GETTING STARTED


THE FIRST STEP: Before moving forward on a claim, LRG will first perform a detailed policy review to get a complete and full understanding of all coverages available.


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OUR SERVICES


CLAIMS MANAGEMENT


Property claims management is crucial for policyholders as it ensures that they receive fair and timely compensation for damages or losses covered under their insurance policies. Proper claims management helps policyholders navigate the often complex and stressful process of filing a claim, providing guidance on documentation, assessments, and negotiations with the insurance company. Effective claims management can maximize the payout, reduce the risk of disputes, and ensure that repairs or replacements are handled efficiently, ultimately protecting the policyholder's financial interests and peace of mind during a difficult time.

PROPERTY INSPECTION


Inspecting for property damage on behalf of policyholders is crucial for several reasons:


Accurate Claims Assessment:

A thorough inspection ensures that all damage is properly identified and documented, leading to a more accurate assessment of the claim. This helps policyholders receive the appropriate compensation for repairs or replacements.


Fair Compensation:

By accurately documenting the extent of the damage, the inspection process helps prevent underpayment or denial of claims, ensuring that policyholders receive the full benefits they are entitled to under their insurance policy.


Protecting Your Property: Early and accurate identification of damage enables prompt repairs, which can prevent further deterioration of the property and reduce the overall cost of repairs.


Compliance with Policy Terms:

An inspection ensures that all damage is reported within the timeframes specified by the insurance policy, helping policyholders remain in compliance with their coverage terms and conditions.


Dispute Prevention:

Proper inspection and documentation can prevent disputes between the policyholder and the insurance company by providing clear evidence of the damage and its cause.


Peace of Mind:

Knowing that an expert has thoroughly inspected the property gives policyholders confidence that their claim will be handled fairly and that they will be adequately compensated for their loss.

DETAILED
ESTIMATING


Accuracy in insurance claims estimates is crucial for property owners for several reasons:


Financial Protection:

Accurate estimates ensure that property owners receive the correct amount of compensation for damages or losses. Underestimating the damage can result in inadequate funds to repair or replace property, while overestimating could lead to disputes or delays in claim processing.


Timely Repairs:

With an accurate estimate, repairs can begin promptly, minimizing the time the property remains in a damaged state. This is especially important in cases where the property is essential for living or business operations.


Trust and Transparency:

Accurate estimates build trust between property owners and insurance companies. It ensures transparency in the claims process, reducing the likelihood of disputes and fostering a smoother, more cooperative relationship.


Working Towards A Resolution:

Accurate estimates help avoid disputes, while at the same time, providing support when the property owner feels they have been undercompensated. Ensuring accuracy helps all parties involved, and helps to avoid costly litigation.


Scope Of Damages:

Knowing the estimate is accurate provides peace of mind to property owners, as they can be confident that all damaged items are addressed.

Overall, accurate insurance claims estimates are essential for ensuring fair compensation, maintaining trust, and facilitating a smooth recovery process for property owners.

EXPERT REPORTS


An expert report is crucial in various fields, such as legal, scientific, and technical disciplines. Here’s a summary of its importance:


Credibility and Authority:

It provides authoritative insights from specialists, enhancing the credibility of information presented in insurance claims.


Informed Decision-Making: It helps decision-makers understand complex issues by breaking them down into clear, expert-reviewed information, guiding informed choices.


Support for Arguments:

In insurance claims, expert reports can substantiate claims or defenses, providing objective evidence that can influence the outcome of the claim.


Guidance and Recommendations:

It offers expert recommendations based on thorough analysis, aiding in problem-solving and strategic planning.


Documentation and Record-Keeping:

It serves as a formal record of expert analysis and conclusions, which can be referenced for future needs or legal requirements.

THERMAL IMAGING


Performing thermal imaging for an insurance claim is important because it provides a non-invasive way to detect hidden issues, such as moisture, heat loss, electrical faults, and structural damage that may not be visible to the naked eye. This technology helps to accurately assess the extent of damage, leading to more precise claim evaluations. It can also prevent disputes by providing clear evidence of damage, ensuring fair compensation, and potentially reducing the likelihood of fraudulent claims. Overall, thermal imaging improves the accuracy, transparency, and efficiency of the insurance claim process.

MOISTURE MAPPING


Moisture mapping after water damage is crucial for several reasons:

Identification of Affected Areas:

It helps pinpoint all areas affected by water, including those not immediately visible, ensuring no hidden damage is missed.


Assessment of Severity:

By measuring moisture levels in different materials, it determines the extent of the damage and helps prioritize restoration efforts.


Guiding Drying Process: Accurate moisture mapping informs the drying process, allowing for targeted drying and reducing the risk of mold growth and secondary damage.


