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Insurance Appraisal

“WHAT IS THE APPRAISAL PROCESS?”

If the insured (Policyholder) or insurer (Insurance Company) disagree on the value of the property or the amount of the “loss,” either may make a written demand for an appraisal of the “loss.” In this event, each party will select a competent and impartial appraiser. You and we must notify the other of the appraiser selected within twenty days of the written demand for appraisal. The two appraisers will select an umpire.

If the appraisers do not agree on the selection of an umpire within 15 days, they must request the selection of an umpire by a judge of a court having jurisdiction. The appraisers will state the “value of the property” and “amount of the loss separately.”  They will submit their differences to the umpire if they fail to agree; a decision agreed to by any two will be the appraised value of the property or the amount of “loss.” If you make a written demand for an appraisal of the “loss,” each party will:

1) – Pay its chosen appraiser;

2) – Bear the other expenses of the appraisal and umpire equally.

This has been the secret weapon of Public Insurance Adjusters and Attorneys. I’ve performed over 500 appraisals for attorneys throughout Texas holding “high standards” in the Construction Industry, Occupational Safety and Health Administration (OSHA), Master Builder with w/the National Association of Home Builders, a Residential Building Inspector w/the International Code Council, over 95% end up in front of an Umpire as many are qualified, but failed to implement their own standards.

In many cases, the court will force both parties to enter into the Appraisal Process (binding) to comply with the terms of the policy agreement before entering mediation (non-binding), and in other states such as Florida, mediation may be accepted, and the insurer bears all expenses.  For the late bloomer attorneys, most spin their heads stuck getting the go around in mediation with $7,000-15,000 offers from the carrier, then later find that working with a Public Insurance Adjuster, we are known to increase settlements, mostly due to lack of supporting documents, thorough inspection, detail estimating, depreciation and placing a proper value on the damages for a fair market amount.

During my practice in Texas, the majority of the Judges and Attorneys who were Court Appointed Umpires were familiar with construction and even had their own personal experiences as Houston is prone to natural disasters, but some were unfamiliar with the Umpire Process and their duties, treating this process as if it was mediation (Split the baby down the middle) or arbitration (Offers on the table, who is going to take it?), this is not determining the actual amount of loss and is unfair to the insured and insurer offering substantially less, taking away what has already been agreed, over depreciating, etc., when both appraisers are to separate their differences and submit their differences to the umpire and an award should be based what has been paid and our differences.  

On many occasions, appraiser lockup/lack of communication, preferred vendors’ estimate games when they are qualified to write an estimate, biased engineers’ reports, causation or coverage or limit of liability issues, inexperience with a Court-Appointed Umpire, what happens when all parties come to an impasse, appraisals get set aside—this can be challenging for the novice. 

We have been in the insurance dispute industry for over 10 years and have noticed that Insurance Companies/Defendants’ Councils normally invoke Appraisals. Around 2015, we saw the tables turn, and many Plaintiffs’ Councils were invoking the Appraisal Process as they started believing in the system.

Appraisal and Umpire fees are separate from Public Insurance Adjusting and are an upfront cost, normally based on the square footage of the residential dwelling and large commercial area.  Appraisers are to be impartial and disinterested in the outcome of the award; by having a percentage fee base (insurance proceeds) of the outcome is not being impartial.

APPRAISER PROCESS – (TIME & FEES)

The Standard Appraiser’s Process normally takes an additional 90-180 days after the Public Insurance adjuster process (it may extend beyond 6 months during a natural disaster or major event). Due to the high demand with the “Houston Explosion,” Public Insurance Adjusters have reduced their performance as Insurance Appraisers.

Residential/ Commercial

  • $1 per SF
  • $75-150 – (Content Inventory/ Estimating Per Hr.) It’s recommended that the insured inventory their content (list/ photos/ receipts)

Apartments

  • $500 (+) – Roof & Exterior Inspection – (Per Building/ 24 units)
  • $150 – Interior Inspection – (Per Unit)
  • $150 – Estimating – (Per Hr.)
  • $150 – Umpire Meeting

UMPIRE PROCESS – (TIME & FEES)

The Umpire Process normally can be completed within 30 days, depending on the umpire’s schedule.  Most Court Appointed Umpire Fees are approximately $2,000-3,500 ($250-500 per hour) for a standard 2,000-5,000 sf property (email, prepare file, review both sides, scheduling, traveling, on-site inspection, umpire office for meeting, final review) and the fees are to be split by the insured and insurer and paid before the Umpire meeting.  In some occasions, Umpires like to review both sides, meet at the property and makes his ruling base on the Appraisers Estimate, this is also been a successful process. Xactimate estimating software that is based on fair market rates.  Be aware of preferred appraisers/ contractors/ engineers games,  Appraisers should know how to use standard industry estimating software for basic restoration repairs.  (Antiques, Jewelry, and Specialty items may need to be evaluated by a specialist in that field.)

* Insurance Appraiser & 1/2 Umpire Fees are upfront, and traveling fees outside city limits may be included

*** Prices listed above are standard Insurance Appraisers Industry, but prices may be subject to change. ***