Adjuster Estimates

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Last Post 09/21/2009 1:07 AM by  Ray Hall
Scoping/Estimate writing
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BobH
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08/29/2008 3:46 PM
Posted By Odie Wyatt on 08/29/2008 
...I don't think one way is right and one way is wrong, it just is what it is.

Absolutely, and I agree with all that. We do have to have our "inner understanding" of what scope of repair we believe to be correct for the claim - or we don't have a rudder in the water.  In your example, it was allowable for the "put back" to include jacks and drip edge.  That is your position on the scope of repair. 

And if the local market contractor is providing a reasonable estimate that is at or below the computer before those things are added into the computer, that is great.  The underlying truth to all this is that we do not owe more than the reasonable cost of repair, and a local contractor estimate is the spot on the map.

When there are big differences, the first thing I do is look at the scope of repair (tasks allowed, and quantities) before looking at prices per unit cost. Things almost always resolve if the scope of work is agreed upon.

Posted By Odie Wyatt 
...With the increased use of XM8 by carriers and even roofers, now the roofers want to add extra for plumbing jacks and metal edge, because XM8 does not include it in the line item price, while other roofers that don't use XM8 still include jacks, edge and tax in their per square price.

You hit it on the head. That is the issue. Some roofs will run forever without penetrations, like a storage facility roof. Others are peppered with jacks for 3 bathrooms, kitchen, exhaust fan for stove, water heater, etc.   Right or Wrong, the default price list for Xm8 doesn't include those "extras" like jacks and drip edge, as not all roofs had them before the loss.  It's not a lot of money per jack, per Lf of drip edge.  But if you didn't measure the perimeter or count the jacks when you were on the roof, doing the estimate is grief.

I have seen versions of Xm8 with pricing prepared for specific insurance companies, that have a Texas 3-tab shingle entry that DOES include drip edge, vent jacks, any needed valley metal, and of course felt within one unit cost.

As long as we, as adjusters, know what is or isn't included in our unit cost per square, we have stability. We have a point of reference. If it is vague, or the contractor bid is vague on what is included for what price, things get strange. A lot of contractors (and adjusters) I talk with don't roll up their sleeves to see what their software is, or isn't including in the unit cost - that's when it's hard to get an agreed repair figure.

Bob H
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PMA
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08/29/2008 4:02 PM

As far as plumbing vent stacks and edge metal, if the roof is a complete tear off, they are replaced too, especailly the old lead vents. Just too difficult to try and save them. Some of the newer rubber or vinyl vents are more forgiving, but the time spent trying to salvage them is more costly than buying new. And have you ever tried to save the edge metal when doing a tear off? Again, can't be done. At least not without spending an exhorbitant amount of time TRYING to salvage it without bending it or otherwise ruining it. The cost of labor spent trying to save it would very quickly outpace any material savings on the estimate. I can assure you that If I were a contractor doing the work and was told I had to salvage and re-use edge metal and/or vents covers, there would definitely be a very expensive line item on my estimate. Then just try to tell me you're not going to pay for it and we're gonna' have a serious face to face.

We were taught in adjuster training that felt was included in the tear off. For installation, felt and roofing are separate line items, and felt includes NO waste factor. Reason being is that felt can be run in several directions and has no pattern to follow. Small scrap pieces are often used on sidewalls, or on cricket roofs, etc.

Paul

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BobH
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08/29/2008 4:07 PM
Posted By Paul Allen 
...And have you ever tried to save the edge metal when doing a tear off? Again, can't be done. 
At least not without spending an exhorbitant amount of time TRYING to salvage it without bending it or otherwise ruining it.

Yep.  And there are some houses that DON'T have drip edge, it can be incorporated into the aluminum siding that will remain in place when the roof comes off.  Older houses will have a wooden trim that serves as drip edge, and remains in place.  Both of those examples do not have a 90 degree bend with part on the roof deck, it all runs UNDER the shingle and isn't damaged when the shingles are removed.

Bob H
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Tom Toll
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08/29/2008 4:33 PM

I agree that felt should be changed when tearing off a roof. I have tried it personally, it does not work. You tear holes in the felt, then you have to pick out the staples and/or nails, which totally destroys the felt. Drip edge has to be replaced also. Computerized estimating changed the whole picture of estimating damage. Most systems will tell you what is included in that line item, we just need to be aware of what it says, or you will get caught with you pants down. The contractors and roofer have taken advantage of our computerized estimating and that has jacked up prices, in my opinion. This is a good thread, very educational. Thanks to all of you contributors.

