The Facts About Your First/Next Storm Claims Assignment by CCS LLC

Source: Prior Forum Post

Anonym 0

Hello,

My name is Kevin Kramer and I am the owner of Catastrophe Career Specialties LLC (a storm claims training company located in Houston Tx) . I am posting this information today in response to several questions that  are asked of me quite frequently with the sincerest hopes that it will help all of those waiting for their first or next storm claims assignment.

A Little Bit About Me:  Eleven years experience as a catastrophe claims adjuster w/ State Farm Ins Companies (5 yrs staff & 6 yrs Independent). During that time I have worked in 21 states on 56 initial cat coded  assignments and will be the first to admit that I a still have a great deal to learn about the industry. I am a staunch opponent to politically correct Prozac speak, especially when it comes to decisions as important as starting / investing in a new career. Everyone who is considering entering the storm claims arena in entitled to hear the realities of what this industry has to offer.  I believe that a person’s true  success story can be found on top of the spot where their talents and passions intersect for this is the very place where all others cannot compete.

(The above is a post from a prior forum that is no longer available but you click on the title to read the complete post.)

 

Citizens Property Insurance

CADO Admin 0

"Citizens Property Insurance Corporation was created by the Florida Legislature in August 2002 as a not-for-profit, tax-exempt, government entity. Its mission is to provide insurance protection to Florida policyholders who are entitled to but are unable to find property insurance coverage in the private market.

Independent Adjusters

The Independent adjusting firms listed below supply individual adjusters to Citizens when they are needed. If you are interested in working with Citizens as an independent adjuster, contact any of these firms to see whether they currently are hiring new adjusters."

The above is from their site, the  Read More link will take you to the page listing the adjusting firms as stated above

 

House Fire--A simulated claim for discussion

Source: Forum Post Started by Racko on 9/19/2006

CADO Admin 0

 To kill some time in this lull period & spread some knowledge, here is the scenario (or scenarios) as you see fit to make it. I will lay out the limited info as follows, and let's see where it goes.

Heavy fire loss occurs in a single family dwelling. Cov is HO-3, no issues with eff dates. Insureds have just left home about 6:00 p.m., a couple hours before fire breaks out and is discovered. High winds fan the flames and each house on either side sustain heat/smoke damage before the fire is brought under control. Let's say both neighboring houses now have some melted vinyl siding, one sided 2 years ago and the other 12 years ago. The elderly neighbor next door initially beat on the insured's door trying to see if they were OK, and burned his hand. He then rushed home to get his wheelchair bound wife out of their house, but she spends a week in the hospital with smoke inhalation related complications.

The insureds are a young couple, both smokers, with a 6 year old son. They just moved in about 2 years ago, only work in the house since they came was replacing the kitchen flooring, and adding a center island with a new cooktop on it. These were professionally installed within the past 6 months.

NFIP Coverage Comparison as of December 31, 2000

Comparison of the NFIP Dwelling Form, General Property Form and the RCBAP form

Roy 0

This chart shows provides a coverage comparison of the following NFIP policies. 

The Three Policy Forms 
There are three policy forms – Dwelling Form, the General Property Form, and the 
Residential Condominium Building Association Policy. Each is used to insure a different type 
of property. All, however, contain certain terms and condition (e.g., Mortgage Clause, 
Reformation of Coverage) that are unique to flood insurance.
 

source: NFIP

National Flood Insurance Program (NFIP) Claims Manual - Updated

December 20, 2018 Revision

Roy 0

The Publication Date  of the most current manual is: December 20, 2018

The purpose of the NFIP Claims Manual is to improve clarity of claims guidance to WYOs, vendors, adjusters, and examiners so that policyholders experience consistency and reliability of service. The manual provides processes for handling claims from the notice of loss to final payment.

All NFIP bulletins, other than those announcing Flood Insurance Claims Office numbers, Flood Response Office locations, claims adjuster briefings, and current/future program changes, are superseded by this manual and of no further effect. 

