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re: NPR Podcast about Flood Insurance shorting homeowners following Hurricane Sandy
Posted on 2/14/17 at 11:48 am to Boudreaux35
Posted on 2/14/17 at 11:48 am to Boudreaux35
quote:
Yes, he told me that in his opinion after comparing it to similar claims for this event, the amount I was getting should cover all damages.
You should call into the insurance company's claim office and have a discussion with someone other than this adjuster.
Posted on 2/14/17 at 11:49 am to wickowick
quote:
looks like he razed the house before even getting his flood estimate. Based on the reporting it does not appear that he gave the NFIP the ability to have an engineer inspect the property before tearing it down
Not true. The podcast actually goes into detail about this. IIRC the insurance company said he could remodel and renovate it, thereby justifying the $90k.
However the building was condemned by the city and was uninhabitable. He joked about having to pay for a mortgage that wasn't there even though he had flood insurance that didn't pay.
Posted on 2/14/17 at 11:52 am to Tiger Prawn
quote:
You do realize that the National Flood Insurance Program is a federal government program right?
I love all of you who act like there's no way for service providers to squeeze profits in respect of a government program. Do y'all believe in the tooth fairy too?
Posted on 2/14/17 at 11:59 am to Boudreaux35
LM adjuster took to the ceiling.
Posted on 2/14/17 at 12:06 pm to Mo Jeaux
quote:
I love all of you who act like there's no way for service providers to squeeze profits in respect of a government program
You squeeze profits by cutting costs. FEMA pays the flood claims costs, not the insurance company. So what costs are they squeezing to make extra profits?
Sorry, I can't listen to the podcast right now because I don't have speakers on my work PC.
Posted on 2/14/17 at 12:06 pm to Mo Jeaux
quote:
no way for service providers to squeeze profits in respect of a government program. Do y'all believe in the tooth fairy too?
Why are service providers not supposed to be profiting off of their business and services performed? I mean, we both understand that they aren't the ones who are forking the check on claim payments.
Posted on 2/14/17 at 12:15 pm to Chad504boy
quote:
Why are service providers not supposed to be profiting off of their business and services performed?
No one is arguing that. The point I was making is that with that much money at stake, the insurance companies were basically doing whatever FEMA told them to. It's hard to be impartial to your claimholder when your boss is paying you $400 million a year in profit.
Some of that involved criminal behavior- like editing a PE stamped engineering report, or withold payment to engineers making inspection until engineers produced a report favorable to the insurance company.
Posted on 2/14/17 at 12:16 pm to wickowick
quote:
It looks like he razed the house before even getting his flood estimate. Based on the reporting it does not appear that he gave the NFIP the ability to have an engineer inspect the property before tearing it down.
At the time of the settlement(2014) he had gutted the house to rebuild, it had not been razed.
He also received an additional 130K, making his total structure settlement 220k
This post was edited on 2/14/17 at 12:19 pm
Posted on 2/14/17 at 12:18 pm to NYNolaguy1
quote:
boss is paying you $400 million a year in profit.
80 companies split that 400 million profit, so on average thats 5 million profit per year per company
Posted on 2/14/17 at 12:20 pm to NYCAuburn
quote:
80 companies split that 400 million profit, so on average thats 5 million profit per year per company
I don't think it's a uniform distribution. When I worked on a lot of these Sandy projects at least in Long Island they usually only worked with a couple of insurers.
Posted on 2/14/17 at 12:21 pm to NYNolaguy1
quote:
I don't think it's a uniform distribution.
it's not, but it gives you a better idea of the exaggeration here.
Posted on 2/14/17 at 12:26 pm to Chad504boy
quote:
Why are service providers not supposed to be profiting off of their business and services performed?
Who said they aren't?
Posted on 2/14/17 at 12:28 pm to NYNolaguy1
quote:
I don't think it's a uniform distribution. When I worked on a lot of these Sandy projects at least in Long Island they usually only worked with a couple of insurers.
