What Do You Need To Know About Supplementing Insurance? (2024)

What Do You Need To Know About Supplementing Insurance? (1)

Supplemental insurance claims are change orders and additional charges on an insurance claim based on discovered, underpaid, or overlooked items while restoring your Central Ohio home. Since you probably do not file claim after claim after claim, you may be unfamiliar with the insurance claim process — including supplementing — after a storm or other event that damages your property.

Insurance Claims

When your siding, roof, or gutters are seriously damaged, and you file an insurance claim, you begin a process including many professionals:

  1. Your local insurance agent
  2. An insurance adjuster for processing the claim and arranging a payment
  3. A contractor or several contractors for repairs

Once the claim is filed, your primary task is to move information between these professionals, arrange inspections of your damaged property, sign off on work performed, and pay your deductible. You may also be the intermediary between adjuster and contractors; sometimes, the contractor will work directly with the adjuster, sometimes not.

If in doubt, always ask your contractor since most home contractors deal with insurance claims day in and day out.

Supplementing

The selection of a roofing, siding, or gutter contractorto restore your home after it sustains damage is entirely up to you. An insurance company’s adjuster may recommend this roofer or that contractor, but you decide. Many homeowners overlook the step where they make certain a roofer can handle supplemental claims.

Supplementing means the orderly addition of charges to an insurance claim. This can happen for several reasons:

  • The estimate for replacement materials was below the actual outlay due to fluctuating commodities prices or other causes.
  • The adjuster overlooked a damaged area during the inspection and estimate.
  • During restoration, additional damage is revealed, as when shingles are removed, and the underlayment and sheathing are inadequate.

Supplementing the claim is done by a Work Change Order, which requires sign-off by the contractor and the homeowner. Often the Change Order is done by meeting with the adjuster on-site, demonstrating the reasons for the supplement with photographs or video, and filling out paperwork. The adjuster is the final arbiter of a Change Order or supplements on-site, and in most cases, this is routine, if tedious, paperwork.

Good Choice!

Even with the pressure of getting repairs done quickly, you still want flexibility and the maximum insurance benefits. This is why you should work with a roofing contractor familiar with supplementing the claim.

Some homeowners may have a (false) notion the contractor deliberately underestimates the damage just to tack on charges insurance will cover. This is not the case since the administrative burden brought by supplementing the claim is enormous. Many roofers will not agree to any changes in the Scope of Work and estimate to avoid the paperwork problems of supplementing the claim.

With a roofer, siding, or gutter contractor familiar with (and willing to handle) supplements to the insurance claim, you win in two ways:

  1. Better quality work is performed on your home — The adjuster settles on a price, and the contractor begins, then discovers the need for supplementing, leaving the contractor with one of four choices:
    1. Perform the necessary work hoping to get reimbursed by the insurer for the work
    2. Perform the needed work and bill the homeowner
    3. Ignore the needed extra repair work and perform only what is in the original Scope of Work
    4. Cut corners to stretch the original insurance claim’s value to cover as much of the discovered problems as possible

If, however, the insurer and roofer work with supplemental insurance as a possibility, the work can move ahead as a more thorough, longer-lasting repair.

  1. Your insurance benefits are maximized — A roofer or other contractor knowledgeable about supplementing a claim will leave no money behind. The roofer will take time to thoroughly inspect the damage, including crawling into attics to get a view of the underside of your roof. The roofer will systematically evaluate all the interlocking parts of a roofing system:
    1. Ridge vents
    2. Field shingles or metal panels
    3. Starter course
    4. Flashing
    5. Underlayment
    6. Water and ice shield
    7. Drip edge
    8. Gutters
    9. Soffit vents and gable vents
    10. Rubber boots around roof piercings
    11. Skylights and other major roof elements

Bad Choice!

Some skeptical homeowners may sniff at supplementing insurance, wary of insurance fraud. Rest assured, a quality roofer will work to get the greatest possible legal benefit from your insurance claim without randomly adding on specious charges. Good roofers and good building contractors know better than to risk insurance fraud. Wise homeownersknow to work with ethical contractors, too.