Source: NFIP

CEA Homeowners Policy

CADO Admin 0
Info from the CEA website

With a CEA homeowners earthquake insurance policy, you can choose the coverages and deductibles you need. We offer two policies for homeowners:

 

  1. Homeowne​rs Choice offers coverage for your house, building code upgrades and emergency repairs. We also offer optional personal property coverage for your belongings, and loss of use, which can pay for additional living expenses if you have to live elsewhere due to earthquake damage. Homeowners Choice is flexible—you choose the coverages and options you need.
  2. Standard Homeowners bundles all of the coverages we offer into one package: home, personal property, building code upgrades, the additional costs to live elsewhere due to earthquake damage (Loss of Use), and emergency repairs.
     

 

Identification of Water Damages in Adjusting Hurricane Claims for Water Losses Other Than Flood

Source: North Carolina Department of Insurance

CADO Admin 0

....

In adjusting hurricane damage claims for homes within the 1968-1997 applicable residential code period, it is important that the inside of the walls be checked more carefully than
newer construction to ensure that moisture hasn’t seeped into the walls that will eventually result in mold and interior wall rot. If adjusters do not look for moisture build-up trapped inside the wall, then this damage could be missed, causing mold and rot to proliferate and resulting in bigger problems for homeowners in the future.

...

New Guidelines for NFIP Adjusters

FEMA Bulletin w-16005 – Authorized NFIP Adjusters and 2016 NFIP Claim Presentations

CADO Admin 0

A note about the use of the term “Authorized NFIP Adjuster” rather than “Certified NFIP Adjuster”: It is FEMA’s position that certification requires a more formal course of study and the successful passing of a series of examinations before certification is awarded, such is the case with Certified Public Accounts. Also, the FCN will now be referred to as the Flood Control Number.

Questions about getting a reciprocal license in Florida

Anonym 0

I have a question about getting licensed in Florida.

I currently have my Texas All-Lines Adjuster license and want to get licensed in Florida. After reading Florida’s website, I am a bit confused.  As a non-resident of Florida, the license requirements are as follows:

Step 2 - Qualifications for license:

 Hold a company or independent adjuster license (resident or non-resident) that Florida has a reciprocal agreement with. [Exempt from State Examination]
[Click here to view the reciprocal list]

OR

If you do not hold one of the prerequisites above, you will be required to take the state examination. [Requires State Examination]

Texas is listed as a  reciprocal state.

Does this mean I can get a Florida license without taking the state examination? Because as I was filing out my Florida license application, it indicated that I would have to take the exam.

So, can someone tell me if, as a licensed Texas independent adjuster, I am exempt from taking the Florida examination? This is probably a very stupid question, but I wanted to make sure before I signed up for the exam.

Thanks in advance.

Chad

Typical Phases of Claim Pmt First 3 Years of an Adjuster's Career

CADO Forum Archive

Anonym 0

Just a little insight to all new adjusters on what I have witnessed to be the progression of practice among new catastrophe adjusters in their first three years of claims work.

Stage # 1:  Demonstrated during in the first twelve months of career

Mindset: “Conservative” Not comfortable with allowing for large dollar settlement. Willing to ignore scope of damage in order to keep settlement amounts low to avoid perceived internal conflict with employer.
 
Consequences:  “Poor Production & Quality of Work”  30-75% of all claims returned by Team Manager to rework, 5-10% (which accounts for all random claims pulled for review) of closed claims returned by Reinspector to correct omissions, All estimates will require major reconciliation effort before any repair professional can begin project.

(The above is a post from the forum.)

B-0033-15

CADO Admin 0
ALIGNMENT OF LICENSE EXPIRATION DATES

"The Texas Department of Insurance is implementing the provisions of SB 876, 84th Legislature, Regular Session (2015) that concern the alignment of license expiration dates.  TDI will align individual licenses on January 14, 2016; entity licenses have already been aligned.  During the alignment, licensees may renew through Texas Online; however, Texas licensing services from Compliance Express and NIPR will be temporarily unavailable."

The Texas Department of Insurance is implementing the provisions of SB 876, 84th Legislature, Regular Session (2015) that concern the alignment of license expiration dates.  TDI will align individual licenses on January 14, 2016; entity licenses have already been aligned.  During the alignment, licensees may renew through Texas Online; however, Texas licensing services from Compliance Express and NIPR will be temporarily unavailable.

