Claims Adjustment FAQs
Will My Insurance Company Pay For All The Damage From The Fire Or Other Disaster Insurance Related Claim?
This depends on the terms of the insurance policy. It also depends on your expertise or the expertise of your representative, not that of the insurance
companys adjuster. Many insurance policies pay more than the amount shown on the declaration page. The qualified experts at Publik insurance claim
services will determine everything to which you are entitled.
How Is The Actual Loss And Money Due To Me Determined?
Among other things we begin by:
1. Taking a physical inventory of all personal property destroyed
2. Preparing an on the site field scope of the damage to the building
These are both then entered into a computer program which renders a detailed estimate based on current market prices. For example, on the building claim,
the prices for labor and materials are calculated on those based in the central Michigan area not the national average, which is less. Thereafter, we
review your policy of insurance to make sure all provisions in your policy are properly fulfilled. This involves numerous steps of which you may know
little or nothing, but can make a significant difference in the final settlement and payment to you. These estimates or scopes of damage as they are called
in the industry are then fully reviewed with you and upon your approval forwarded to the insurance company as a demand for payment and settlement of your
What Special Help Can The State Licensed Insurance Adjuster At Publik Give Me With Technical Questions?
We are the experts to turn to when such matters arise. We are concerned only with your interests. Because of our broad experience and specialized
knowledge, we prepare your claims seeking to obtain monies to the fullest extent. It is up to you to prove your loss. There may be many questions and
problems as to how the policy provisions can be applied in different circumstances. That is where we come in.
Are The Public Insurance Claims Adjusters At Publik Trained Professionals?
Yes. We are Licensed, Bonded and Tested by the Michigan Department of Insurance & Financial Services (DIFS). Our profession is also guided and
enforced under the statures of the State of Michigan. When you employ us you may do so with confidence that your claims will be negotiated, prepared and
settled by fully qualified professionals.
Will A Public Insurance Adjuster At Publik Help Me Receive A More Prompt And Satisfactory Settlement?
Yes. They waste no time in complying with the policy requirements to obtain and evaluate the facts and prepare the claim. The alert, knowledgeable and
prompt service they render often preserves evidence that may otherwise be overlooked or destroyed. The more thoroughly and completely your claim is
compiled and prepared, the faster your pro public insurance adjuster can accomplish an equitable and proper settlement in your best interest.
Once a policy holder has witnessed the skill and knowledge of the accredited public insurance adjuster, he or she rarely will attempt to settle a claim
without the benefit of their specialized assistance. The pro public insurance adjusters most frequent source of new clients comes from the recommendations
of those they have previously served.
You must always remember that the policy holder is in control of the claim. It is your responsibility to prepare, support, and negotiate the claim. But
ultimately both you and your insurance company must agree. This is where we, as professionals, can make a difference for you.
How Much Do We Charge?
We charge a small percentage of the insurance companys settlement with you. Our Fee will never exceed 10%.
Do Public Insurance Adjusters Take Care Of Claims Other Than Fire?
Yes. They will assist you in any claims you may have due to wind, water, fallen tree, explosion, and any other insured losses that are sustained.
Do They Sell Insurance Or Act As Insurance Agents?
No. If they were to do so, they would become a representative of the insurance company and they would no longer represent you exclusively and
If I Have A Problem Or A Complaint Concerning A Claims Adjuster Or An Insurance Company, What Should I Do?
State Insurance Departments license insurance companies, brokers, agents and public adjusters to operate in their state. If you feel that one of these
licensees has failed to act in accordance with your contract or state insurance law and regulation, we urge you to contact your state insurance department
in writing, setting forth the nature of your complaint.
Can I Prepare The Insurance Claims?
Certainly. But it may not be in your best interest to do so. Home and business owners are usually not completely familiar with the terms and conditions
of their insurance policies or with their rights and obligations in the event of a loss. If youve never handled a claim, there is a substantial risk of
having to learn from your own mistakes.
Doesnt The Insurance Company Have To Prepare My Claim?