Probably depends a lot on what companies write homeowners in a particular state/area. If a company doesn't write homeowners in Long Island, its probably not likely they'll have a lot of flood policies in the area and the companies who write the most homeowner policies there would likely also have the largest concentration of flood policies too.
Posted on 2/14/17 at 12:28 pm to Tiger Prawn
quote:
You squeeze profits by cutting costs. FEMA pays the flood claims costs, not the insurance company. So what costs are they squeezing to make extra profits?
So they're not incentivized to reduce claim costs in any way? Maybe.
Posted on 2/14/17 at 12:32 pm to Tiger Prawn
Probably depends a lot on what companies write homeowners in a particular state/area. If a company doesn't write homeowners in Long Island, its probably not likely they'll have a lot of flood policies in the area
exactly, and the "400 million) number is nationwide profit, not profit made from Hurricane Sandy victims.
Going back a lot of what you see is, "I have 250k in insurance, so where is my 250k" that's not how it works
exactly, and the "400 million) number is nationwide profit, not profit made from Hurricane Sandy victims.
Going back a lot of what you see is, "I have 250k in insurance, so where is my 250k" that's not how it works
Posted on 2/14/17 at 12:35 pm to Mo Jeaux
quote:
So they're not incentivized to reduce claim costs in any way? Maybe.
FEMA holds the purse strings, adjusters that are NFIP certified are done so at classes that teach what is covered and not covered by the flood policy. It is actually in the adjusters best interest to pay out more on a claim than less based on the claim pay structure...
Posted on 2/14/17 at 12:43 pm to wickowick
quote:
It is actually in the adjusters best interest to pay out more on a claim than less based on the claim pay structure
From the same article linked
quote:
Jeff Coolidge reviewed adjusters' files for multiple insurance companies after Superstorm Sandy. He says he quit his job in part because he was so bothered by what he was doing. The insurance firms he worked for used phrases like "pre-existing," "earth movement" or "ground settlement" to reject homeowners' claims of flood damage. "They use 'settlement' a lot. 'Sorry your house looks like it shifted to the left a little bit, but I think it was like that when you bought it,' " Coolidge said.
They told him to pay homeowners less than what they asked to be paid to rebuild, he said. He says that put pressure on him to get the independent adjusters in the field in line to back up these conclusions, or else their flat fee was at stake.
"I've told an adjuster that based on our guidelines that I need you to remove these items," he says. "I send it back for revision. He doesn't agree with that. He'll resubmit it. I'll reject it back."
If the adjuster wanted to pay the homeowner more, Coolidge would reject the adjuster's assessment until he got the answer his employer wanted, and in some cases he switched adjusters or threatened to do so. "'I'm going to take half your pay and give it to him," he recalls telling several adjusters.
Looking back, Coolidge says he regrets that behavior but at the time, he didn't feel he had a choice. "I feel bad every day for participating in that. It is what it is. [The insurance companies] had the upper hand. You either do it or they'll remove you."
This post was edited on 2/14/17 at 12:45 pm
Posted on 2/14/17 at 12:44 pm to wickowick
quote:
actually in the adjusters best interest to pay out more on a claim than less based on the claim pay structure...
Usually leads to less bitching and headaches. Adjusters really just follow what is in the contract policy signed to by all. Sometimes things are overlooked or not seen. More often than not it's an insured making outlandish demands.
Posted on 2/14/17 at 12:52 pm to NYCAuburn
Something the insured gets and adjuster that isn't good at his job. After the floods in BR a friend of mine was presented a flood estimate for repair of $75k he thought it was low. I looked over the estimate and compared it to what was in the house and agreed. The scope of damages was not correct. He called the insurance company and after a quick review of discrepancies they agreed to reassign the claim to another adjuster. The new adjuster was more experienced and needed very little direction to see the issues. The new estimate was for double the original amount with the correct scope of damages...
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