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  • David Negrila

FAQ's Big Answers

FAQ:


1. Is my foundation covered by my homeowner insurance? Most homeowner insurance polices do not cover settling of foundation. Foundations settle over time on many homes, because of the different factors; soil conditions, uneven rain water running in specific areas of the perimeter of the house (basically poor drainage), also sometimes older houses are not properly built with the right combination of soil preparation by compacting, and pour design in the foundation footing. This kind of time dependent settling is not covered by your homeowners insurance policy but may be covered by your new home community if you live in your new home, and your home is bought with a warranty. Remember that new home builders have warranties. There are some endorsements that may be added to your policy, that will cover you for any settling in your foundation, but that settling MUST occur during the policy period. Now, under the Homeowners or your commercial policy there are some provisions in most policies that will cover sudden leaks from plumbing system. If this kind of an event leads to a "sudden" collapse/settling in your foundation, the damage to your foundation is covered in most policies. Also, your policy should cover removal the concrete, that is required to reach the pipe or water system that has suddenly leaked. The plumbing system however (plumbing costs beside the needed concrete removal), will not be covered by your homeowners insurance policy unless there was an official freeze that caused this sudden leak or damage to you water/plumbing systems. Thank you for taking to time to study with us in regards to foundation coverage. Call me for a free claim review any time. 2108120992 David Negrila dnpublicadjuster.com leave a message in the Contact page.


Question 2: What is an endorsement?


An Endorsement is any amendment added to the standard policy form that alters official coverages and limits of coverage.


Endorsements: Not all endorsements on your policy are an adding of coverage. When we think of the word endorsement in English we are thinking of an approval most of the time because of the connotation of the word. Endorsement is a word used for approval. The insurance industry continues to use the word endorsement to name anything that officially changes coverages in the declaration page of your policy (statement of coverage's and policy limits), also details of perils insured against, (coverages) and also conditions with the policy itself.


Put simply, an endorsement modifies the policy language of your insurance policy form. Again, it will not always add coverage, but many times will bring limit coverage. Some endorsements will STOP coverage completely in CERTAIN perils.


Your coverage may be deeply affected by these endorsements, written with the insurance form. Ask your agent what each endorsement is about, as they have a duty to represent you when they write you a policy.


If you have any claim questions call me for a free claim review.


2108120992

David Negrila TX PIA 2352788

dnpublicadjuster.com leave a message in the contact page.


Question 3: The claims adjuster told me that he/she will issue a check for my claim and that the claim is officially "closed"? Did he really close my claim?


Insurance will use terminology to create a thought that will shut you off from getting the right amount for your claim.


The claim is not officially "closed". Your claim is still subject to changes called supplements, and if the field and desk adjuster have may an error on there estimate or wrongfully denied part or all of your claim, it is your right to get the right professional representation and obtain your rights under the policy.


One other reason that your insurance adjuster may say that your claim is closed, is because of there very own, "claims billing cycle". They do not get payed as a claims company until they have completed the claim and issued either denial or payment.


Question 4: My adjuster came and inspected my roof for hail or wind and they said that "no damage was found" for wind or hail. They also said it was because of the fact that "the damage" did not meet "replacement criteria" or does not "warrant replacement". What do you think about their opinion?


Their opinion many times is never in your interest. We have seen insurance companies hire engineers to lie about the damage that should have be covered. For instance, a tell tell sign is this one; damage done cosmetically to the shingles are not covered, on the other hand cosmetic damage to gutters are covered under the professional report of an licensed engineer. Hypocrisy, shows and this is a most definite fact used to describe how engineers are payed lie about policy facts and in most claims, even engineering facts as well.


Question 5: How much do you charge as a Public adjuster?


For the local San Antonio area my fee's are 8% of the additional amount recovered.


For the State of Texas my fee's are 10% of the additional amount recovered.


Example Settlement Commission Charge:


Final negotiated Settlement with my representation ($10,000)-Insurance company initial estimate ($1,000)= (9,000) In additionally recovered damages


$9,000*10%=$900 Commission fee to Public Adjuster


NOTE: I will not charge unless I get your money recovered and will only charge on the recovered amount.



Question 5: I don't feel like paying my deductible and also hiring you to represent us. Is it really worth pursuing my claim?


It is worthwhile to pursue your claim for your roof and/or home.

Here are some important reasons why:


1. Reasonable repairs still must be done to keep you covered under your policy. Maybe you have done this, or maybe you haven't. Your insurance company comes to inspect property every time before insuring and many times during the course of policy annual terms. They will send inspectors or hire bulk property inspectors/investigators that pass by the property and check to see if the building envelope (exterior) looks to be in good shape and the building looks "insurable"


2. The Buyer's Inspection: When you sell a home, the buyer's inspector may come on your property, he or she will climb on that roof or see the damaged part of your home in disrepair and let the buyer know in a full report what is wrong with that property. Now, if you have to pay out of pocket at that point or you get hit with a price hit from you buyer because of that damage on your home, you would have realized that you should have even payed to get that claim approved.


3. Shingle Lifespan: The shingle lifespan varies on the type of shingle, yet most roofs are installed with 25 to 30 year shingles. If your shingles get any older that lifespan, that roof itself will not be insurable. They may keep your policy in force or may deny coverage at policy renewal. Cold facts. This happens. It is imperative for your home's structural health and also for your continued insurance coverage that your get your shingles replaced.

What better way to do this, than to use your policy in the event of hail or wind storms and get your roof replaced. The most you pay is your deductible, and if you are needing your claim approved even paying a public adjuster will be a great decision. Again your cost to replace these shingles is more expense without a claim approval. Get representation call me for a free claim review. 2108120992.


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