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Need advice on dealing with my homeowners insurance claim.

Posted on 7/29/14 at 5:04 pm
Posted by Delacroix
Member since Oct 2008
3985 posts
Posted on 7/29/14 at 5:04 pm
Long story short: There is a leak in my waterline in the slab near the fridge. Called insurance and adjuster came out this past weekend and pretty much told me he would try to get me money to remodel most of my kitchen from the damage and fix the plumbing.

I'm a first time homeowner so I'm not really sure how the claim process works. Do I just get a lump sum of money based on the materials and labor estimated for the jobs? Or do I need to get everything done and provide receipts to the insurance company.

Sorry for my ignorance on this subject, but any advice would be helpful.
Posted by mtcheral
BR
Member since Oct 2008
1934 posts
Posted on 7/29/14 at 5:11 pm to
They should tell you how it will go. May pay you a third or half at a time and release more as work is done or may give lump sum up front. Ask ins. company.
Posted by Lsut81
Member since Jun 2005
80062 posts
Posted on 7/29/14 at 5:25 pm to
quote:

I'm a first time homeowner so I'm not really sure how the claim process works. Do I just get a lump sum of money based on the materials and labor estimated for the jobs? Or do I need to get everything done and provide receipts to the insurance company.



All depends on the company... Most likely you will get a check for everything minus depreciation and your deductible. You can get back the depreciation if you provide receipts for everything.
Posted by TupeloTiger
Tupelo,Ms.[via Bastrop,La.]
Member since Jul 2004
4340 posts
Posted on 7/29/14 at 5:27 pm to
The adjuster will offer you an amount, say $10,000. If you agree, he'll cut you a check minus your deductible off the top. If you sign the offer and agree, that will be all you get to pay a contractor. Your deductible and anything over his amount will be out of your pocket. I've been through this 3 times in 34 years. The Insurance offer will be low,probably not enough. Read everything and go slow. Do not agree on the 1st offer, it will be too low. I had a lightning fire and a bid of $23,000. They took off a $500 deductible and paid me $22,500. The contractor was slow and rented some equipment, had a scaffolding rented and a waste mgt. trash container also. Had to paint at the end more than thought. My bill was $30,000. I HAD to pay it, Ins. not enough. Be VERY watchful of your extra exspenses and your contractor. Get your contractor to do the work for the Ins. amount, try to discuss it often and stay on top of it.
Posted by wickowick
Head of Island
Member since Dec 2006
45786 posts
Posted on 7/29/14 at 6:03 pm to
quote:

The adjuster will offer you an amount, say $10,000. If you agree, he'll cut you a check minus your deductible off the top. If you sign the offer and agree, that will be all you get to pay a contractor. Your deductible and anything over his amount will be out of your pocket. I've been through this 3 times in 34 years. The Insurance offer will be low,probably not enough. Read everything and go slow. Do not agree on the 1st offer, it will be too low. I had a lightning fire and a bid of $23,000. They took off a $500 deductible and paid me $22,500. The contractor was slow and rented some equipment, had a scaffolding rented and a waste mgt. trash container also. Had to paint at the end more than thought. My bill was $30,000. I HAD to pay it, Ins. not enough. Be VERY watchful of your extra exspenses and your contractor. Get your contractor to do the work for the Ins. amount, try to discuss it often and stay on top of it.


This guy here. He doesn't know what he is talking about...
Posted by VetteGuy
Member since Feb 2008
28005 posts
Posted on 7/29/14 at 6:35 pm to
How much we talking vs your deductible?

This will absolutely affect your rates and renewals going forward.
Posted by wickowick
Head of Island
Member since Dec 2006
45786 posts
Posted on 7/29/14 at 6:47 pm to
quote:

pretty much told me he would try to get me money to remodel most of my kitchen from the damage and fix the plumbing.


Wait till you see his estimate, more than likely the estimate will be written in Xactimate software, if you have trouble reading it let me know. This software takes into account labor, material and equipment cost by zip code update monthly for the entire country. It does a very good job of estimating damages if the adjuster puts all the components needed for repairs into the claim.

If the damage is real extensive you might need a contractor, chances are you do not. DO NOT USE HOME DEPOT or LOWES for repairs!!!

The adjuster will call you back and send you an estimate, there is nothing to sign. If there is stuff missing from the estimate, don't worry about it, it can be handled on a supplement. What I would tell you is not to have the contractor start working on repairs till and pricing discrepancies are settled.

Most insurance companies write the estimate, then subtract off the deprecation (this is money you will get back when the repairs are complete) and the deductible (this is your responsibility of damages for the claim and will not get back) and send you a check for the rest of the damages.
Posted by Iowa Golfer
Heaven
Member since Dec 2013
10229 posts
Posted on 7/29/14 at 6:57 pm to
Seriously, how do people survive in this world?
Posted by wickowick
Head of Island
Member since Dec 2006
45786 posts
Posted on 7/29/14 at 6:58 pm to
quote:

Seriously, how do people survive in this world?


Everyone needs a little help with something in life...
Posted by weadjust
Member since Aug 2012
15072 posts
Posted on 7/29/14 at 7:27 pm to
With a slab leak you don't really know the extent of the damages until the leak/pipe is fixed.
Posted by wickowick
Head of Island
Member since Dec 2006
45786 posts
Posted on 7/29/14 at 7:54 pm to
Typically when the adjuster gets to the house, mitigation is done and the plumbing repaired. At least in my claims...
Posted by meansonny
ATL
Member since Sep 2012
25487 posts
Posted on 7/29/14 at 10:25 pm to
I don't know Louisianna, but the slab and waterline may not be covered.
You often need a covered peril to include that as part of the claim (i.e. the pipe froze and cracked and would result in a covered loss on a home policy). A pipe that wears and develops a pin sized hole is often not covered on a home insurance claim. And consequently, going into the slab to make the repair... that is your responsibility.

