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Mark your calendar for upcoming
Roadmap to Recovery meetingsโ€ฆ
 Thursday, May 1, 2008: Local Building Requirements
 and Rebuilding โ€œGreenโ€

 Thursday, May 15, 2008: Rebuild Options โ€“ A variety of
 contractors present their approaches to rebuilding

 Thursday, May 29, 2008: Fund Control, Special rebuild
 vendor offerings and concept of Owner/Builder

 Thursday, June 12, 2008: Post-Disaster Legal Issues
 Revisited, including overview of current status of Ins.
 Code Sec. 2051.5(c)
R2R Presentations Available On-Line
                  RBCPC Firestorm Recovery Plan
    The mission is simple: To befriend Survivors of Firestorm 2007 and help
restore lives and homes by ministering to physical, emotional, and spiritual needs



       Click: www.rbcpc.org                         Firestorm
                     Road to Recovery Series
                            - PDFs
                            - Powerpoints
SoCal 2007 Wildfire
SoCal 2007 Wildfire
Roadmap to Recovery:
Roadmap to Recovery:
April 17, 2008, Meeting #11
April 17, 2008, Meeting #11
Claims Handling Refresher
Claims Handling Refresher
Rancho Bernardo Community Presbyterian Church
Rancho Bernardo Community Presbyterian Church



Karen Reimus
www.unitedpolicyholders.org
The Fine Printโ€ฆ
 The information provided in this program is intended for
 general educational purposes only. It should not be
 construed as legal advice
 The speakers at todayโ€™s program are volunteering
 their time as educators

 Neither United Policyholders nor the Rancho Bernardo
 Community Presbyterian Church endorse or warrant
 the quality or services of any volunteer speakers
United Policyholders announces:
โ€œAsk An Expertโ€ On-Line Forum
 A new information resource for โ€™07 Firestorm Survivors
 On the Forum, you can pose a question to:
    A Lawyer
    A Claims Handling Professional
    A Previous Catastrophic Loss Survivor

 โ€œAsk An Expertโ€ is restricted by invitation only. If you
 are a 2007 Firestorm Survivor and wish to receive an
 โ€œinvitationโ€, send an e-mail to:
 Emily@unitedpolicyholders.org
    Please put: โ€œAsk An Expert Inviteโ€ in the subject line of your
    e-mail.
Mark your calendar for upcoming
Roadmap to Recovery meetingsโ€ฆ
 Thursday, May 1, 2008: Local Building Requirements
 and Rebuilding โ€œGreenโ€

 Thursday, May 15, 2008: Rebuild Options โ€“ A variety of
 contractors present their approaches to rebuilding

 Thursday, May 29, 2008: Fund Control, Special rebuild
 vendor offerings and concept of Owner/Builder

 Thursday, June 12, 2008: Post-Disaster Legal Issues
 Revisited, including overview of current status of Ins.
 Code Sec. 2051.5(c)
Claims Handling Refresher
           Ron Reitz
                for

  Roadmap to Recovery Meeting

           April 17, 2008
Objectives

Provide useful tips for effective claims handling

Provide tools to address challenges of poor claims handling
by the insurer

Learn how to identify and resolve issues of underinsurance

Dealing effectively with your mortgagee
Content

โ€ข Who We Are and Why Weโ€™re Qualified
โ€ข Role of Public Adjuster
โ€ข Most Common claims issues
โ€ข Claims handling tools
โ€ข Addressing Under insurance
โ€ข Dealing effectively with mortgagee
โ€ข Q&A
Who we are

โ€ข Locally-based public insurance adjusters, licensed nationally

โ€ข NAPIA, CAPIA, NAIC

โ€ข Experts in mortgage servicer rights under the policy

โ€ข Extensive work on Katrina, Rita and Wilma claims (worked with
  over 5,000 homeowners)
Role of public insurance adjuster

โ€ข Bring insurance expertise to clients

โ€ข Reduce pressure on clients to comply with all policy
  provisions

โ€ข Assess policy coverage, determine claim amounts,
  present claim and negotiate an equitable settlement

