
Your Probably Wondering How You're Going to Fight That Denied Roofing Insurance Claim
Hello, I'm Thomas McCormack, owner of McCormack Roofing in Holts Summit, Missouri. If you're reading this, chances are you've just received the dreaded news: your roofing insurance claim has been denied. I know this can feel overwhelming, but don't worry—you're not alone, and there are steps you can take to fight back.
In my years of experience, I've seen firsthand how insurance companies can sometimes deny claims that homeowners rightfully deserve. But here's the good news: many of these denials can be overturned with the right approach. In this blog, I'll walk you through the common reasons for claim denials and, more importantly, how you can challenge them effectively.
Understanding Why Your Claim Was Denied
Before you can fight a denied claim, it's crucial to understand why it was denied in the first place. Here are some common reasons:
- Pre-Existing Damage: If the insurance adjuster determines that the damage existed before your policy began, they may refuse to cover repairs. This is especially common for roofs with hidden damage from previous storms.
- Incorrect Installation or Manufacturer Defects: If the adjuster determines the damage stems from faulty installation or defective roofing materials (a manufacturer's defect), they may deny the claim. In these cases, the responsibility could fall on the roofing contractor or manufacturer.
- Insufficient Documentation: Your roof damage claim needs strong supporting evidence. Without the proper documentation, such as photos of the damage, detailed descriptions, repair estimates from a reputable roofing contractor, or receipts for previous roof repairs, your claim will be weaker and could result in denial.
- Policy Exclusions: Carefully review your homeowners' insurance policy. Certain perils, such as earthquakes, floods, or acts of war, are often excluded from standard policies. In these cases, you may need additional coverage to protect against these specific risks.
- Missed Deadlines: Every homeowner's insurance policy has deadlines for filing claims. Missing these deadlines, even by a few days, can result in a claim denial. Be sure to file your claim on time and keep track of all communication and documentation.
Steps to Challenge a Denied Roofing Insurance Claim
Now that you know why your claim might have been denied, let's discuss how to fight back.
1. Review the Denial Letter Carefully
The insurance company's roof claim denial letter should clearly state the reason for denying your roof claim. Understanding their rationale is crucial for building your rebuttal.
2. Gather Additional Documentation
Strengthen your claim by collecting more evidence. This may include additional photos of the roof damage, repair estimates from multiple roofing contractors, documentation of past roof maintenance, or reports from a professional roof inspector.
3. Request a Re-Inspection
If you believe the initial inspection was inadequate or that the adjuster missed or misinterpreted something, you have the right to request a re-inspection. Ideally, have a professional roofing contractor present during the re-inspection to provide expert insights and counter any inaccurate assessments.
4. Consider Hiring a Public Adjuster
Public adjusters are independent professionals who specialize in assisting homeowners with insurance claims. They can assess the damage, gather evidence, negotiate with the insurance company on your behalf, and navigate the complex claims process so that your claim is fairly evaluated.
5. File an Appeal
Most insurance companies have a formal appeals process. Gather all your documentation, including the denial letter, your evidence, and any expert opinions, and submit a written appeal clearly explaining why you believe the denial is unjustified.
6. Seek Legal Counsel
If all else fails and you believe your claim was unfairly denied, consider consulting an attorney specializing in insurance claims. They can advise you on your legal options and represent you in negotiations or potential litigation.
Real-Life Example: Hensley v. Shelter Mutual Insurance
In a notable Missouri case, Hensley v. Shelter Mutual Insurance Co., the plaintiff successfully proved that the refusal to settle his property damage claim after a significant fire was vexatious. This case set out the legal test to demonstrate bad faith by an insurer and serves as a reminder that insurance companies can be held accountable for unjust denials.
How McCormack Roofing Can Assist You
At McCormack Roofing, we understand the challenges homeowners face when dealing with denied insurance claims. Here's how we can help:
- Professional Roof Inspections: We provide thorough roof inspections to assess the extent of the damage and identify any issues that may have been overlooked.
- Detailed Documentation: We assist in gathering and presenting comprehensive documentation, including photos, estimates, and reports, to support your claim.
- Advocacy: We can liaise with your insurance company to ensure your concerns are heard and that your claim is given fair consideration.
- Expert Advice: We offer guidance on the appeals process and can recommend reputable public adjusters or legal professionals if necessary.
Final Thoughts
Facing a denied roofing insurance claim can be daunting, but it's important to remember that you have options. By understanding the reasons for denial and taking proactive steps, you can increase your chances of a successful appeal. And remember, McCormack Roofing is here to support you every step of the way.
If you're in Holts Summit or the surrounding areas and need assistance with a denied roofing insurance claim, don't hesitate to reach out. We're here to help you protect your home and your investment.
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