Factors to Consider Before Filing a Claim

Florida homeowners and landlords should carefully consider several important factors before filing a claim. Discussing these with an insurance agent can help in making informed decisions and potentially avoiding issues that could arise during the claims process. Here are key items to consider:
 
Policy Review
  • Coverage Details: Understand what is covered under your policy, including dwelling coverage, personal property, liability, and additional living expenses.
  • Exclusions and Limitations: Identify what is not covered, such as certain types of water damage, mold, or wind-driven rain, which can be common in Florida.
  • Deductibles: Be aware of your deductibles, including separate hurricane deductibles, which might be higher in Florida.
Claim Impact
  • Premium Increases: Consider the possibility of premium increases after filing a claim, particularly if it’s a minor issue.
  • Claim History: If you’ve filed claims before, understand how another claim might impact your insurance record and future insurability.
Evaluate Repair Costs vs. Deductibles
  • Cost Analysis: Before filing a claim, assess whether the cost of repairs is less than or only slightly above your deductible. If the repair costs are lower than the deductible, it may not be advantageous to file a claim.
  • Impact on Claims History: Filing a claim, even for a small amount, can negatively impact your claims history, leading to higher premiums or difficulty obtaining coverage in the future.
  • Long-Term Considerations: Weigh the immediate benefit of filing a claim against the potential long-term costs in terms of premium increases and insurability. Sometimes, paying out of pocket for minor repairs can be the more financially sound decision.
Damage Documentation
  • Before and After Photos: Regularly document the condition of your property with photos or videos, which can be invaluable when proving the extent of damage.
  • Receipts and Inventory: Keep an updated inventory of your belongings, including receipts for high-value items.
Repair Estimates
  • Contractor Estimates: Obtain repair estimates from licensed contractors to get an accurate idea of repair costs before filing a claim.
  • Temporary Repairs: Make any necessary temporary repairs to prevent further damage, keeping receipts for reimbursement.
Claim Filing Process
  • Timeliness: Florida law typically requires that you file a claim within a specific time after discovering damage. Missing this window can result in denial.
  • Upon Filing a Claim: After filing a claim, be sure to obtain the claim number if provided, the assigned insurance adjuster’s contact information if available and be sure to keep detailed notes of dates and topics discussed throughout the process.
Potential for Denial
  • Pre-existing Conditions: Be aware that damage considered pre-existing by the insurer can result in claim denial.
  • Maintenance Issues: Claims may be denied if the damage is due to lack of proper maintenance rather than a covered peril.
Hurricane Season
  • Storm Tracking: If a storm is approaching or has been named, insurers may impose binding restrictions, making it impossible to adjust coverage.
  • Post-Storm Protocol: Be familiar with the steps to take if your property is damaged during a hurricane, including reporting the damage and managing emergency repairs.
Mitigation Discounts
  • Wind Mitigation Credits: Ensure you’ve taken advantage of available credits for wind mitigation efforts, which can reduce your premiums and demonstrate proactive management.
Alternative Dispute Resolution
  • Mediation and Appraisal: If you disagree with the insurance company’s assessment, you may have options for mediation or appraisal before pursuing litigation.

     

Discussing these points with your insurance agent before filing a claim can provide clarity and potentially save time, money, and frustration in the long run.