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Message

Seeking Advice on Homeowners Claim Issues
Posted on 2/2/20 at 8:54 pm
Posted on 2/2/20 at 8:54 pm
Apologies in advance, this will be long.
I filed an insurance claim 35 days ago for a hidden plumbing leak in my kitchen that migrated between my tile floor and subfloor (pier and beam construction) and wasn’t detected until it wicked up one of my cabinets. Once detected, I quickly capped the leak, pulled out some base cabinets and plaster to begin the drying process, then contacted the insurance company.
They sent out a field adjuster about 5 days after the claim, and he said he noticed what could be mold in the wall cavity. I told him I had closed cell foam under the house, so nothing was drying and we needed to get moving. The insurance company then sent out a mold remediation company to do an assessment, and then over a week after that, told me they were sending out a mold inspector to gather more data. The inspection report showed no airborne mold, and only trace levels of mold in any of the test areas, yet suggested demolition and remediation of affected area by a licensed mold remediation company.
Finally, 29 days after I filed the claim, the remediation company that came out prior then sends estimates for demo and remediation, the latter of which is like $7,000 more than my mold limitation. Knowing the area affected is relatively small, (300-400 square feet), I get the adjuster to send the full estimate and see these scammers are basically saying the scope of work is way larger than it really is. I tell this to the adjuster and he sends out another remediation company.
This company says the inspection company did not provide a protocol, which lays out the scope of work and that is highly irregular. They also note that based on the report, there isn’t really any active mold found and don’t see why it calls for a remediation company to do the work. I relay this to my adjuster and he schedules yet another remediation company that comes out and tells me the same thing. So, Friday, the adjuster finally agrees that a protocol is necessary and that he is going to schedule another inspection by a different company, but it won’t be until late this week. I tell him for the second or third time that I’m concerned that a real mold problem is going to fester with all the time being wasted.
I get home today— 35 days after the claim— after being gone a couple of days, and see there are a few f%#*!ing mushrooms growing up out of the subfloor where I pulled the base cabinets. So, now I’m really concerned that the next inspection is going to come back with airborne mold present, the remediation costs are going to be ridiculous, and I’m going to get left holding the bag.
So, IF it ends up that I now have a larger issue, my question is this: do I have a valid argument that their inactivity has exacerbated the problem, and thus my mold limitation should not apply?
I filed an insurance claim 35 days ago for a hidden plumbing leak in my kitchen that migrated between my tile floor and subfloor (pier and beam construction) and wasn’t detected until it wicked up one of my cabinets. Once detected, I quickly capped the leak, pulled out some base cabinets and plaster to begin the drying process, then contacted the insurance company.
They sent out a field adjuster about 5 days after the claim, and he said he noticed what could be mold in the wall cavity. I told him I had closed cell foam under the house, so nothing was drying and we needed to get moving. The insurance company then sent out a mold remediation company to do an assessment, and then over a week after that, told me they were sending out a mold inspector to gather more data. The inspection report showed no airborne mold, and only trace levels of mold in any of the test areas, yet suggested demolition and remediation of affected area by a licensed mold remediation company.
Finally, 29 days after I filed the claim, the remediation company that came out prior then sends estimates for demo and remediation, the latter of which is like $7,000 more than my mold limitation. Knowing the area affected is relatively small, (300-400 square feet), I get the adjuster to send the full estimate and see these scammers are basically saying the scope of work is way larger than it really is. I tell this to the adjuster and he sends out another remediation company.
This company says the inspection company did not provide a protocol, which lays out the scope of work and that is highly irregular. They also note that based on the report, there isn’t really any active mold found and don’t see why it calls for a remediation company to do the work. I relay this to my adjuster and he schedules yet another remediation company that comes out and tells me the same thing. So, Friday, the adjuster finally agrees that a protocol is necessary and that he is going to schedule another inspection by a different company, but it won’t be until late this week. I tell him for the second or third time that I’m concerned that a real mold problem is going to fester with all the time being wasted.
