Appraisal Services

Appraisal as an Alternative Dispute Resolution in The Insurance Claim Process

A Fair and Efficient Insurance Claim Solution

In the realm of property damage insurance claims, disputes can occasionally arise between policyholders and insurance companies over the valuation of damages or the extent of coverage. These disagreements can be time-consuming, costly, and often lead to unnecessary legal battles. To address such situations, many insurance policies include a provision for appraisal as an alternative dispute resolution method. Insurance appraisal offers a fair, efficient, and impartial way to resolve conflicts, ensuring a prompt resolution to insurance claim disputes.  Prime Adjustments insurance appraisal appraisers are impartial and will review and scope the damages attributed to your loss.

Understanding the Insurance Appraisal Process:

Insurance appraisal is a structured process in which both the policyholder and the insurance company appoint an independent appraiser to assess the value of the damages or the disputed aspects of the claim. The two appraisers work collaboratively to reach a mutually agreed-upon value. If they are unable to reach a consensus, they may appoint an umpire as a neutral third party to make the final decision.  Not all insurance policies allow a policyholder to invoke appraisal.  Prime Adjustments can review your insurance policy and let you know if you even have the ability.

In Florida many policyholders have Citizens Insurance.  Most Citizens Insurance policies give the policyholder the ability to invoke appraisal.

Key Benefits Of Insurance Appraisal as an Alternative Dispute Resolution

1. Speedy Resolution: Insurance appraisal offers a faster resolution to disputes compared to traditional litigation, which can be lengthy and time-consuming.
2. Cost-Effective: Engaging in appraisal typically incurs lower costs than protracted legal proceedings, saving both parties time and money.
3. Expert Evaluation: Insurance appraisers are usually experts in their respective fields, ensuring that the valuation is accurate and based on sound professional judgment.
4. Impartiality: The use of independent appraisers and, if needed, an umpire, ensures an unbiased evaluation of the claim, eliminating potential conflicts of interest.
5. Preserving Relationships: Insurance appraisal allows for a more amicable resolution, helping maintain a positive relationship between the policyholder and the insurance company.

The Appraisal Process in Insurance Claims:

1. Triggering the Appraisal Clause: When a disagreement arises, either the policyholder or the insurance company can invoke the appraisal clause in the insurance policy.  To invoke appraisal, an appraisal demand must be drafted and sent to the opposing party.  Prime Adjustments can assist with this process.  Please note you may only invoke appraisal if your policy language allows.  Some property insurance policies may be bilateral.  A bilateral appraisal is when both parties must to agree to go to appraisal while other insurance policies may state that either party may invoke appraisal.
2. Appointment of Appraisers: Once appraisal in invoked each party has up to 20 days to name their appraiser.  Both parties select their appraisers, who are independent and have no prior connection to the dispute.  Some insurance policies may allow the public adjuster to be the appraiser on the same claim they are representing in a public adjuster capacity.  Other insurance policies may state that the appraiser must not have an interest in the claim and therefore may not be the appraiser on the same claim they are representing in a public adjuster capacity.  Prime Adjustments can review your policy to help you interpret your appraisal representation options.
3. Assessment and Negotiation: The appraisers evaluate the damages or disputed aspects of the claim independently. They then meet to discuss their findings and attempt to reach an agreed-upon value.
4. Involvement of an Umpire (if needed): If the insurance appraisers cannot reach a consensus on the value of the insurance claim and they are at an impasse, either insurance appraiser may appoint the agreed upon umpire.  If the appraisers cannot agree on an umpire than either party may request a court appointed umpire.  This is where a judge will select an umpire for the appraisal process.
5. Final Resolution: Once an agreement of the value of the insurance claim is reached between the appraisers or at least one appraiser agrees with the umpire’s decision, the final valuation becomes binding in most states to resolve the dispute.  The appraisal process is complete once at least 2 out of 3 signatures are signed off on the appraisal award.

Commercial Appraisals and Residential Appraisals

When to Consider Insurance Appraisal

Appraisal is a viable option when disputes involve property damages, loss valuations, or coverage disputes. It is essential for both policyholders and insurance companies to be aware of this option and consider it as a means of resolving disagreements swiftly and fairly.

Insurance Appraisal Conclusion

In cases where policyholders and insurance companies find themselves at odds over the expenses tied to repairing or replacing damaged property, the frustration can be palpable. This scenario is particularly disheartening for policyholders who often feel cornered into accepting the insurance company’s offered sum. Regrettably, insurance companies do not consistently inform policyholders of their entitlement to engage in various dispute resolution avenues, a situation that is becoming increasingly prevalent.

As a consequence, many policyholders remain unaware of their right to contest an insurance settlement figure, and the process of initiating a property insurance claim dispute often eludes them.

One effective recourse for policyholders seeking to challenge their insurance provider’s proposed settlement is to trigger the appraisal clause embedded within their insurance policy. When executed correctly, the appraisal process serves as a potent alternative for resolving disputes. However, it’s essential to note that not all insurance policies incorporate an appraisal clause.

The appraisal clause, when present, typically features language similar to the following, serving as a comprehensive overview of the Appraisal process:

Appraisal Clause

“In the event that agreement cannot be reached on the extent of the loss, either party may opt to invoke the Appraisal process. Upon written request for Appraisal, both parties shall select an independent, qualified appraiser. Within 20 days of receiving the written request, each party shall disclose the chosen appraiser’s identity to the other. The two appointed appraisers will then jointly select a neutral Umpire with suitable expertise. Should the appraisers fail to agree on an Umpire within 15 days, either party has the option to request a judge from a court of record in the state where the property is located to appoint an Umpire.

The Appraisers will proceed to determine the extent of the loss. Should the Appraisers be unable to reach a consensus within a reasonable timeframe, they will submit their differences to the appointed Umpire. A written agreement endorsed by any two of the three individuals shall dictate the final loss amount.”

Incorporating the appraisal clause within your insurance policy can pave the way for a constructive and impartial means of settling disagreements between policyholders and insurance companies. This process ensures fairness and provides a viable solution when common ground proves elusive.

Contact us today to retain us for your appraiser service needs.

Appraisal vs Lawsuit