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re: NPR Podcast about Flood Insurance shorting homeowners following Hurricane Sandy

Posted on 2/14/17 at 2:22 pm to
Posted by wickowick
Head of Island
Member since Dec 2006
46420 posts
Posted on 2/14/17 at 2:22 pm to
quote:

Which is about as accurate as Brandon Harris.


Which part of the program do you have problems with?
Posted by Zephyrius
Wharton, La.
Member since Dec 2004
9654 posts
Posted on 2/14/17 at 3:14 pm to
quote:

If you go back a page it describes in detail how adjustors in the field altered engineering reports to make FEMA happy.

This is a load of shite!!!!

Adjusters can only write per the engineer report concerning foundations... The engineer is the expert and it is not in the interest of the adjuster to alter a report not to pay.

quote:

HiRise Engineering of Uniondale, N.Y., and Matthew Pappalardo, a former director, were accused of falsifying engineering reports that were used to determine the structural damage to homes caused by the storm. Those reports were evaluated by flood insurance adjusters and federal officials, and homeowners were reimbursed based on them.

The adjuster has no way of knowing if an engineer report is falsified... all that is done is reviewed and a repair estimate/ denial is made based on that report...

Also the insured can always do a supplement/ appeal for a year... Changes can be done immediately if something in the scope was missed or just incorrect. If it is an issue with price than the supplement can be made when repairs are completed; if the short fall is 10k and the insured has the paid invoices/ proof of payment then that short fall can be considered.

Pricing may have some inconsistencies but it goes both ways meaning you were likely paid more for cabinets but could have been paid less for insulation. In the end it balances out and more times than not in favor of the insured...

Now, there are crappy adjusters out there but any of that can be rectified with a supplement.
Posted by NYNolaguy1
Member since May 2011
21836 posts
Posted on 2/14/17 at 4:12 pm to
quote:

The adjuster has no way of knowing if an engineer report is falsified... all that is done is reviewed and a repair estimate/ denial is made based on that report...

Also the insured can always do a supplement/ appeal for a year... Changes can be done immediately if something in the scope was missed or just incorrect. If it is an issue with price than the supplement can be made when repairs are completed; if the short fall is 10k and the insured has the paid invoices/ proof of payment then that short fall can be considered.

Pricing may have some inconsistencies but it goes both ways meaning you were likely paid more for cabinets but could have been paid less for insulation. In the end it balances out and more times than not in favor of the insured...

Now, there are crappy adjusters out there but any of that can be rectified with a supplement.


Read the whole article. The insurance companies were shorting claims based on directives from FEMA. Also the article I was referencing was not the one you quoted but...

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 one from the original article.

Also you'd well to note that almost all appeals were not run by FEMA but by the same insurance companies that denied them to begin with. How do we know this? Because of emails acquired by discovery after a lawsuit - FEMA typically just referred to the original insurer and asked them for a recommendation at appeal in almost all cases, so if you got denied once, you got denied again almost assuredly. That's not a fair shake.
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