A home insurance claim for substantial repairs has been made, and you are eagerly awaiting the estimate to cover the costs. The estimate is significantly lower than what contractors have quoted. Getting a low insurance quote and being expensive is a common and stressful situation. Why is there a difference?
- Insurance companies use their pricing guidelines and depreciation calculations
- Contractors base quotes on current market rates for materials and labor
- There’s often a gap between what insurers want to pay and actual repair expenses
It’s okay. We will go over:
- Reasons behind low estimates
- Steps for navigating the claims process
- Strategies for negotiating with your insurer
- Alternative solutions if estimates remain too low
If you need to pay for repairs but don’t want to spend too much out of pocket, we’ll look into ways to compensate you.
Understanding the Discrepancy in Insurance Estimate vs. Contractor
Insurance companies aim to offer coverage while keeping payouts to a minimum.
They base their estimations on the following:
- Risk assessment based on probability data and pricing guidelines set by the industry
- Calculations factor in actual cash value, not complete replacement value. Deductions for depreciation of older materials/items
- Cost-saving relationships with preferred contractors and suppliers
Insurers aim to minimize payouts while still providing some coverage. Their estimates use:
- Standardized pricing sources, like cost evaluation software
- Depreciation formulas that account for age and condition
- Negotiated rates with vendors in their contractor program
Contractors’ Perspective:
- Quotes based on current market pricing and overhead expenses
- Materials at retail costs from suppliers
- Labor billed at their standard rates
- No depreciation deductions – estimates for complete replacement
- Contractors ensure jobs return a profit margin
Contractors price jobs to cover:
- Costs of required materials and equipment rental
- Labor hours for each crew member
- Operating expenses like vehicle costs and insurance
- The desired profit margin for their business
Large chasms form as a result of these divergent viewpoints. Most insurance quotes are:
- 20-40% lower than contractor quotes
- Calculated from dated pricing sources
- Based only on cheapest repairs, not total replacements
Takeaway: Insurance companies want to pay as little as possible in claims, while repair companies want to charge what the market will bear for their work.
Navigating the Claims Process
Do not immediately accept an unsatisfactory, lowball estimate. A fair wage is within your reach if you take the necessary measures.
Documenting the Damage
- Thoroughly photograph and video record the damage from multiple angles
- Close-ups and wide shots show the full extent
- Obtain professional assessments and repair estimates
- Hire a public adjuster or contractors to inspect and provide written reports
- The more evidence you provide, the harder it is for insurers to deny
Reviewing Your Policy
- Read through your complete homeowners’ insurance policy carefully
- Identify which coverages apply to your claim
- Dwelling, other structures, personal property, loss of use
- Note any applicable limits, deductibles, and exclusions
- Look for endorsements or riders extending additional protection
To build your case:
- Highlight policy details requiring complete repair or replacement
- Replacement cost coverage with no depreciation
- Point out any provisions favoring broader, upgraded materials
- Explain why exceptional repairs or materials are required
Maintain order with records showing:
- The extensive nature of the damages
- Professional estimates aligning with contractor quotes
- Policy details mandating better compensation
The most important thing is to let your insurance know two things:
- Verified evidence of valid repair requirements and associated expenses
- Assurances made in the policy that guarantee adequate protection
Read More: Appraisal Clause Auto Insurance
Negotiation Strategies: When Insurance Estimate Lower Than Contractor
Negotiating fair pay with your insurance provider is easy once you understand your policy’s coverage and the reasons behind the low estimate.
Provide Detailed Estimates and Documentation
- Get estimates from several reliable contractors.
- Outline every repair needed with materials and labor costs
- Outline every repair needed with materials and labor costs
- All documents use photos or videos.
- Highlight discrepancies between what the insurance estimate covers
- Justify why their pricing guidelines don’t account for your total repair costs
Utilize the Dispute Resolution Process
- If the insurance company continues to put a low value on your damages, you can challenge this decision.
- Provide a written letter formally disputing the estimate
- Include all documentation, like contractor quotes and professional reports
You should ask for your claim to be taken up a notch
- Ask for a re-inspection by a supervisor or another adjuster
- Elevation helps get a second opinion on disputes
Involve Third-Party Professionals
A public adjuster is an advocate who can mediate claims on your behalf.
