When was the last time you read and understood the insurance policy
that covers your home or business?
- Many people have difficulty understanding the technical language of the
insurance policy and the complicated procedures they must follow to comply
with the policy's terms.
- Most people do not realize that insurance company adjusters are trained
professionals who represent the interests of the insurance company which
employs them.
- You can protect your interests by employing an accredited public
adjuster whose sole responsibility is to serve you, the insured.
- Accredited public adjusters are retained for the adjustment of insured
claims due to fire, wind, water, vandalism, and other perils. The public
insurance adjuster serves commercial businesses, financial institutions,
professional firms, homeowners, and the general insuring public.
- If a loss occurs, you should give immediate consideration to engaging
the services of a public insurance adjuster, specifically one accredited
by the National Association of Public Insurance Adjusters (NAPIA).
This question and answer section will help you understand how a public insurance
adjuster works for you.
What is a public insurance adjuster?
An authority on loss adjustments who you can retain to assist you in
preparing, filing, and adjusting your insurance claims.
What is meant by the term "accredited" public insurance adjuster?
It means that the public insurance adjuster acts according to a strict
code of ethics established by NAPIA and is an accredited member of the
Association.
What is NAPIA?
NAPIA stands for the National Association of Public Insurance Adjusters.
NAPIA members are experts in the profession of public insurance adjusting
who have joined together for the express purpose of professional education,
obtaining certification and promoting a rigid code of professional conduct
and ethics.
Are they connected with insurance companies?
No. They are employed exclusively by you - the policyholder- not by an
insurance company.
How can an accredited public insurance adjuster help me?
You will have the advantage of expert assistance based on great experience
in handling numerous technical problems. Your public insurance adjuster
relieves you of the many time-consuming and difficult matters involved in
preparing and filing a claim - and helps you to receive a prompt and fair
settlement.
Can I prepare my own claim?
Sure, but it stands to reason that the accredited public insurance adjuster
who has years of experience and training can do so with more competence than
the policyholder.
More specifically, a public insurance adjuster will assist you in the
preparation of inventories, estimates and other factual proofs of loss.
He or she will handle all the necessary details for compiling and filing
claims, as required by the terms of your insurance policies. Your public
insurance adjuster will also confer, on your behalf, with insurance company
representatives and handle all matters essential to a proper and satisfactory
adjustment.
Why do I need help in filing an insurance claim?
The typical fire policy contains hundreds of provisions and stipulations -
various forms and riders that are constantly changing and many complex details
about your requirements in case of loss. Most people do not know or understand
these policy provisions - and most do not realize that the burden of proof
is on them, the policyholder. Most insurance company representatives
actually prefer to work with an experienced accredited public insurance
adjuster rather than an inexperienced insured.
An accredited public insurance adjuster not only has your confidence, but
also that of company adjusters who recognize that they are dealing with a
professional.
In the event of a fire or similar destruction of property does my
insurance pay the entire loss?
This depends upon the type and amount of insurance you carry. It also
depends on your expertise or the expertise of your representative, not that
of the insurance company's adjuster. Many insurance policies may pay more
than the amount shown on the declaration page. A qualified expert working
for you can determine everything to which you are entitled.
Why should I engage a public insurance adjuster to obtain what is
rightfully due to me?
Insurance companies offer to pay what is due to you as they see it.
Public insurance adjusters are your exclusive representatives. With
their experience and knowledge they are better able to obtain a more favorable
adjustment for you, the insured.
What is the extent of their responsibility?
Your public insurance adjuster assists with every phase of preparing and
presenting your claim, as well as accomplishing an adjustment for you which
is equitable and includes everything to which you are entitled under your
insurance policy.
How do they determine the actual loss?
They take a physical inventory, obtain all pertinent appraisals and make
sure all provisions in your policy are properly fulfilled. This often
involves numerous steps of which you may know little or nothing, but can
make a significant difference in the amount of the final adjustment.
What special help can the accredited public insurance adjuster give
me with technical questions?
