Insurance Fraud – BEWARE!
Insurance fraud is any act committed with the intent to obtain a fraudulent outcome from an insurance process. This may occur when a claimant attempts to obtain some benefit or advantage to which they are not otherwise entitled, or when an insurer knowingly denies some benefit that is due
Some Roofing Contractors are so desperate to contract for work on your property that they will willingly or sometimes unknowingly assist you in committing Insurance Fraud!
BEWARE – You are the policy holder and therefore bound by the policy contract…any fraudulent claims or unscrupulous contracting practices will come back to haunt you, not the contractor. YOU ARE LIABLE and will be prosecuted if you are party to fraud, even if you aren’t aware of what you are doing.
Insurers Commit Fraud Too!
It’s not just you that can commit fraud in the claim process but your insurer can as well.
Most people would never know as they trust their insurance agent and adjuster to do the right thing. However, please be aware that insurance companies operate in what is called “Bad Faith” all the time.
Insurance companies have been known to routinely deny legitimate claims based on loopholes in your insurance policy, or use the policy language to confuse the insured in an effort to minimize or fully deny the claim.
Roofing Solutions Hawaii is by far your best and only option aside of hiring a Public Adjuster to work on your claim with your insurance company. If you have been denied or underpaid, it does not mean you have to take what is given you.
We can help! We have over 14 years of experience in dealing with insurance claims and know the proper steps to take in getting you approval for your roof, if merited. In addition, we have over 3,000 claims to reference as case studies which we have successfully resolved with insurance companies.
No other roofing contractor in the State of Hawaii can make this claim. It is a fact that you need an advocate on your side that can help you receive full Replacement Cost Benefits. Don’t be fooled by other roofing contractors that claim to know how to resolve insurance claims because they are willing to meet your adjuster on site.
Whether your contractor is present or not it is the fiduciary responsibility of your insurance company to pay your claim if legitimate. The claim process and remedies for denial or underpayment are where these other contractors will fall short. You deserve a proper settlement per your policy. Do not accept anything but indemnification, or being made whole to a pre-storm condition.
Learn the Facts First!
Here is a short list of things you can do to avoid being party to insurance fraud.
- File only legitimate claims from which you have incurred damage, such as an “Act of God” like hail or wind storms.
- Do not cause damage to your roof or allow your contractor to do so, as insurance adjusters are highly trained to spot fraudulent damages.
- Pay your deductible. Some roofing contractors will agree to “cover” your deductible or give you an allowance equal to your deductible for placing a yard sign in your yard. This is considered fraudulent activity in the eyes of your insurer as you agreed per your insurance policy to pay for your deductible, per loss.
- Make sure you higher a reputable company like Roofing Solutions Hawaii which is trained, experienced, and well versed in insurance restoration claims. Get an itemized estimate to repair or replace your roof which includes only indemnity, or items the insurance company is liable to pay for as they were storm related.
- Do not try to include any changes or upgrades you would like to make in your estimate, or ask your contractor to do so.
- Complete the work scope as outlined. Do not try to get paid for a particular scope of loss and then complete repairs of a lesser amount to “pocket” any funds.
- Neither you or your insurance company are allowed to make what courts call “an illegal windfall” from an insurance claim. This means you should not overcharge them for items they do not owe for, and they should not underpay you for the same.
- Make sure repairs are made in full before you send the insurance company a final invoice for work being completed. Falsifying this document when work is not completed to collect the recoverable depreciation is fraud.