If you've ever experienced a catastrophe that triggered an insurance claim, you're likely familiar with the sense of overwhelm and confusion that comes with it. In the midst of chaos, the process of filing an insurance claim can seem daunting and complex, leading many to seek the assistance of public adjusters. These professionals offer valuable services in navigating insurance claims, but engaging their help necessitates understanding their role, potential benefits, and possible pitfalls. With a deeper comprehension of what I now know, this discussion unfolds around five crucial aspects I wish I had fully grasped before hiring a public adjuster.
Firstly, it's essential to comprehend the core function of public adjusters. Public adjusters are insurance professionals who represent policyholders in the negotiation of insurance claims. Unlike company adjusters or independent adjusters—who are contractors hired by insurance companies—public adjusters are employed directly by policyholders. They are licensed by the state insurance department to assess property damage, interpret insurance policies, and negotiate settlements on policyholders' behalf. The importance of this distinction cannot be overstated, as it shapes the inherent motivations and approach of the adjuster.
The second aspect to consider is the cost involved. Public adjusters are typically paid on a contingency basis, meaning they receive a percentage of the claim settlement. Fees can range from 5% to 20% of the claim payout, depending on the state and the complexity of the claim. While this fee might initially appear steep, it is important to remember that the goal of a public adjuster is to secure the maximum possible settlement from the insurer. Employing game theory, a branch of mathematics that studies strategic interactions where the outcome depends on the decisions of others, it can be argued that the public adjuster's fee might be more than offset by the increased settlement obtained. However, this mathematical model is contingent upon the assumption of rational behavior and perfect information - an ideal that may not always materialize in the complex world of insurance claims.
The third point to contemplate is the timing of hiring a public adjuster. Many policyholders engage a public adjuster immediately after a loss, hoping to avoid the intricacies of the claim process. Yet, some insurance experts advise waiting to see the insurance company's settlement offer before hiring a public adjuster. The strategy behind this approach is derived from the sunk cost fallacy, a concept in economics and behavioral science, suggesting that people often make decisions based on past investments, rather than future benefits. If the policyholder hires a public adjuster before an insurance offer is made, they may feel obligated to continue using their services, even if the insurer's offer is fair.
Fourthly, understanding the specific expertise of public adjusters is crucial. Analogous to medical specialists, public adjusters' expertise varies, with some specializing in fire damage, others in flood damage, and so on. Hence, the specificity of your claim may necessitate a specific adjuster. Furthermore, the experience level of public adjusters varies, and the Pareto principle, or 80/20 rule—originating from Italian economist Vilfredo Pareto—applies here. The principle stipulates that roughly 80% of effects come from 20% of causes, implying that a small number of highly skilled adjusters may provide the majority of the positive outcomes.
Lastly, it's essential to consider the ramifications of hiring a public adjuster on your relationship with your insurer. While it is illegal for insurers to retaliate against policyholders for hiring a public adjuster, the adversarial nature of the negotiations can strain the insurer-policyholder relationship. This potential fallout must be weighed against the potential benefits of hiring a professional advocate. The aforementioned factors paint a complex picture of the decision to hire a public adjuster. It is not a decision to be taken lightly, nor is it a panacea for all claim-related issues. It requires a nuanced understanding of the inherent trade-offs, costs, and potential benefits.
In conclusion, hiring a public adjuster is a strategic decision requiring comprehensive awareness of their role, cost, timing, expertise, and potential impact on the relationship with the insurer. Like any decision of consequence, it demands diligent research and contemplation. The factors outlined here are by no means exhaustive but serve as a guide to promote informed decision-making when navigating the insurance claim maze.
Reading more of our blog posts is a great way to learn more about public adjusters and how they can help you. Check out our rankings of Best Public Adjusters in NYC for further information.