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Denied and underpaid claims

Denied, stalled or paid short

What the insurer decided, and what the policy actually says, are two different questions.

A denial letter sounds final. Most aren't. They rest on a reading of the policy, an adjuster's estimate or a deadline, and each of those can be checked. We take claims for homes, rentals, churches and small businesses, after hurricanes, hail, burst pipes and break-ins.

Two people at a desk, one pointing a pen at a page in an open binder

Reasons insurers give, and what we check

  • Wear and tear

    We compare the damage to the storm date, the photos and the weather record, not to the age of the roof alone.

  • Late notice

    We check what the policy requires, when you first called, and whether the delay changed anything for the insurer.

  • An exclusion applies

    Exclusions are read narrowly, and an endorsement can put back what the exclusion took out.

  • Below the deductible

    A low estimate can put a real loss under the deductible. Our contractor's estimate goes beside theirs.

  • Missing documents

    We list what was asked for, what was sent and when, so a request can’t be repeated forever.

  • Misrepresentation

    A mistake on a form is not fraud. We answer the accusation in writing and keep you out of unrecorded calls.

Denials, in plain terms

Should I ask the insurer to reconsider first?

You can, but send it in writing and keep a copy. A letter from you can help or hurt later, so it’s worth having a lawyer read it before it goes.

What if my claim was only partly paid?

An underpaid claim is a claim the insurer agreed is covered. The argument is about the price, and that's often easier to win than a full denial.

Do you take business and rental claims?

Yes: shops, restaurants, rental houses, churches and small offices, including lost income while the doors are closed.

Send us the letter

We review it free and take claims on a contingency fee. Case costs, such as engineer, expert and filing fees, may still be owed; the fee agreement spells out which.