โ€ข Dispute denials and maximize recoveries
How to Select A Public Adjuster

โ€ข Check licensing status with the CA Department of Insurance
http://www.insurance.ca.gov/0200-industry/0070-check-license-status/
โ€ข Is the Public Adjuster a member of the California Association of
   Public Insurance Adjusters (CAPIA) or the National Association of
   Public Insurance Adjusters (www.napia.com)
โ€ข What credentials do they have such as professional designations
   other licenses, professional affiliations (BBB)
โ€ข Do they have Professional Liability insurance
โ€ข Do they require payment in advance
โ€ข Do they have verified references
โ€ข How do they give back to the community
Most common challenges
โ€ข Low-balling
โ€ข Under insured
โ€ข Proving your claim
โ€ข Multiple adjusters
โ€ข Compliance with CA Fair Claims Practices
  Regulations
โ€ข Determining amount of claim
Effective Claims Management
   Maintain a claims log
   Follow-up in writing
   Have Regs on hand
   Ask for a certified copy of policy
   Understand authority levels
   Know chain of command
   Inquire where reserves are set
   Request copy of the adjusterโ€™s detailed scope
   Request copy of the insurerโ€™s claim file
   Resolving an impasse
Addressing Underinsurance

โ€ข Use detailed, independent scope of loss as the basis

โ€ข Ask carrier to reconsider policy limits

โ€ข Involve underwriter and Broker

โ€ข Talk to attorney with expertise in underinsurance issues
Dealing Effectively with Mortgagee
โ€ข Review of mortgagee claim process and role


โ€ข Why is the mortgagee involved


โ€ข When is mortgagee named on loss drafts


โ€ข What the mortgagee requires


โ€ข How to escalate issues with mortgagee (who to talk to)
RFA
 REQUEST FOR ASSISTANCE
    YOUR SILVER BULLET

    One Cedar Fire Survivorโ€™s
    Experience Using the RFA
            Process

          Jack Mueller
UP Mentor and '03 Cedar Fire Survivor
RFA
โ€ข THE ISSUES
โ€ข       INSURANCE COMPANIES USE SECRECY & ONE ON ONE NEGOTIATING TACTICS
โ€ข       THE INSURED DOES NOT HAVE THE SAME CLOUT/NO LEVEL BATTLEFIELD




    ONE SOLUTION:                        RFA
    โ€ข    USE INSURANCE COMMISSIONERโ€™S OFFICE TO LEVEL THE BATTLEFIELD
    โ€ข    FILE AN RFA---NOW AND OFFEN
RFA
โ€ข HOW DO I FILE AN RFA?

GO TO

WWW.INSURANCE.CA.GOV/CONTACT-US/0200-FILE-COMPLAINT/


   OR CALL
              1-800-927-HELP(4357)
Mark your calendar for upcoming
Roadmap to Recovery meetingsโ€ฆ
 Thursday, May 1, 2008: Local Building Requirements
 and Rebuilding โ€œGreenโ€

 Thursday, May 15, 2008: Rebuild Options โ€“ A variety of
 contractors present their approaches to rebuilding

 Thursday, May 29, 2008: Fund Control, Special rebuild
 vendor offerings and concept of Owner/Builder

 Thursday, June 12, 2008: Post-Disaster Legal Issues
 Revisited, including overview of current status of Ins.
 Code Sec. 2051.5(c)
Invitation to Supper at RBCPC
 Fire Survivors, Supporters, UPC Mentors

RSVP Needed
May 15th, 5:30 โ€“ 7 pm
RSVP to 487-0811, extension 211
Break Out Sessions
      for Fire Survivors
 Open to 9:30 pm: Firm Stop time
 Upstairs:
   State Farm : Dormer West
   Farmers : Skylight West
   Allstate : Upper Courtside East
   USAA: Small room off lobby

   Other Companies: Sanctuary
United Policyholders announces:
โ€œAsk An Expertโ€ On-Line Forum
 A new information resource for โ€™07 Firestorm Survivors
 On the Forum, you can pose a question to:
    A Lawyer
    A Claims Handling Professional
    A Previous Catastrophic Loss Survivor

 โ€œAsk An Expertโ€ is restricted by invitation only. If you
 are a 2007 Firestorm Survivor and wish to receive an
 โ€œinvitationโ€, send an e-mail to:
 Emily@unitedpolicyholders.org
    Please put: โ€œAsk An Expert Inviteโ€ in the subject line of your
    e-mail.
R2R Presentations Available On-Line
                  RBCPC Firestorm Recovery Plan
    The mission is simple: To befriend Survivors of Firestorm 2007 and help
restore lives and homes by ministering to physical, emotional, and spiritual needs