Unlicensed Adjuster Information for Insurers

Wind and Thunderstorm Event – July 12-14, 2015

CADO Admin 0

Unlicensed Adjuster Information for Insurers
Wind and Thunderstorm Event – July 12-14, 2015
(Flooding, Hail, Tornadoes, Wind)
States: Illinois, Indiana, Kentucky, Minnesota, Ohio, Wisconsin and Possibly Other Areas
Catastrophe Serial No. 88


Companies sending unlicensed adjusters to Kentucky to assist with the claims from the wind and thunderstorm event July 12-14, must complete Form 8307 to register the unlicensed emergency adjusters with the Department of Insurance. The form must be completed and submitted by the insurer, not the individual adjuster or other entity. Form 8307 is submitted electronically through the insurer’s eServices account on our website at http://insurance.ky.gov. Click on the word eServices in the upper right corner to login. Insurers who do not have an eServices account should contact the Department’s Information Systems Help Desk at DOI.ISHelpDesk@ky.gov for assistance.

Source: 

Insurance Adjuster Act

California Senate Bill 240

CADO Admin 0
SB 240, as amended, Dodd. Insurance Adjuster Act.

Existing law creates the Department of Insurance, headed by the Insurance Commissioner, and prescribes the department’s powers and duties. Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state and prohibits a person from engaging in a business regulated by the act, or acting or assuming to act as, or representing themselves to be, an insurance adjuster unless the person is licensed under the act. Existing law also prohibits a person from falsely representing that the person is employed by a licensee. Existing law exempts a person from the requirements of the Insurance Adjuster Act if the person is employed exclusively and regularly by one employer, as specified, with which the person has an employer-employee relationship. If the commissioner declares an emergency situation, existing law authorizes a nonlicensed insurance adjuster to adjust claims if certain requirements are met, including that the nonlicensed insurance adjuster registers with the commissioner via a written letter naming the nonlicensed adjuster, identifying adjuster licenses held in other jurisdictions, and stating when the claims adjusting activity began in the emergency situation. Existing law requires an insurer to provide an insured with a written status report if the insurer assigns a 3rd or subsequent adjuster to be primarily responsible for a claim within a 6-month period.

OKLAHOMA DOI decides to police the entire country for license compliance

Old Wise Fox 2

OKLAHOMA DOI decides to police the entire country for license compliance.  Upon my recent submission for license renewal as a Non-Resident, the DOI rep Nicki has decided to question my standing with my home state of Nevada!  I am complete good standing with Nevada, and havre offered to provide a "Letter of Good Standing", which Nicki refused to accept. She is demanding my continuing education formal receipts. She refuses to accept any certificates issues by attending classes such as NFIP, Symbility, etc.  In a very rude 1970's condescending government attitude, she asked if she could just cancel my request, and keep the monies I've paid!  She said that she is just enforcing state statutes, and snottingly that I have 60 days to comply from her first response. REMEMBER, this was a Non Resident license.  I hope she can write estimates!!

Lighthouse Claims Service - Career Page

CADO Admin 0

About Lighthouse Claims Service

"Lighthouse Claims Service is a full-service adjusting firm, fine-tuned to the needs of the individual client. Whether your company needs full Xactanalysis assignment capability or just a short form appraisal in any format, we customize our product to meet your needs. We specialize in property claims, either first or third party, personal lines or commercial lines. Our management team has over 40 years experience in the claims business."

The above is from their site.

NCJUA/NCIUA Approved Catastrophe Adjusters

Updated: 3/24/19

Roy 0
The North Carolina Joint Underwriting Association (NCJUA), also known as the FAIR (Fair Access to Insurance Requirements) Plan, is a tax exempt association of insurance companies licensed to write and engage in writing property insurance coverage in North Carolina. The Association was created by law to act as a market of last resort to provide adequate basic property insurance to property owners having insurable property in North Carolina.

The above is a quote from their site. 



NFIP Training Available Online

Roy 0
The NFIP offers free online courses in basic and advanced flood insurance topics through the FEMA Emergency Management Institute. NFIP Training courses are free and open to anyone. Click on a link below to begin your self study course. 

 

(note: we first posted this in December of 2015, but it was deleted in error)

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