Success is not final, failure is not fatal: it is the courage to continue that counts.
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claims_ray
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09/20/2009 8:40 PM
I should have taken a picture of workers performing a shingle replacement on a roof next to the one that I was inspecting. I saw these roofers removing a layer of shingles without much effort and only causing a minimal amount of damage to the underlaying felt leaving the drip edge undamaged on the roof. On the other side of the slope they were already laying a new layer of shingles without replacing the felt. To top it off there was a layer of cedar shake under the felt.
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Leland
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09/20/2009 10:27 PM
Just because something CAN be saved and reused doesn't mean it SHOULD be reused.

I always remember my British car and motorcycle repair manual that would say trying to reuse a particular engine part would be "false economy". Imagine, to use on of the items mentioned above, if the the roofer reused a rubber pipe jack and it leaked later. The peace of mind alone is worth the price of the pipe jack.

Think of the liability for the roofer, and possibly the carrier. What if the adjuster told the roofer that a new pipe jack wasn't covered?

If that were to happen the adjuster might get some questions later from the construction defect attorney, and they would be difficult questions like:

"Please tell us what the factory recommended life span of a pipe jack is"

"Exactly how old was the pipe jack?"

This is why it should be included in the scope.

And if there is some uncertainty about whether it is included in the software line item, a note can always be added that the adjuster considers it included for the price shown which might in fact even override the intention of the software, but so be it. (You don't neccesarily always have to add more money, just specify that it is in the scope)

For example if I use a plumbing minimum I might put a note that it includes an angle stop.

Just touching an angle stop can make it leak. There are certain old style angle stops that I know will almost always fail once you turn them off to remove a toilet so for sure I will include it in my scope. If the plumber or insured or handyman wants to save a few dollars and reuse them, go ahead. But don't call me a month later when the old angle stop causes a big water leak. I'd rather pay for small items and not create liability for my principal.

Most good plumbers will always replace angle stops, just like roofers replace drip edge and valley metal.

Sometimes unions and building codes go overboard but that can be a good reference. If the union teaches plumbers to always use a new wax ring and a new angle stop, it is probably not a good idea to exclude such items from the scope.

My file examiner in Katrina always insisted the estimates have spray for mildewicide for a simple reason. A few pennies can protect against later liability.

If mold grows later, the insured was paid for mildewicide but the contractor didn't do it, it's very hard for the insured to make a successful claim that the insurance companies scope somehow resulted in a shoddy job that caused mold.

If I was a homeowner or roofer and the adjuster didn't want to pay for pipe jacks I'd say, "No problem, just put it in writing that carrier X accepts any liability for failure of the roof due to reusing old pipe jacks"

Avoid "false economy".
Just my 2 cents.
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BobH
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09/20/2009 10:28 PM

Posted By claims_ray on 20 Sep 2009 08:40 PM 
... On the other side of the slope they were already laying a new layer of shingles without replacing the felt. To top it off there was a layer of cedar shake under the felt.


 

Doesn't mean much, they were just doing a sub-standard job.
Overlay's are a terrible roof. We have all seen it done - but it doesn't make it right.
I looked at a roof today that was alleged wind damage, because it "didn't look right" to the elderly homeowner who could not get up on the roof. It didn't look right because of the bumps & valleys of being installed over another layer of roofing rather than a smooth deck. They don't look at it normally - then they really study it after a wind event, and attribute every flaw to the recent storm. Even the nail-pops which are even more prevelent in an overlay cuz the nails are going through layers of crud before they hit anything solid (if they hit anything solid)
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Wow Leland, we chimed in at the same time.  I did a post and yours appeared first - you are fast!

Bob H
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Leland
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09/20/2009 10:35 PM
failure of a 3rd layer can be considered a construction defect due to improper install/code violation. Most cities don't allow it.

No comp shingle manufacturer will warrantee or recommend install over two previous layers.

Carriers will pay these losses but you can often apply more depreciation due to the short life of this kind of installation. And you can pay extra tear off.

I'm probably one of the least experienced on this site regarding roofs so If anyone disagrees let me know.
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Leland
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09/20/2009 10:37 PM
Hi Bob, we need a life.

