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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)

R2R Meeting 11 ppt

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April 17, 2008

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Page 1: R2R Meeting 11 ppt

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)

Page 2: R2R Meeting 11 ppt

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

Page 3: R2R Meeting 11 ppt

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

Page 4: R2R Meeting 11 ppt

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

Page 5: R2R Meeting 11 ppt

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.

Page 6: R2R Meeting 11 ppt

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)

Page 7: R2R Meeting 11 ppt

Claims Handling RefresherRon Reitz

for

Roadmap to Recovery Meeting

April 17, 2008

Page 8: R2R Meeting 11 ppt

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

Page 9: R2R Meeting 11 ppt

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

Page 10: R2R Meeting 11 ppt

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)

Page 11: R2R Meeting 11 ppt

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

Page 12: R2R Meeting 11 ppt

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

Page 13: R2R Meeting 11 ppt

Most common challenges

• Low-balling

• Under insured

• Proving your claim

• Multiple adjusters

• Compliance with CA Fair Claims Practices

Regulations

• Determining amount of claim

Page 14: R2R Meeting 11 ppt

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

Page 15: R2R Meeting 11 ppt

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

Page 16: R2R Meeting 11 ppt

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)

Page 17: R2R Meeting 11 ppt

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

Page 18: R2R Meeting 11 ppt

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

Page 19: R2R Meeting 11 ppt

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)

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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)

Page 23: R2R Meeting 11 ppt

Invitation to Supper at RBCPC Fire Survivors, Supporters, UPC Mentors

RSVP Needed May 15th, 5:30 – 7 pm RSVP to 487-0811, extension 211

Page 24: R2R Meeting 11 ppt

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

Page 25: R2R Meeting 11 ppt

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.

Page 26: R2R Meeting 11 ppt

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