Preventing Future Issues: Helps in identifying and addressing potential sources of water intrusion or damage, aiding in preventing future problems.


Documentation:

Provides a record of the extent of damage and the effectiveness of the drying process, which can be useful for insurance claims and future reference.

Overall, moisture mapping is essential for effective and thorough water damage restoration.

PRE-LOSS INSPECTIONS


Insurance companies often deny coverage by referencing the "pre-existing damage" exclusion of your policy. More often than not, said denials have no merit, and can be successfully argued in favor of the Insured. Pre-Loss Inspections put a wrinkle in their strategy of arbitrarily denying claims without being able to support it.   

LRG was the first to offer Pre-loss property inspections as a service to our clients.  These inspections are proactive measures that can enhance the overall effectiveness of insurance policies and the claims process. Here are some key benefits of conducting a pre-loss property inspection:


Accurate Documentation of Property Condition:

A pre-loss inspection provides a detailed record of the property's condition before any damage occurs. This documentation can be invaluable in supporting claims and verifying the extent of damages after a loss.


Identification of Potential Risks:

Inspections can reveal potential hazards or weaknesses in the property that could lead to future claims. Addressing these risks proactively can reduce the likelihood of a loss occurring.


Tailored Insurance Coverage:

By understanding the specific risks associated with a property, insurance policies can be better tailored to the needs of the property owner. This ensures that the property has adequate and appropriate coverage, potentially leading to more favorable policy terms and premiums.


Streamlined Claims Process: In the event of a loss, having a pre-loss inspection report can simplify and expedite the claims process. With clear evidence of the property's pre-loss condition, disputes over the extent and cause of damages can be minimized.


Reduced Likelihood of Coverage Disputes:

With a clear and documented baseline of the property's condition, there is less room for ambiguity or disagreement when it comes to assessing damages and determining coverage.


Proactive Maintenance and Upgrades:

The findings from a pre-loss inspection can guide property owners in making necessary repairs or upgrades to their property, enhancing its safety, functionality, and overall value.


Peace of Mind:

Knowing that their property has been thoroughly inspected and that they have taken steps to mitigate risks gives property owners peace of mind. They can feel more secure knowing they are well-prepared for potential losses. 

EXPERT WITNESS


Expert testimony is crucial in property damage claims for several reasons, playing a key role in the outcome of the case by providing authoritative, credible insights that can influence decisions made by insurers, judges, or juries. Here's why expert testimony is important:


Clarification of Technical Issues

Explaining Complexities: Property damage claims often involve technical issues related to construction, engineering, materials, environmental factors, or even the cause of damage (e.g., weather, structural failure). Expert witnesses can break down these complexities, making them understandable for all parties involved, including those without specialized knowledge.


Objective Assessment of Damage

Unbiased Evaluation:

Experts provide an objective assessment of the damage, free from the biases that might affect other parties. This objectivity lends credibility to their findings and helps ensure that the evaluation of damage is fair and accurate, which is crucial for determining appropriate compensation.


Supporting or Challenging Claims

Evidence-Based Testimony: In contentious claims, expert testimony can be pivotal in supporting or challenging the positions of the involved parties. An expert can substantiate claims with evidence-based opinions, whether it’s proving the extent of the damage, the cause, or the estimated cost of repairs. Conversely, they can also refute inaccurate or exaggerated claims by providing factual counterarguments.


Influencing Settlement Negotiations

Strengthening Negotiation Positions:

The presence of expert testimony can strengthen a party’s position during settlement negotiations. Knowing that expert opinions back a claim can push the opposing party to offer a more favorable settlement, as it reduces the likelihood of successfully contesting the claim in court.


Determining Fair Compensation

Accurate Valuation:

Experts can provide precise valuations of the damage, including estimates for repair or replacement costs, loss of use, and potential depreciation. This is essential for ensuring that the compensation awarded is fair and reflects the true extent of the loss, which might not be clear without professional insight.


Establishing Causation

Identifying the Cause of Damage:

Determining the cause of property damage is often a critical component of a claim. Expert testimony can help establish whether damage was due to covered events (like a storm) or excluded causes (like poor maintenance). This can be vital for determining the insurer’s liability under the policy terms.


Legal Compliance and Standards

Understanding Building Codes and Regulations: Experts are often well-versed in relevant building codes, industry standards, and regulations. Their testimony can clarify whether the damaged property met these standards before the loss or if the failure to meet them contributed to the damage. This knowledge is essential for determining liability and compliance-related issues.


Credibility in Court

Persuading the Judge or Jury:

In cases that go to court, expert witnesses provide credible, authoritative testimony that can significantly influence the outcome. Their professional qualifications and experience lend weight to their opinions, making it more likely that a judge or jury will accept their findings as accurate and reliable.