I get home today— 35 days after the claim— after being gone a couple of days, and see there are a few f%#*!ing mushrooms growing up out of the subfloor where I pulled the base cabinets. So, now I’m really concerned that the next inspection is going to come back with airborne mold present, the remediation costs are going to be ridiculous, and I’m going to get left holding the bag.
So, IF it ends up that I now have a larger issue, my question is this: do I have a valid argument that their inactivity has exacerbated the problem, and thus my mold limitation should not apply?
Posted on 2/2/20 at 8:57 pm to GeauxldMember
Psychedelic mushrooms...if so eat them
Posted on 2/2/20 at 9:07 pm to GeauxldMember
You should never have waited on insurance to get remediation done. You should have done it day one and then filed afterwards. At least that's what I do, frick waiting on adjusters, they have no skin in your house.
Posted on 2/2/20 at 9:14 pm to GeauxldMember
It may be because I’ve been drinking, but I feel like you want them to pay you to fix a problem when there isnt really a problem, or you want to do the repairs yourself and make a little money (or be reimbursed for removing cabinets on your own before contacting the insurance company.)
If you fixed the leak over a month ago, there are NOT going to be any mushrooms growing out of your plywood subfloor...period. You either 1) still have a leak or 2) are making things up. If the leak is fixed, cabinets removed, and wall open, there is not going to be any mold issues this time of year after 5 weeks of drying in this humidity.
Eta: I believe you have a duty to mitigate, but should have called your insurance company immediately before removing cabinets.
If you fixed the leak over a month ago, there are NOT going to be any mushrooms growing out of your plywood subfloor...period. You either 1) still have a leak or 2) are making things up. If the leak is fixed, cabinets removed, and wall open, there is not going to be any mold issues this time of year after 5 weeks of drying in this humidity.
Eta: I believe you have a duty to mitigate, but should have called your insurance company immediately before removing cabinets.
This post was edited on 2/2/20 at 9:17 pm
Posted on 2/2/20 at 9:14 pm to GeauxldMember
Was there any talk about getting mitigation to the home when the damage was discovered? Either by the insurance company or you or vice versa?
Posted on 2/2/20 at 9:16 pm to GeauxldMember
Time to call a public adjuster?
Posted on 2/2/20 at 9:24 pm to halleburton
quote:
If you fixed the leak over a month ago, there are NOT going to be any mushrooms growing out of your plywood subfloor...period. You either 1) still have a leak or 2) are making things up. If the leak is fixed, cabinets removed, and wall open, there is not going to be any mold issues this time of year after 5 weeks of drying in this humidity.
I guess you missed this part:
quote:
I told him I had closed cell foam under the house, so nothing was drying and we needed to get moving.
Posted on 2/2/20 at 9:29 pm to wickowick
quote:
Was there any talk about getting mitigation to the home when the damage was discovered? Either by the insurance company or you or vice versa?
I told them I would start pulling more out and setting up drying fans and the adjuster told me not to; they would handle mitigation. I absolutely stressed— on many occasions— the need to get things moving to prevent further issues.
Posted on 2/2/20 at 9:31 pm to GeauxldMember
Go.See.A.Lawyer.
You may have a bad faith claim.
Do it tomorrow.
Yes, I am a lawyer. Go see a reputable plaintiff’s lawyer asap.
ETA: a defense lawyer. Go see a plaintiff’s lawyer.
You may have a bad faith claim.
Do it tomorrow.
Yes, I am a lawyer. Go see a reputable plaintiff’s lawyer asap.
ETA: a defense lawyer. Go see a plaintiff’s lawyer.
This post was edited on 2/2/20 at 10:12 pm
Posted on 2/2/20 at 9:32 pm to GeauxldMember
I didn’t say this.
I typed it.
Scrap mushrooms off and clean your house with a bleach solution as you normally do. Shrooms aren’t toxic mold, so sleep comfortably until the new guy shows up. Clean your house regularly like always. I doubt mold will be found after 2 other companies report negative results. If the 4th guy does get positive mold results, then argue their delay caused problems. Get advise from several attorneys with cost estimates. Good luck.
