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Need help haggling with liberty mutual after a hail storm (Long) - iwyLSUiwy shoutout pg 2

Posted on 3/22/24 at 12:41 pm
Posted by el duderino III
People's Republic of Austin
Member since Jul 2011
2382 posts
Posted on 3/22/24 at 12:41 pm
Been haggling with liberty mutual after a bad hailstorm in September.

Damage to roof, as well as window beading (which can cause water damage if not fixed), the hail guard on my brand new ac condenser unit was trashed, and my deck was beat to shite.

I was under the impression that any time you were working with a roofer or a general contractor that was outsourcing other types of work to third parties, they were entitled to Overhead and Profit to compensate them for their time to manage all the moving parts.

So with the adjuster, they conveniently left all the stuff requiring a sub-contractor out of the original claim. I asked, “why am i having to sort all this out instead of the roofer? Now this is taking my time instead of his.”

She responded, “well according to the claim, there’s no work that would need to be outsourced, so we can’t give you O&P.” Bitch, you REMOVED that stuff from the estimate.

Now, i’ve been haggling with them to get the missing stuff added to the claim. She is now claiming, “well regardless, we never pay O&P. I’ve never heard of anyone in this industry paying that.”

I feel like I’m just getting the runaround at this point. What are my options? This is not a huge claim, maybe $12-14k total, but I have a $5300 deductible (this is my first house, so i was trying to save money). So not getting O&P means I’m going to have to pay that entire deductible.

I have an irrational hatred for insurance companies, so even if hiring a lawyer costs somewhat more than it saves me, it might be worth it to me.
This post was edited on 3/23/24 at 1:23 pm
Posted by wickowick
Head of Island
Member since Dec 2006
45802 posts
Posted on 3/22/24 at 12:45 pm to
quote:

(this is my first house, so i was trying to save money)



So you are trying to get O&P to use it towards your deductible.
Posted by BamaCoaster
God's Gulf
Member since Apr 2016
5258 posts
Posted on 3/22/24 at 12:47 pm to
1. No lawyer will take this
2. You should have to pay entire deductible
3. Do you have estimates for the entire repair?
Posted by meansonny
ATL
Member since Sep 2012
25593 posts
Posted on 3/22/24 at 12:49 pm to
You may need to call a real roofer who doesn't outsource roof claims.

How many estimates did you get?
Posted by CaptainsWafer
TD Platinum Member
Member since Feb 2006
58331 posts
Posted on 3/22/24 at 12:49 pm to
quote:

means I’m going to have to pay that entire deductible.


You’re supposed to pay the entire deductible.


ETA
quote:

I have an irrational hatred for insurance companies,


All while trying ti get paid additional money to not have to pay his deductible.

These posts just get better and better.
This post was edited on 3/22/24 at 12:51 pm
Posted by BabyTac
Austin, TX
Member since Jun 2008
12104 posts
Posted on 3/22/24 at 12:52 pm to
Did you talk to Doug?
Posted by LSUballs
RayVegas LA
Member since Feb 2008
37741 posts
Posted on 3/22/24 at 12:53 pm to
Liberty Bibberty?
Posted by iwyLSUiwy
I'm your huckleberry
Member since Apr 2008
34267 posts
Posted on 3/22/24 at 12:54 pm to
quote:

Damage to roof, as well as window beading (which can cause water damage if not fixed), the hail guard on my brand new ac condenser unit was trashed, and my deck was beat to shite.

I was under the impression that any time you were working with a roofer or a general contractor that was outsourcing other types of work to third parties, they were entitled to Overhead and Profit to compensate them for their time to manage all the moving parts.


Liberty mutual typically requires 4 different trades to warrant O&P.

So you have 1) Roofing 2) Carpentry for the window trim 3) HVAC for you AC cover and 4) Painter for your deck stain (I'm assuming it was stained). That's enough for O&P.

You also should have labor minimums applied to it as well. They might give you $50 for some window beads, but they need to pay you at least a flat labor minimum for a carpenter/window installer to install them. Same for your deck. A lot of times they will just pay you for the stain and not the labor minimum requred for a painter to come out and paint. Those things add up to a decent amount of money.

I'm a contractor and deal with this daily. My brother is currently on the phone right now arguing with Farm Bureau

I'd say that your roofer needs to be arguing with the insurance adjuster/company, not you. That's his responsibility if he wants to get those things done.

But honestly, if you don't plan on doing them, and he is not going to be coordinating any of those things, he he shouldn't get the O&P because he will not be doing the work that O&P is meant to be paid for. O&P is not meant to go towards your deductible. That being said, I've never seen them take things off of an estimate.

quote:

so even if hiring a lawyer costs somewhat more than it saves me, it might be worth it to me.


No lawyer is going to take it. There's not nearly enough money in it for them and they would never win the case anyway. The best thing you can do is threaten to file a department of insurance claim against them. They hate that, and that can get them to get off their arse and make some changes.
This post was edited on 3/22/24 at 1:18 pm
Posted by meansonny
ATL
Member since Sep 2012
25593 posts
Posted on 3/22/24 at 1:01 pm to
quote:

The best thing you can do is threaten to file a department of insurance claim against them. They hate that, and that can get them to get off their arse and make some changes.


That's the best advice for you.

I've seen roofers who basically carry a handyman around to do these things under the roofing company umbrella. And when a claim is denied (not enough damage for a full replacement), the handyman picks up those repairs for you as well (cheaper than if the roofer did it).

I don't know if that is just common in my area. But I had trim work replaced around my chimney and that is how it was completed. My inlaws had blown shingles (but not enough damaged shingles for a replacement) and that's how their repairs were done.
Posted by LSUGrad2024
Baton Rouge
Member since Sep 2023
240 posts
Posted on 3/22/24 at 1:26 pm to
Did you use the secret code?

