How Insurance Companies Underpay Residential Claims
Insurers employ specific strategies to reduce homeowner payouts. Recognizing these tactics helps you understand why professional advocacy matters.
Pre-Existing Damage Claims
Your roof suffered wind damage during a storm. The insurer argues the damage existed before the storm, citing normal wear and tear.
We obtain weather data from NOAA showing storm severity. We hire engineers who document how specific damage patterns match the storm event. We prove the loss resulted from a covered peril.
Depreciation Abuse
Insurers calculate "actual cash value" by depreciating materials and labor. A ten-year-old roof gets valued at 30% of replacement cost, leaving you severely underpaid.
We fight for replacement cost coverage where applicable. We document policy provisions that limit depreciation. We recover the full amount needed to restore your home.
Maintenance Exclusions
Water damage from a slow pipe leak gets denied because the insurer claims you neglected maintenance. They say you should have discovered the problem sooner.
We demonstrate that hidden leaks aren't discoverable through reasonable maintenance. We reference case law supporting coverage for gradual damage when the homeowner had no knowledge of the problem.
Coverage Limits and Sub-Limits
Your policy includes sub-limits that cap payouts for specific categories like jewelry, electronics, or water backup damage. Insurers apply these limits broadly to reduce payouts.
We review sub-limit applicability carefully. We challenge incorrect sub-limit applications. We maximize coverage under all available policy sections.
Delayed Payments and Excessive Documentation Requests
Insurers delay settlements by requesting documentation repeatedly. They ask for receipts from five years ago. They demand contractor estimates before authorizing inspections.
We know what documentation is legitimately required. We push back on unreasonable requests. We file complaints with state insurance departments when delays become bad faith.