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What Homeowners Need to Know About The Roof Insurance Claim Process

What Homeowners Need to Know About The Roof Insurance Claim Process
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Local Roofing Pros

Dealing with roof damage and navigating the insurance claims process can be stressful for homeowners. Understanding how the process works and what to expect can help make things go more smoothly if you need to file a claim for roof replacement. Here's what you need to know about insurance claims for roof damage and replacement.

Review Your Policy Coverage

The first step is to carefully review your homeowners insurance policy to understand what types of roof damage are covered. Most standard policies cover damage from sudden, accidental events like storms, falling trees, or other "acts of God." However, damage due to normal wear and tear, lack of maintenance, or age is typically not covered. Pay attention to whether you have Replacement Cost Value (RCV) or Actual Cash Value (ACV) coverage for your roof:

  • RCV policies will cover the full cost to replace your damaged roof with a new one of similar quality, minus your deductible.
  • ACV policies only cover the depreciated value of your existing roof. You'll likely have to pay a significant portion out-of-pocket for a full replacement.

Also note your policy's deductible amount, as you'll be responsible for paying this before insurance coverage kicks in.

Document the Damage

As soon as you notice potential roof damage, document it thoroughly:

  • Take clear photos and videos of all visible damage, both from the ground and on the roof if it's safe to do so.
  • Note the date and suspected cause of the damage.
  • Save any fallen debris or materials that came off your roof.
  • If there was a major storm, save weather reports or alerts from that date.

Proper documentation will help support your claim and potentially speed up the process.

File Your Claim Promptly

Contact your insurance company as soon as possible to start the claims process. Most policies require you to file claims within a certain timeframe after the damage occurs. Explain the situation and provide your documentation. The insurance company will open a claim and assign an adjuster to assess the damage.

Work with a Local Roofing Professional

It's wise to get an inspection and estimate from a reputable, licensed roofing contractor before the insurance adjuster visits. Choose a contractor experienced in dealing with insurance claims. They can:

  • Thoroughly inspect your roof and document all damage
  • Provide a detailed estimate for repairs or replacement
  • Be present during the insurance adjuster's inspection to point out damage
  • Help ensure all damage is accounted for in the claim

Many contractors offer free inspections and estimates for insurance claims. Just be wary of "storm chasers" who solicit door-to-door after major weather events, as some may be scammers.

Meet with the Insurance Adjuster

The insurance company will send an adjuster to inspect your roof and assess the damage. Be present for this inspection if possible. Have your roofing contractor there as well to provide their professional assessment.

The adjuster will take photos, measurements, and notes to determine the extent of covered damage. They'll use this to calculate the claim payout amount.

Review the Claim Determination

After the inspection, you'll receive a determination from your insurance company. This outlines their assessment of the damage, what's covered, and the claim payout amount. Review this carefully and compare it to your contractor's estimate. If you disagree with the determination or payout amount, you can dispute it. Provide additional documentation from your contractor to support your case. You may need to request a re-inspection or get a second opinion from an independent adjuster.

Understand the Payout Process

For Replacement Cost Value policies, insurance companies typically pay out claims in two installments:

  1. The first check covers the Actual Cash Value (depreciated amount) of your existing roof.
  2. Once repairs are complete, you submit proof and receive a second check for the recoverable depreciation to cover the full replacement cost.

You'll need to pay your deductible out-of-pocket before receiving any insurance funds. Some policies may require you to pay for all repairs upfront and then get reimbursed.

Choose Your Contractor Wisely

Once your claim is approved, select a reputable roofing contractor to complete the work. Get multiple estimates and check references, licenses, and insurance. Make sure they're experienced with insurance jobs and can work within the approved claim amount. Be wary of contractors who offer to waive or "absorb" your deductible, as this is insurance fraud. Also
avoid those who pressure you to sign a contract before the claim is approved.

Complete Repairs Promptly

Most policies require you to make repairs within a certain timeframe after receiving claim funds, often 6-12 months. Failing to do so could result in claim denial or policy cancellation. Keep your insurance company updated on the repair timeline and process.

Keep Detailed Records

Throughout the claims and repair process, keep thorough records including:

  • All communications with your insurance company
  • Adjuster and contractor inspection reports
  • Estimates and invoices
  • Photos before, during, and after repairs
  • Proof of completed work

Save these records in case any issues arise later or for future claims.

Consider Future Coverage

After a major claim, your insurance rates may increase upon renewal. Shop around to compare rates from other providers. Also consider increasing your deductible to lower premiums. To potentially reduce future claims, look into impact-resistant roofing materials that may qualify for insurance discounts. Proper roof maintenance can also help prevent damage and extend your roof's lifespan. Navigating a roof replacement insurance claim can be complex, but understanding the process helps ensure you get fair coverage. Work closely with your insurance company and a trusted roofing contractor to restore your home's protection. With proper documentation and persistence, you can successfully navigate the claims process and get your roof replaced.

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