They are the experts to turn to when such matters arise. They are
concerned only with your interests. Because of their broad experience
and specialized knowledge, they prepare your claim so that you can recover
to the fullest extent on your insurance coverages. It is up to you to
prove your loss. There may be many questions and problems as to how the
policy provisions can be applied in different circumstances.
Are they trained specialists?
Yes. Your NAPIA public insurance adjuster must, in virtually all jurisdictions,
be tested, licensed, bonded, and authorized to practice his/her profession.
All members are accredited by NAPIA. Furthermore, a Certified Professional
Public Insurance Adjuster (CPPA) must have a minimum of five years experience
and pass an examination to earn certification. A Senior Professional Public
Adjuster (SPPA) must have a minimum of ten years experience and also pass a
rigid examination to earn "senior" certification. Both are required to
continue their professional education to keep up with changes in the insurance
industry so they can best serve you.
When you deal with a NAPIA member public insurance adjuster you can be
confident that your claim is being adjusted by a fully-qualified professional.
Will a public insurance adjuster help me receive a more prompt and
satisfactory settlement?
Yes. They lose no time in complying with the policy requirements to
obtain and evaluate the facts and prepare the claim. The alert, knowledgeable
and prompt service they render often preserves evidence that may otherwise be
overlooked or destroyed. The more thoroughly and completely your claim is
compiled and prepared, the faster your public insurance adjuster can
accomplish an equitable and proper settlement in you best interest
Once a policyholder has witnessed the skill and knowledge of the accredited
public insurance adjuster, he or she rarely will attempt to settle a claim
without the benefit of their specialized assistance. The public insurance
adjuster's most frequent sources of new clients are the recommendations of
those they have previously served.
How much do they charge for their service?
Your public insurance adjuster's charge is a percentage of the insurance
company's settlement with you. By seeking to maximize your settlement, your
public insurance adjuster's services can save you the cost of their fees,
at the very best.
In the event of a loss, what steps should I take?
Promptly report the loss to the agent or broker, or directly to the insurance
company - and immediately retain the services of an accredited public insurance
adjuster to serve you.
Do public insurance adjusters take care of claims other than fire?
Yes. They will assist you in any claims you may have due to windstorm,
explosion, and any other insured losses that are sustained (inland marine,
business interruption, rental income, improvements and betterments, commission
and profit, reporting forms, additional expense, etc.).
Do they sell insurance or act as insurance agents?
No! If they were to do so, they would become a representative of the
insurance company - and they would no longer represent you exclusively and
independently.
If I have a problem or complaint concerning an adjuster or
insurance company what should I do?
State insurance departments license insurance companies, brokers, agents,
and adjusters to operate in their state. If you feel that one of these licensees
has failed to act in accordance with your contract or state insurance law and
regulation, we urge you to contact your state insurance department in writing,
setting forth the nature of your complaint.
What if I have a question about insurance coverage or the insurance industry?
State insurance departments are also the appropriate place for information about
licensees, insurance law and regulation
How do I become a public insurance adjuster?
There are many paths taken to become a public adjuster. Many adjusters receive
on-the-job training while working for a public adjusting or insurance company.
Others pursue a degree in insurance which prepares them for employment in many areas
of the insurance industry.
Universities offering programs of Insurance studies:
Appalachian State University
Bradley University
Cal. State Univ., Northridge
Florida State University
Georgia State University
Illinois State University
Illinois Wesleyan
Indiana State University
Louisiana State University
Old Dominion University
Seattle University
St. John's University
St. Mary's University
Temple University |
University of Calgary
University of Georgia
University of Louisiana, Lafayette
University of Louisiana at Monroe
University of Mississippi
Univ. of North Carolina, Charlotte
University of North Texas
University of Nottingham
University of Southern Mississippi
University of Pennsylvania
University of Texas at Austin
University of Wisconsin
Virginia Commonwealth University
Washington State University |
Public adjuster licensing varies from state to state. You can find a list of
State Departments of
Insurance here.
The National Association of Public Insurance (NAPIA) awards the Certified
Professional Public Adjuster (CPPA) and Senior Professional Public Adjuster (SPPA)
designations to public adjusters who have met specific experience and educational
requirements, completed a qualifying examination and subscribe to a code of ethics for
business and professional conduct.
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