Sometimes loss victims turn to the insurance companys adjusters for guidance, but remember, they work for the insurance company not you. Once the
preliminaries are over, you are ultimately responsible for measuring your claim. A policy review should take place and a claim preparation strategy
formulated. You should know your duties and responsibilities. But the real answer to this question is whether or not you are comfortable negotiating with
the insurance company adjuster and do you have the expertise to evaluate the validity of their advice? Do you have the time? Might your time be better used
elsewhere? Are you willing to accept the insurance companys work and belief of the claims work as accurate and fair? Remember, the claims adjuster who
represents your insurance company is employed by the insurance company and, as in many industries, must constantly prove their worth to the employer. It is
common for professionals to disagree on the extent and monies due under a claim. Working for you, Publik LLC. seeks to MAXIMIZE the claim for your benefit.
Does Publik LLC. Adjust Claims For Business Owners Also?
As professional loss consultants, we can shoulder partial or full responsibility for preparing a claim at a time of great stress and turmoil for you and
your family. We ease the burden of recovering from a disaster by handling any phase of the preparation and presentation of the claim, allowing the
companyís management to devote full attention to the ongoing operation of its business.
Why Am I Having A Hard Time Understanding The Clauses And Language Of The Insurance Policy? Are They All Complicated?
You are not alone! The reality is that most property owners are not completely familiar with the terms and conditions of their insurance policies or
with their rights and obligations in the event of a loss. A comprehensive understanding of the language and endorsements in a policy, and how to respond
following a loss, can only be gained through knowledge and experience on a daily basis. The Michigan Claims Adjusters at Publik LLC. are tested on such and
have that experience.
Will My Recovery Make Up The Cost Of Your Fees?
Yes. How much is it worth to have expert advice at the beginning of a claim? What is it worth to avoid unnecessary mistakes that could cost both time
and money? The fee for pro adjuster consultants usually represents a small percentage of the claim settlement and is generally offset by a better
settlement than you would be able to obtain without assistance.
Doesnt The Insurance Policy Guarantee That I Will Receive A Fair Settlement In A Timely Fashion?
After you have suffered a loss, the insurance company will eventually send out a claims adjuster to protect its interests not yours. Whether or not you
receive a fair and timely settlement will be determined on how you proceed. The insurance policy sets forth the requirements of each sideís obligation.
Insurance companies are obligated to pay. However, it is ultimately the responsibility of the insured (property owner) to present documentation supporting
the claim and therefore receive a fair and timely settlement. It is not the responsibility of the insurance company to prepare or prove the claim. The
policy holder must document, prepare, support and present the claim to the insurance company. This is where having Publik LLC. as your expert Public
Insurance Adjusters plays a vital role.
What Should I Do If I Have A Disaster?
The following is a list of several guidelines. Remember that each situation is unique. Please consider calling upon us for free, no-obligation
consultation. The information you receive is invaluable whether you decide to retain us or go at it on your own:
Mitigate your loss and protect your property from further damage
Move quickly to protect property such as books, manuscripts, etc.
Control access to the premises
Establish a claim management team, with one spokesperson
Have an initial policy analysis & claim strategy prepared and make sure all team members understand it
Know the players, including who the adjusting representatives are
Understand your duties and requirements
Document your activities in a log
Take a proactive position-you must make a claim
Make the decisions that are best for the survival of you and yours
Integrate claim management with the post-loss operations
Concentrate on maintaining your operations and not on preparing claim details, leave that to the experts
Hire your own experts at Publik LLC.
Dont rely solely on your historical record, secure replacement estimates
Coordinate the property, business interruption and extra-expense claims
Understand that your claim will have to be verified
Understand the negotiation process
What Are Some Requirements According To The Insurance Policy?
Insurance companies require policy holders to prepare an inventory of damaged property showing quantity, description, actual cash value and amount of
loss, then justify that inventory. The insurance company will pay the lesser of the following three amounts:
1. The limit of liability under this policy applying to the building, or
2. The replacement cost of the damaged part of the building for equivalent construction and use on the same premises, or
3. The amount actually and necessarily spent to repair or replace the damaged building
The insurance companies require the policyholder to adhere to strict obligations. You, as the insured, must protect property from further damage. Failing
to do so will put the amount of your claim into serious question. Insurance companies require a signed proof of loss within 60 days of their request for
it. Claimants must have a detailed inventory of all damaged personal property. Insurance companies require accurate records of all repair expenses. All
repair expenses must be considered both reasonable and necessary. It is not the responsibility of the insurance company to disprove that an item was
damaged or lost it is up to you to justify the loss.