Liberty Biberty
Posted by TJack
BR
Member since Dec 2018
1294 posts
Posted on 3/22/24 at 1:29 pm to
She’s protecting her bonus. If she can short the most claims in a month she gets to go to Cancun 3 days 2 nights resort. Drinks not included.
Posted by Weekend Warrior79
Member since Aug 2014
16358 posts
Posted on 3/22/24 at 1:34 pm to
quote:

This is not a huge claim, maybe $12-14k total, but I have a $5300 deductible (this is my first house, so i was trying to save money). So not getting O&P means I’m going to have to pay that entire deductible.

Was your plan to get the check for the O&P, and have the roofer just do the roof and you pocket the rest and add those repairs to your honey-do-list for later? Or did your roofer inflate the invoice for the insurance company, and will bill you a lesser amount?

quote:

She is now claiming, “well regardless, we never pay O&P. I’ve never heard of anyone in this industry paying that.”

I would have insisted that she put it in writing that it is their policy to never pay O&P. She didn't put limitations, we don't pay O&P below a certain $$$, with a certain number of trades... Assuming your statement is accurate.

I would also ask her how many different companies in the industry did she consult with to be able to make that statement.
Posted by iwyLSUiwy
I'm your huckleberry
Member since Apr 2008
34267 posts
Posted on 3/22/24 at 1:41 pm to
quote:

Was your plan to get the check for the O&P, and have the roofer just do the roof and you pocket the rest and add those repairs to your honey-do-list for later? Or did your roofer inflate the invoice for the insurance company, and will bill you a lesser amount?


Based on the OP, I'm assuming his plan is to try and get money for the extra trades and the O&P, which would total up to a few thousand I'm sure, and just apply that money towards his deductible so he is not out of pocket $5300.

If he actually told the Liberty Mutual adjuster that is why he needed the O&P I see why it's no longer on his estimate. That's insurance fraud. Happens all the time, but it's still insurance fraud.

This post was edited on 3/22/24 at 1:42 pm
Posted by el duderino III
People's Republic of Austin
Member since Jul 2011
2382 posts
Posted on 3/22/24 at 1:41 pm to
quote:

So you are trying to get O&P to use it towards your deductible.

Is this bad? Again, I have no idea how any of this works. My understanding was that O&P is to compensate a general contractor for his time and effort in managing other contractors. So if I’m having to do that for him, and they’re refusing to pay either of us for our time, aren’t I getting screwed?

I am trying to lower my deductible, but only by applying compensation towards damaged contents that I can live without replacing.

Are yall saying I’m gaming the system by trying to get o&p? Genuinely asking.
Posted by Jack Bauers HnK
Baton Rouge
Member since Jul 2008
5707 posts
Posted on 3/22/24 at 1:43 pm to
quote:

What are my options? This is not a huge claim, maybe $12-14k total, but I have a $5300 deductible (this is my first house, so i was trying to save money). So not getting O&P means I’m going to have to pay that entire deductible


The whole point of a deductible is that your premium is priced on the calculation that you are going to bear the first portion of the loss (your deductible). Trying to pad the claim so you don’t have to pay what you contractually agreed would be your portion is what contributes to higher premiums. Pay your deductible and let your roofer/contractor get everything fixed. An insurance claim should not be a money-making (or deductible-avoiding) endeavor for you.
Posted by BamaCoaster
God's Gulf
Member since Apr 2016
5258 posts
Posted on 3/22/24 at 1:44 pm to
quote:

Are yall saying I’m gaming the system by trying to get o&p? Genuinely asking.


No. We’re saying you’re gaming the system after bitching you have to pay your whole deductible.
Posted by el duderino III
People's Republic of Austin
Member since Jul 2011
2382 posts
Posted on 3/22/24 at 1:49 pm to
quote:


If he actually told the Liberty Mutual adjuster that is why he needed the O&P I see why it's no longer on his estimate. That's insurance fraud. Happens all the time, but it's still insurance fraud.


definitely did NOT say that to her lol. All I said to her was, "this has been really frustrating, I was told my roofer could handle all this stuff with you guys, but now I'm having to get involved and I really don't have time for this. You're also leaving out the parts of the claim that WOULD require you to grant O&P."
Posted by el duderino III
People's Republic of Austin
Member since Jul 2011
2382 posts
Posted on 3/22/24 at 1:54 pm to
I get that, but I think there's a difference between padding a claim with nonsense, and electing to keep the money instead of fixing cosmetic damage/doing it yourself.

So some of that is my intent with reducing my deductible, but tbh I'm also salty that I'm having to do my roofer's job of haggling with these guys, so they are absolutely costing me a lot of time and money in that respect alone. I doubt I'll actually do anything about that part of it though.
Posted by el duderino III
People's Republic of Austin
Member since Jul 2011
2382 posts
Posted on 3/22/24 at 1:58 pm to
quote:

his plan is to try and get money for the extra trades and the O&P, which would total up to a few thousand I'm sure, and just apply that money towards his deductible so he is not out of pocket $5300.
If the money being paid for those trades is to fix damage that I am willing to accept, how is that any different that receiving an insurance check to fix your car and just keeping the check, or doing the work yourself?

The policy coverage is to compensate the owner to restore the the property to the state it was in prior to the incident, no? Shouldn't I have the choice to either accept something being shitty or use the money to get it fixed?
Posted by wickowick
Head of Island
Member since Dec 2006
45802 posts
Posted on 3/22/24 at 2:19 pm to
Did you have one estimate that included all the work or did you have a bunch of individual estimates? I have been out of the game for a bit, but typically the O&P is added when the complexity of the claim warrants the coordination of multiple trades to complete a job.

Different trades that don't interact with each other don't typically fall to that level.
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