       Click: www.rbcpc.org                         Firestorm
                     Road to Recovery Series
                            - PDFs
                            - Powerpoints

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R2R Meeting 11 pdf

  • 1. Mark your calendar for upcoming Roadmap to Recovery meetingsโ€ฆ Thursday, May 1, 2008: Local Building Requirements and Rebuilding โ€œGreenโ€ Thursday, May 15, 2008: Rebuild Options โ€“ A variety of contractors present their approaches to rebuilding Thursday, May 29, 2008: Fund Control, Special rebuild vendor offerings and concept of Owner/Builder Thursday, June 12, 2008: Post-Disaster Legal Issues Revisited, including overview of current status of Ins. Code Sec. 2051.5(c)
  • 2. R2R Presentations Available On-Line RBCPC Firestorm Recovery Plan The mission is simple: To befriend Survivors of Firestorm 2007 and help restore lives and homes by ministering to physical, emotional, and spiritual needs Click: www.rbcpc.org Firestorm Road to Recovery Series - PDFs - Powerpoints
  • 3. SoCal 2007 Wildfire SoCal 2007 Wildfire Roadmap to Recovery: Roadmap to Recovery: April 17, 2008, Meeting #11 April 17, 2008, Meeting #11 Claims Handling Refresher Claims Handling Refresher Rancho Bernardo Community Presbyterian Church Rancho Bernardo Community Presbyterian Church Karen Reimus www.unitedpolicyholders.org
  • 4. The Fine Printโ€ฆ The information provided in this program is intended for general educational purposes only. It should not be construed as legal advice The speakers at todayโ€™s program are volunteering their time as educators Neither United Policyholders nor the Rancho Bernardo Community Presbyterian Church endorse or warrant the quality or services of any volunteer speakers
  • 5. United Policyholders announces: โ€œAsk An Expertโ€ On-Line Forum A new information resource for โ€™07 Firestorm Survivors On the Forum, you can pose a question to: A Lawyer A Claims Handling Professional A Previous Catastrophic Loss Survivor โ€œAsk An Expertโ€ is restricted by invitation only. If you are a 2007 Firestorm Survivor and wish to receive an โ€œinvitationโ€, send an e-mail to: Emily@unitedpolicyholders.org Please put: โ€œAsk An Expert Inviteโ€ in the subject line of your e-mail.
  • 6. Mark your calendar for upcoming Roadmap to Recovery meetingsโ€ฆ Thursday, May 1, 2008: Local Building Requirements and Rebuilding โ€œGreenโ€ Thursday, May 15, 2008: Rebuild Options โ€“ A variety of contractors present their approaches to rebuilding Thursday, May 29, 2008: Fund Control, Special rebuild vendor offerings and concept of Owner/Builder Thursday, June 12, 2008: Post-Disaster Legal Issues Revisited, including overview of current status of Ins. Code Sec. 2051.5(c)
  • 7. Claims Handling Refresher Ron Reitz for Roadmap to Recovery Meeting April 17, 2008
  • 8. Objectives Provide useful tips for effective claims handling Provide tools to address challenges of poor claims handling by the insurer Learn how to identify and resolve issues of underinsurance Dealing effectively with your mortgagee
  • 9. Content โ€ข Who We Are and Why Weโ€™re Qualified โ€ข Role of Public Adjuster โ€ข Most Common claims issues โ€ข Claims handling tools โ€ข Addressing Under insurance โ€ข Dealing effectively with mortgagee โ€ข Q&A
  • 10. Who we are โ€ข Locally-based public insurance adjusters, licensed nationally โ€ข NAPIA, CAPIA, NAIC โ€ข Experts in mortgage servicer rights under the policy โ€ข Extensive work on Katrina, Rita and Wilma claims (worked with over 5,000 homeowners)
  • 11. Role of public insurance adjuster โ€ข Bring insurance expertise to clients โ€ข Reduce pressure on clients to comply with all policy provisions โ€ข Assess policy coverage, determine claim amounts, present claim and negotiate an equitable settlement โ€ข Dispute denials and maximize recoveries