Please contact us todayat Allstate Exteriors & Restoration in Central Ohio. We have long experience working with insurance companies. We are an ethical, respected business familiar with insurance supplementing, changes to Work Orders, and providing highly accurate initial estimates.

What Do You Need To Know About Supplementing Insurance? (2024)

FAQs

How do you answer insurance questions? ›

Think deeply about the exact question the agent asked, and only provide that specific information. Never admit to fault. Never admit to even being partially at fault. Never admit that you are uninjured.

What are the most important things to know about insurance? ›

Make sure that your insurance company can cover you for all of the risks you are exposed to: General Liability, Bonding, Property Coverage, Officers Liability, and Accident Medical insurance. Education is key. Many PTAs buy an insurance policy without actually knowing what's covered.

Why is supplemental insurance important? ›

These policies can help provide coverage for certain kinds of illnesses, accidents and injuries, and life insurance. Supplemental health policies are different from traditional health plans. This is because they can help cover costs that your health plan may not include.

What are the 3 most important things you want from insurance providers? ›

When it comes to choosing a home insurance policy, there are three main things you should keep in mind: coverage, price, and customer service. We've put together a quick guide on what to look for in each of these areas so you can find the right policy for your needs.

What is insurance best answer? ›

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company.

How do you explain insurance for dummies? ›

At its core, insurance is a form of financial protection that helps cover the costs associated with various risks—be it a car accident, a house fire, or a medical emergency.

What are the 3 most important insurance? ›

As you hit certain life milestones, some policies, including health insurance and auto insurance, are virtually required, while others like life insurance and disability insurance are strongly encouraged.

What are the 7 important principles of insurance? ›

In insurance, there are 7 basic principles that should be upheld, ie Insurable interest, Utmost good faith, proximate cause, indemnity, subrogation, contribution and loss of minimization.

What are 4 things you should look at when choosing an insurance plan? ›

Below are four things you should think about when choosing coverage - Costs, provider network, benefits, and quality.

What is an example of supplemental insurance? ›

There are many different types of supplemental health insurance, including vision, dental, hospital, accident, disability, long-term care, and Medicare supplemental plans. There are also supplemental health insurance plans for specific conditions, such as cancer, stroke, or kidney failure.

What is supplemental insurance called? ›

Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private company that helps pay your share of costs.

What is basic vs supplemental insurance? ›

In short, basic group life insurance is an affordable or free policy offered through an employer's benefits program, while supplemental life insurance lets you to add to that coverage by paying an additional premium. Many employers offer a basic group life insurance policy to employees for free or a minimal premium.

What are the three C's of insurance? ›

A number of these factors fall under what the Surety industry calls “The Three C's”; Character, Capacity, and Capital. All three of these are important to the underwriting process.

What are 2 important reasons to have healthcare insurance? ›

Health insurance protects you from unexpected, high medical costs. You pay less for covered in-network health care, even before you meet your deductible. You get free preventive care, like vaccines, screenings, and some check-ups, even before you meet your deductible.

What is the most important thing about insurance? ›

Insurance is an important financial tool. It can help you live life with fewer worries knowing you'll receive financial assistance after a disaster or accident, helping you recover faster.

What are the five principles of insurance answer? ›

In the insurance world there are six basic principles that must be met, ie insurable interest, Utmost good faith, proximate cause, indemnity, subrogation and contribution. The right to insure arising out of a financial relationship, between the insured to the insured and legally recognized.

What should you say in an insurance statement? ›

Stick to what you know for sure and be clear and concise in your answers. If you do not know the answer to a question, say so, rather than guessing or making assumptions. “I can't be sure, but I'll bet the other driver was on the phone” is classic speculation that is best left out of a statement.

What should I say in an insurance interview? ›

You want to know what strategies they have used to sell insurance and what personality traits have helped them succeed. Sample Answer: I've always been a people person. I like to get to know my clients and help them understand how our policies can benefit them. I also like to take initiative and work independently.

How to respond to insurance claims? ›

Stick to the Facts

Focus on the facts without adding opinions or assumptions. Describe what happened during the accident clearly and avoid discussing fault or other details. Never guess or estimate. If you don't know the answer to a question, admit that you don't know and move on.

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