All of the kitchen repairs sound like they should be covered minus your deductible. How much do you expect the kitchen to run? How much is your deductible? Who is the insurance company if you don't mind me asking? Do you plan on buying another property or shopping insurance at any point in the future?
Posted by TutHillTiger
Mississippi Alabama
Member since Sep 2010
43700 posts
Posted on 7/29/14 at 11:11 pm to
With a slab leak you don't really know the extent of the damages until the leak/pipe is fixed.


Careful here I have had to litigate a few of these over the years. I would highly suggest that you check the language in your policy very carefully. Pipe that bust are typically covered by most HO-1 policies but when the water is coming from the ground they will often try to say it is groundwater, or something else. Just be careful.
Posted by TutHillTiger
Mississippi Alabama
Member since Sep 2010
43700 posts
Posted on 7/29/14 at 11:17 pm to
What the previous poster is talking about the the definition of an "occurrence" and the ensuing loss doctrine.

In sum, your loss needs to be related to an event that happened like a pipe busting, or storm and not a simple period of time, like a pipe wearing out over many years. Confusing, it is intended to be. They don't understand it either as I have shown in numerous 30b6 depos. In just gives them lead way to deny claims. You better buy flood insurance if you dont already have it.
Posted by meansonny
ATL
Member since Sep 2012
25487 posts
Posted on 7/30/14 at 6:39 am to
Ok? Intended to deny claims?

If an insurance company covers wear and tear on your pipes, then they cover wear and tear on your roof. and on your electrical system. and on your hvac.

If an insurance company covers wear and tear, then they are basically a warranty program that rebuilds everyone's homes every 30 years and charges more than a 2nd mortgage to do so.

Insurance is there to cover if something happens to your home (i.e. your kitchen after the water incident). Insurance is not there to cover if nothing happens to your home (i.e.your pipe is old and cracks/leaks). That's what homeownership and home maintenance is for.

Believe what you want to believe regarding why insurance companies exist. If they exist to deny claims, then buy as little as you can get away with.
Posted by Mr.Perfect
Louisiana
Member since Mar 2013
17438 posts
Posted on 7/30/14 at 7:42 am to
quote:

The contractor was slow


I think you got screwed by a contractor in that situation more than insurance being insufficient.


quote:

The Insurance offer will be low,probably not enough. Read everything and go slow. Do not agree on the 1st offer, it will be too low. 


They are using pretty sophisticated software to come up with an indemnity value. Not really much wiggle room. Plus, are you really going to arbitration while your kitchen is screwed up?
Posted by Mr.Perfect
Louisiana
Member since Mar 2013
17438 posts
Posted on 7/30/14 at 7:47 am to
quote:

Believe what you want to believe regarding why insurance companies exist. If they exist to deny claims, then buy as little as you can get away with.


quote:

meansonny


Honestly man.... that gave me a huge smile when I read it. I plan to quote you in the real world
Posted by nrtiger
Paradise
Member since Nov 2003
1337 posts
Posted on 7/30/14 at 8:58 am to
Here are the steps you should take some of which you have done already.

Make Claim to Insurance Company
Insurance company comes to survey damage
Insurance company completes estimate with Xactimate software
Insurance company allows you to review estimate
If you find something not on estimate tell insurance company
Review estimate with prospective contractors
Find contractor to do it for the xactimate price.
Insurance company issues homeowner check minus depreciation and deductible.
Monitor contractors work, if items are found damaged that are not on xactimate estimate, notify insurance company via email or letter.
When work complete send all receipts to insurance company to recoup depreciation.

My wife and I just has a partial loss home fire of about $180,000 and these are the steps we took and everything went pretty well with Safeco.
Posted by Delacroix
Member since Oct 2008
3985 posts
Posted on 7/30/14 at 9:39 am to
quote:

Posted by nrtiger Here are the steps you should take some of which you have done already. Make Claim to Insurance Company Insurance company comes to survey damage Insurance company completes estimate with Xactimate software Insurance company allows you to review estimate If you find something not on estimate tell insurance company Review estimate with prospective contractors Find contractor to do it for the xactimate price. Insurance company issues homeowner check minus depreciation and deductible. Monitor contractors work, if items are found damaged that are not on xactimate estimate, notify insurance company via email or letter. When work complete send all receipts to insurance company to recoup depreciation. My wife and I just has a partial loss home fire of about $180,000 and these are the steps we took and everything went pretty well with Safeco.


Thanks for the info. If I accept the check from the insurance company, but then find out that cost will exceed the agreed upon amount, am I screwed?

Also if I can do some of the work myself and save money, do I have to refund any money?
Posted by Blakely Bimbo
Member since Dec 2010
1183 posts
Posted on 7/30/14 at 9:54 am to
I live in an area that probably 50% of all the houses have had problems with leaks in slab.

Here is how it has worked out in every case that I am aware. I have one handy friend that did not even call his insurance company and and made a partial repair for around $1000.

Insurance has only paid for water damage, but amounts have been miniscule. NO ONE I know has been covered for what that adjuster told you (try for remodel of most of the kitchen).

Homes had to be replumbed with that orange flexible piping and that meant going up the walls and ceiling and sheetrock repair involved. Insurance did not cover any of that or sheet rock repair. The least amount I have heard for the plumbing only was $3500 and up depending on number of bathrooms and square footage.

This is Alabama, so may be a different outcome in other states.
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