Insurance claim analysis

Insurance claim analysis for attorneys and public adjusters

When a property claim is denied, underpaid, or disputed, the gap between the public adjuster's estimate and the carrier's estimate is usually where the case is decided. We analyze that gap from a construction perspective and organize the results into a clear, fact-based presentation for counsel.

Our process

1

Collect both positions

The public adjuster's estimate, reports, and photos, and the carrier's estimate, adjuster or engineering reports, and correspondence.

2

Compare line by line

We identify where the estimates differ and why, based on how the work is actually built and repaired.

3

Build the fact base

Findings are organized into a presentation attorneys can use to support a suit or challenge a claim decision.

4

Answer the rebuttal

When the carrier responds, we review its rebuttal and provide additional facts.

5

Inspect when needed

If the documents leave open questions, we conduct a site inspection.

What the comparison addresses

Scope items omitted from the carrier's estimate

Quantity and measurement differences

Unit pricing and labor differences

Repair sequencing, tie-in work, and access requirements

Code upgrade requirements

Material matching and uniformity

Overhead and profit where a general contractor is reasonably required

Conclusions in carrier adjuster and engineering reports that conflict with construction practice

Software we work in

XactimatePlanSwiftCraftsman's National Renovation & Insurance Repair Estimator

We prepare and review estimates in Xactimate, PlanSwift, and Craftsman's National Renovation & Insurance Repair Estimator. Working in the same platforms the carrier and the public adjuster use means our findings map line for line to the estimates already in the file, with quantities verified by takeoff rather than assumed.

Claim types

Hurricane and windstorm

Hail

Water intrusion and plumbing failures

Freeze damage

Fire and smoke

Commercial, multifamily, and residential properties.

Texas claims context

For weather-related claims, Chapter 542A of the Texas Insurance Code requires presuit notice that includes the amount alleged to be owed. A well-documented scope and estimate prepared early gives counsel a stronger foundation for that notice and for any later appraisal or litigation.