  • 12. How to Select A Public Adjuster โ€ข Check licensing status with the CA Department of Insurance http://www.insurance.ca.gov/0200-industry/0070-check-license-status/ โ€ข Is the Public Adjuster a member of the California Association of Public Insurance Adjusters (CAPIA) or the National Association of Public Insurance Adjusters (www.napia.com) โ€ข What credentials do they have such as professional designations other licenses, professional affiliations (BBB) โ€ข Do they have Professional Liability insurance โ€ข Do they require payment in advance โ€ข Do they have verified references โ€ข How do they give back to the community
  • 13. Most common challenges โ€ข Low-balling โ€ข Under insured โ€ข Proving your claim โ€ข Multiple adjusters โ€ข Compliance with CA Fair Claims Practices Regulations โ€ข Determining amount of claim
  • 14. Effective Claims Management Maintain a claims log Follow-up in writing Have Regs on hand Ask for a certified copy of policy Understand authority levels Know chain of command Inquire where reserves are set Request copy of the adjusterโ€™s detailed scope Request copy of the insurerโ€™s claim file Resolving an impasse
  • 15. Addressing Underinsurance โ€ข Use detailed, independent scope of loss as the basis โ€ข Ask carrier to reconsider policy limits โ€ข Involve underwriter and Broker โ€ข Talk to attorney with expertise in underinsurance issues
  • 16. Dealing Effectively with Mortgagee โ€ข Review of mortgagee claim process and role โ€ข Why is the mortgagee involved โ€ข When is mortgagee named on loss drafts โ€ข What the mortgagee requires โ€ข How to escalate issues with mortgagee (who to talk to)
  • 17. RFA REQUEST FOR ASSISTANCE YOUR SILVER BULLET One Cedar Fire Survivorโ€™s Experience Using the RFA Process Jack Mueller UP Mentor and '03 Cedar Fire Survivor
  • 18. RFA โ€ข THE ISSUES โ€ข INSURANCE COMPANIES USE SECRECY & ONE ON ONE NEGOTIATING TACTICS โ€ข THE INSURED DOES NOT HAVE THE SAME CLOUT/NO LEVEL BATTLEFIELD ONE SOLUTION: RFA โ€ข USE INSURANCE COMMISSIONERโ€™S OFFICE TO LEVEL THE BATTLEFIELD โ€ข FILE AN RFA---NOW AND OFFEN
  • 19. RFA โ€ข HOW DO I FILE AN RFA? GO TO WWW.INSURANCE.CA.GOV/CONTACT-US/0200-FILE-COMPLAINT/ OR CALL 1-800-927-HELP(4357)
  • 20.
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  • 22. Mark your calendar for upcoming Roadmap to Recovery meetingsโ€ฆ Thursday, May 1, 2008: Local Building Requirements and Rebuilding โ€œGreenโ€ Thursday, May 15, 2008: Rebuild Options โ€“ A variety of contractors present their approaches to rebuilding Thursday, May 29, 2008: Fund Control, Special rebuild vendor offerings and concept of Owner/Builder Thursday, June 12, 2008: Post-Disaster Legal Issues Revisited, including overview of current status of Ins. Code Sec. 2051.5(c)
  • 23. Invitation to Supper at RBCPC Fire Survivors, Supporters, UPC Mentors RSVP Needed May 15th, 5:30 โ€“ 7 pm RSVP to 487-0811, extension 211
  • 24. Break Out Sessions for Fire Survivors Open to 9:30 pm: Firm Stop time Upstairs: State Farm : Dormer West Farmers : Skylight West Allstate : Upper Courtside East USAA: Small room off lobby Other Companies: Sanctuary
  • 25. United Policyholders announces: โ€œAsk An Expertโ€ On-Line Forum A new information resource for โ€™07 Firestorm Survivors On the Forum, you can pose a question to: A Lawyer A Claims Handling Professional A Previous Catastrophic Loss Survivor โ€œAsk An Expertโ€ is restricted by invitation only. If you are a 2007 Firestorm Survivor and wish to receive an โ€œinvitationโ€, send an e-mail to: Emily@unitedpolicyholders.org Please put: โ€œAsk An Expert Inviteโ€ in the subject line of your e-mail.
  • 26. R2R Presentations Available On-Line RBCPC Firestorm Recovery Plan The mission is simple: To befriend Survivors of Firestorm 2007 and help restore lives and homes by ministering to physical, emotional, and spiritual needs Click: www.rbcpc.org Firestorm Road to Recovery Series - PDFs - Powerpoints