I typed it.
Scrap mushrooms off and clean your house with a bleach solution as you normally do. Shrooms aren’t toxic mold, so sleep comfortably until the new guy shows up. Clean your house regularly like always. I doubt mold will be found after 2 other companies report negative results. If the 4th guy does get positive mold results, then argue their delay caused problems. Get advise from several attorneys with cost estimates. Good luck.
Posted on 2/2/20 at 9:35 pm to GeauxldMember
This is the worst case nightmare when having that foam insulation. Need to get rid of that crap. Sounds to me that is your problem , not your insurance. Seems they are bending over backwards to solve your issue
Posted on 2/2/20 at 9:40 pm to Gaspergou202
quote:
I doubt mold will be found after 2 other companies report negative results
There was only one test done. The two companies referenced wouldn’t provide remediation estimates since the guy who did the testing didn’t supply a protocol. The next test (really ordered to get the protocol) will be the second test.
Posted on 2/2/20 at 9:41 pm to abovepar
quote:
Seems they are bending over backwards to solve your issue
I didn’t realize my adjuster posted on TD.
Posted on 2/2/20 at 10:02 pm to GeauxldMember
I spotted a small smidge of what appeared to be "black mold" in my basement due to a stopped up gutter causing water to come down hard right where my foundation and walls meet. I wasn't going to pay someone to come out, nor was I going to call insurance, so got on the ole Google.
I was pretty damn shocked to learn that black mold has never been proven toxic, even when infants are exposed.
Point being, you're going through a whole lot of hassle (and potential rate increase) when you could have just cleaned up any visible mold/moisture with a bit of bleach and called it a day.
I was pretty damn shocked to learn that black mold has never been proven toxic, even when infants are exposed.
Point being, you're going through a whole lot of hassle (and potential rate increase) when you could have just cleaned up any visible mold/moisture with a bit of bleach and called it a day.
Posted on 2/2/20 at 10:07 pm to GeauxldMember
I’m a contractor and know how closed cell foam works, probably better than you do. If it is as you said, there should be no moisture issues after 5 weeks. Period.
Posted on 2/2/20 at 10:23 pm to halleburton
Riddle me this, Mr. Expert: if there is saturated plywood sandwiched on the bottom by closed cell foam and on the top with tile, how is that saturated wood drying out?
The small piece of subfloor that is exposed from pulling out base cabinets is maybe 2’x4’, and not enough surface area to dry out the remaining, soaked plywood still covered with flooring. The exposed area is much drier than it was when I first discovered the problem, but a moisture reading last week was still at >40. The saturated subfloor will have to be removed and replaced.
The small piece of subfloor that is exposed from pulling out base cabinets is maybe 2’x4’, and not enough surface area to dry out the remaining, soaked plywood still covered with flooring. The exposed area is much drier than it was when I first discovered the problem, but a moisture reading last week was still at >40. The saturated subfloor will have to be removed and replaced.
Posted on 2/2/20 at 10:26 pm to GeauxldMember
Do you have access to a bull dozer and cement?
You know, to remediate this issue.
Edit: definitely not to build a kill dozer.
You know, to remediate this issue.
Edit: definitely not to build a kill dozer.
This post was edited on 2/2/20 at 10:28 pm
Posted on 2/2/20 at 10:40 pm to GeauxldMember
I’m no homeowner, but I would call a lawyer. Good luck
Posted on 2/2/20 at 11:10 pm to GeauxldMember
Yeah I made StateFarm buy a house over shite like this
Posted on 2/3/20 at 12:24 am to TutHillTiger
about 16 years ago, black mold was a huge issue, that was well taken
care of by health scared insurance companies. a whole new remodeling industry sprang up to meet the needs of the sick public. insurance companies began to specifically exclude mold damage from their coverage and within 12 months the sickness disappeared .
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