- They handle estimating damages and representing your interests
- Typically, you are paid a percentage of your final claim settlement
- Finally, you should go to a lawyer who focuses on insurance claims.
- They understand the legal process for suing over underpayments
- Lawsuits put pressure on insurers to offer fairer settlements
Gathering evidence that challenges the low estimate is crucial. Convince the insurer to pay more to meet reasonable repair costs in a kind but robust manner.
Alternative Solutions
You have other options even if you and your insurance provider cannot agree on repairs.
Agree to the Insurance Quote and Any Supplement Costs
- A portion of the payment can be made using the insurer’s estimate.
- Put the insurance money toward priority repairs first
- Phase projects over time as you save up more funds
- Explore financing options to cover shortfalls
- Home equity loans or lines of credit
- Personal loans from banks or online lenders
- Interest-free credit cards for short-term financing
- Determine your financing alternatives to pay
- Calculate total cost differences after insurance payment
- Determine if you can comfortably cash-flow the remainder
If you have any access, dip them into your savings or assets.
This approach necessitates meticulous financial planning and can require adjusting the project scope or materials. However, it permits the use of insurance funds to commence repairs.
Determine the Best Alternatives for Policy Replacement
- Review replacement cost value policies
- These pay the total repair costs, even if higher than insured value
- Your current policy may have an actual cash value only
- Consider changing insurance providers
- Get quotes from other companies, especially after a claim
- A new policy could have better coverage and rates
- Increase your coverage limits and policy maximums
- Higher insured value reduces the risk of underinsurance
- Add endorsements for code upgrades or other protection
To compensate for the low payout, you can either borrow more money to refinance your present loan or switch insurance policies to receive more comprehensive coverage that matches the cost of repairs. These options may save you trouble in the long run but also cost money upfront.
Prevention and Preparation
While dealing with a current claim, it’s also wise to prevent future underinsurance issues. A little proactive maintenance and documentation go a long way.
Regular Home Maintenance and Inspections
- Stay on top of routine upkeep for your home’s systems and structure
- Handle minor repairs promptly before they become significant problems
- Examples: updating old roofs, fixing leaks, grading landscaping
- Schedule professional inspections periodically
- Hire contractors to inspect areas like the foundation, HVAC, and electrical
- Identify and fix potential issues before they cause damage
Documenting Condition and Value of Possessions
- Create an inventory of your home’s contents and improvements
- Make a list with descriptions, purchase dates, and estimated values
- Take photographs and video walkthroughs of each room
- Hold onto receipts and records of major purchases
- This documents an item’s age and proof of ownership
- Helps validate claims for theft, loss, or replacement
Reviewing and Updating Insurance Policies
- Reevaluate your coverage needs annually
- Has your home increased significantly in value?
- Did you make any renovations or additions?
- Inquire about endorsements for extra protection
- Supplemental coverages like scheduled personal property
- Ask about ordinance or law endorsements for code upgrades
- Price shop and switch insurers periodically
- Company rates and policy options change over time
- A new provider may offer superior, more affordable coverage
Being a diligent homeowner with documentation prevents disputes over claims. It validates the condition and value of your property.
Conclusion
After submitting a valid claim, no homeowner wants to experience the additional worry and trouble of receiving a low insurance estimate. However, you will have a better chance of getting fair compensation if you are well-informed and prepared.
Important points:
- Understand the reasons behind differing calculations from insurers versus contractors
- Thoroughly document all damages with photos, videos, and descriptions
- Review your policy details to know what is covered and excluded
- Negotiate forcefully but politely, providing evidence that the estimate is too low
- Be willing to escalate claims and involve third-party adjusters or attorneys
- Explore alternative solutions if needed – like financing gaps or changing policies
Do not, under any circumstances, settle for absurdly low compensation. By paying insurance premiums, you ensured that your home and goods were sufficiently secured. Go ahead and start negotiating; you need to stand up for yourself.
Going forward, you can improve your situation by taking preventative actions, including regular maintenance, tracking the worth of your possessions, and reevaluating your coverage needs every year.
This article will provide the tools to achieve a reasonable settlement, even though filing a claim is scary. Your home deserves better than that.
Justin Taylor is the creative force behind Insuranted.com, a premier destination for insightful and trustworthy insurance information. With a dedication to demystifying insurance complexities, Justin strives to equip readers with the knowledge they need to make smart, informed decisions.