk to attorney with expertise in underinsurance issues
Dealing Effectively with Mortgagee
• Review of mortgagee claim process and role
• Why is the mortgagee involved
• When is mortgagee named on loss drafts
• What the mortgagee requires
• How to escalate issues with mortgagee (who to talk
to)
RFAREQUEST FOR ASSISTANCE
YOUR SILVER BULLET
One Cedar Fire Survivor’s Experience Using the RFA
Process
Jack Mueller UP Mentor and '03 Cedar Fire Survivor
RFA
• THE ISSUES• INSURANCE COMPANIES USE SECRECY & ONE ON ONE NEGOTIATING TACTICS
• THE INSURED DOES NOT HAVE THE SAME CLOUT/NO LEVEL BATTLEFIELD
ONE SOLUTION: RFA• USE INSURANCE COMMISSIONER’S OFFICE TO LEVEL THE BATTLEFIELD
• FILE AN RFA---NOW AND OFFEN
RFA
• HOW DO I FILE AN RFA?
GO TO
WWW.INSURANCE.CA.GOV/CONTACT-US/0200-FILE-COMPLAINT/
OR CALL
1-800-927-HELP(4357)
Mark your calendar for upcoming Roadmap to Recovery meetings… Thursday, May 1, 2008: Local Building Requirements
and Rebuilding “Green”
Thursday, May 15, 2008: Rebuild Options – A variety of contractors present their approaches to rebuilding
Thursday, May 29, 2008: Fund Control, Special rebuild vendor offerings and concept of Owner/Builder
Thursday, June 12, 2008: Post-Disaster Legal Issues Revisited, including overview of current status of Ins. Code Sec. 2051.5(c)
Invitation to Supper at RBCPC Fire Survivors, Supporters, UPC Mentors
RSVP Needed May 15th, 5:30 – 7 pm RSVP to 487-0811, extension 211
Break Out Sessions for Fire Survivors Open to 9:30 pm: Firm Stop time Upstairs:
State Farm : Dormer West Farmers : Skylight West Allstate : Upper Courtside East USAA: Small room off lobby Other Companies: Sanctuary
United Policyholders announces: “Ask An Expert” On-Line Forum A new information resource for ’07 Firestorm Survivors
On the Forum, you can pose a question to: A Lawyer A Claims Handling Professional A Previous Catastrophic Loss Survivor
“Ask An Expert” is restricted by invitation only. If you are a 2007 Firestorm Survivor and wish to receive an “invitation”, send an e-mail to: [email protected] Please put: “Ask An Expert Invite” in the subject line of your
e-mail.
Click: www.rbcpc.org Firestorm
Road to Recovery Series- PDFs - Powerpoints
RBCPC Firestorm Recovery PlanThe mission is simple: To befriend Survivors of Firestorm 2007 and help
restore lives and homes by ministering to physical, emotional, and spiritual needs
R2R Presentations Available On-Line