Documentation and Reporting

Providing Detailed Reports: Experts often produce detailed reports that are used as evidence in the claims process. These reports include assessments, methodologies, and conclusions that can be referenced throughout the negotiation or litigation. They serve as a comprehensive record that supports the expert’s testimony.


Preventing Fraudulent Claims

Detecting Inconsistencies: Experts can detect inconsistencies or signs of fraud in property damage claims. Their detailed knowledge allows them to spot anomalies that might indicate that the damage was not caused as claimed, helping to prevent fraudulent claims from being successful.



Expert testimony is a cornerstone of property damage claims, providing clarity, credibility, and a solid foundation for determining the cause, extent, and cost of damage. It ensures that claims are assessed and resolved based on objective, professional evaluations, leading to fairer and more accurate outcomes for all parties involved.


FEMA PUBLIC ASSISTANCE


FEMA’s Public Assistance (PA) grants are designed to support state, local, tribal, and territorial governments, as well as certain private non-profit organizations, in their recovery efforts following a major disaster or emergency. The interaction between these grants and insurance claims is crucial for ensuring that federal funds are used efficiently. Having LRG manage both the insurance and FEMA claim simultaneously helps to streamline this process, as the FEMA claim is 100% dependent on the insurance claim. See how they depend on each other:


Primary Source of Funding:

  • Primary Coverage: FEMA requires that insurance be the first line of defense against disaster-related damage. Public entities must file insurance claims before seeking FEMA PA grants. This ensures that insurance pays for covered damages and FEMA only assists with costs not covered by your insurance policy.
  • Reduced FEMA Grants: If an entity has insurance that covers certain losses, FEMA will reduce its grant by the amount covered by insurance. This is to prevent duplication of benefits, which means FEMA will not provide funds for something that insurance is already paying for.


Documentation Requirements:

  • Proof of Insurance Claims: When applying for FEMA PA grants, the applicant must provide detailed documentation of the insurance claims, including what costs are covered by the insurance company, how much was paid by your insurance company, and what costs were denied. FEMA uses this information to calculate the eligible costs for the grant.
  • Settlement Information: The entity must provide insurance settlement information to FEMA. If the insurance claim is still pending, FEMA may offer an initial grant based on estimated costs but will adjust the final grant amount once the insurance claim is completely settled.


Coordination and Compliance:

  • Duplication of Benefits Compliance: FEMA ensures that its funds do not duplicate the benefits provided by insurance. If an insurance payout occurs after FEMA has provided assistance, the recipient might need to reimburse FEMA for any overpayment.
  • Ongoing Coordination: Public entities often need to coordinate with FEMA throughout the insurance claim process, particularly if the insurance claim takes a long time to settle. This helps FEMA adjust the PA grant amount accordingly.


Insurance Proceeds and Deductibles:

  • Eligible Costs: FEMA PA grants may cover costs that insurance does not, such as deductibles or uninsured losses. However, entities need to clearly demonstrate these costs and show that they have sought insurance reimbursement first.
  • Pending Insurance Claims: If payment of insurance claims are delayed or disputed, FEMA may provide temporary funding to address urgent needs, but the final grant will be adjusted based on the eventual insurance settlement.


Impact on Public Entities:

  • Municipalities and School Districts: These entities must carefully navigate the insurance claim process because any missteps could result in a reduction or delay of FEMA PA funds. Properly managing and documenting insurance claims is crucial to maximizing the FEMA grant.


6. Insurance Requirements for Future Assistance:

  • Insurance Requirements: FEMA may require that public entities maintain certain levels of insurance in the future, known as Obtain and Maintain, to qualify for any future assistance. This ensures that entities are prepared for potential disasters and reduces the reliance on federal aid.


In summary,

Satisfying FEMA requirements is often a painstaking task. FEMA Public Assistance grants are designed to supplement, not replace, insurance coverage. The grant process is tightly linked to the insurance claim process, with FEMA ensuring that all eligible insurance proceeds are accounted for, before federal funds are disbursed. This coordination helps maximize the efficiency and effectiveness of disaster recovery efforts.

DISASTER RECOVERY

WHAT DOES IT COST...


In most states, LRG works on a contingency basis. In states that do not allow contingency fees, LRG works on an hourly basis. There are no upfront costs or any hidden fees. We do not get paid unless, and until you receive a settlement. If you don't get paid, then we cannot and will not charge you a single penny. A study published by the Florida Legislature found that on average, claims handled by Public Adjusters resulted in settlement figures 750% greater than those handled by policyholders.



Can you afford to NOT hire a Public Adjuster?


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LOSS RECOVERY GROUP

LRG CLAIMS-LOSS RECOVERY GROUP

(800) 956-8650

(409) 351-4774

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