Insurance claims
Who sets the carrier’s number?
Insurance & Property Claims Advisor · Read Sarah’s biography
How adjuster authority, supervisors and committees can affect a claim’s evaluation.
Transcript
A board assumes the number the adjuster gives them is what the carrier pays. A supply line fails on the top floor of a condo building over a holiday weekend. Water runs through 14 units and the restoration company says the damages total $400,000. However, the carrier comes back at $140,000. The board takes that as the answer. It isn't and the person they've been emailing almost never set that number.
So many different scenarios go into this question.
The first person that's going to be setting the reserve would be the adjuster that investigates
the claim, determines liability, and coverage.
If the claim goes above that adjuster's authority level, then it would go to the supervisor.
And then above that, it would go to a committee who would review the file and determine if
the number is appropriate or whether it needs to be modified.
So a takeaway from that would be to confirm that all information is given to the adjuster so that
they can properly evaluate the claim and set the appropriate reserve for settlement. Ask the
adjuster in writing what their authority level is and who the file goes to above them. One email
today, it tells you whether you have been negotiating with someone who can say yes
or someone that does not have the settlement authority for the claim. For the board, it's
important to have all the documentation in order in order to provide it to the adjuster at the
early onset of the claim. Same answer if you own the building and your lender is going to ask who
at the carrier can actually sign. Know that before they ask, not while they're asking. And if it's
for your house, same machinery, smaller numbers on a house claim, the adjuster's own authority
often covers it. If yours isn't moving, ask who it went to.
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