Comp over shake I think is code OK (sometimes?) but I'm guessing it would also void a manufacturer's warantee.
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BobH
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09/20/2009 10:43 PM

Regardless of code, carriers I work for allow to remove damaged roof down to the deck. If it has cedar under it, then a proper nailing surface is owed, and the spaced-sheathing (1x4's or 1x6's) get covered up with OSB or CDX as a smooth nailing surface.  The but-ends of wood shingles, even the thinner ones, don't make for a smooth flat surface.  I have heard of "featherboards" placed at the but end, but heck, why not buy some used brake shoes at the junk yard, save a few bucks compared to new brake shoes...

I am doing a claim right now (unbelievable) where the old Victorian had SLATE as the first roof, possibly from the late 1800's, and somehow people managed to nail 2 layers of comp over the slate. I went up in the attic and could see slate between sheathing. I didn't know you could nail through slate. maybe layers were added & removed over the century, using the slate as a starting point. Right now we are allowing to remove it all, and that is the right thing to do.

When there "is no insurance money" and it comes out of your pocket, corners have been known to be cut short.

How's it going in California? I'm still in a 3-hour time change from you, and thankful for the work.

Bob H
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Leland
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09/20/2009 10:59 PM
I'm a busy bee due to the fires.

Some carriers won't pay to remove down to a "nailing surface" if it is an ACV policy. I was surprised when I heard that, but its true.

Is any of the slate salvagable?

Just a trivia note on slate, it should be nailed with copper or stainless nails, at least hot-dipped galvanized, but never electro-galvanized due to the propensity to rust.

Bob- how do you get so much work all over the USA?

and thanks for all your tips on Xactimate

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BobH
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09/20/2009 11:21 PM
Posted By Leland on 20 Sep 2009 10:59 PM
I'm a busy bee due to the fires.

Some carriers won't pay to remove down to a "nailing surface" if it is an ACV policy. I was surprised when I heard that, but its true. 

The longer I do this work, the more I realize that for "most" insurance companies it really depends who is sitting in the chair.  Lately I don't have that problem, but for years and years working for mid-size carriers you would see such a high turn-over because the last people quit (couldn't take the heat in the kitchen) and new people always put on the brakes (don't understand the law of large numbers, collect from the entire state, pay the claims you owe).

IMHO the fact of an ACV policy has zero to do with the scope of repairs.  it could be argued that a particular repair has a bldg code element to it, and the enorsement isn't there for the surplus-lines sub-standard Dwelling Fire policies (Lloyds, etc.) but that sort of infers the repair could be made without bringing it up to code with Like - Kind construction. 

You and I are pretty familiar with the depreciation rules in California, all of that removal of old roofing would be immune to 1st party ACV depreciation as we only depreciate materials in California per statute.

Again it may depend who is sitting in the chair, and I stopped dealing with one particular mid-sized company that wrote in CA because I just didn't want to be in the same room with some of their decisions.

Bob H
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Ray Hall
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09/21/2009 1:07 AM

I think about 3 insurance carriers sued the Ins, Comish in a1992 for a large hail storm in El Paso when the word bailable surface hot the fan. The commish ruled a woodshingle roof over a solid deck or shingle nailed to shingle lath, that was under one or two layers of comp. shingles. "all shingles had to come off and new plywood or hard board deck, felt and a layer of shingles installed" This cost the insurance carriers millions on the redeck cost alone. Three carriers won the suit, the the practice still exist today.

If I get a roof claim today from one of these carriers with this situation 99% of all the redeck cost is applied and then the last roof it,s self is depreciated on a ACV basis or a RCC basis if the policy has RCC.

Now just stop before you cry foul, bad old insurance company. This is a true betterment to property that needed this procedure before the hail storm came through. In Texas today you can not get an HO-A modified, HO-B or one of the few HO-3  if you have a comp. laid over a W/S deck.

20 years ago all most all roofers in Texas would do lay overs. I agree with Tom the cumputer has cost the insurance industry.

I can see the catastrophe industry making changes each day to cut out roof inspections, and for that matter all inspections, except a very small % that are going to the court house. We can measure roofs from space. We can pull daily reports by zip code. Have 10 inspectors determine the hail size in these zip codes and close 50-60% of the dwelling losses without a foot print on the roof. Good IA's will always be needed to do the field work and it  seems more and more are doing the inside work as well.

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