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HyreRestore

Working With an Insurance Adjuster

An adjuster assesses what the policy covers and writes an itemised scope. Your contractor writes one too. Where the two differ, the difference is negotiated with evidence rather than simply absorbed by whichever side gives way first. Almost everything useful you can do in a claim is about the quality of that evidence.

HyreRestore Research Desk

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General information, not advice. This page describes how property claims are commonly handled. It is not insurance or legal advice, it predicts no outcome for your claim, and what your policy covers is a matter for your declarations page and your insurer. HyreRestore is an independent information publisher and a platform intended to connect homeowners with local restoration companies. It is not an insurer, not a public adjuster and not a law firm, and it does not act on claims.

Two documents, one building

The centre of a property claim is not a number. It is a pair of itemised estimates — line by line, room by room, with quantities, unit prices and a total — written by two people looking at the same damaged building.

  • The adjuster’s scope. The insurer’s position on what the loss damaged and what the policy covers.
  • The contractor’s scope. The restoration company’s position on what it will take to put the building back.

They will not match. That is normal, and it is not in itself evidence that anyone is behaving badly. The two estimates are built from different information — the adjuster commonly saw the building before anything was opened up, and the contractor will see what is behind the drywall. Where they differ, the difference is worked through with documentation. That is the actual mechanism, and it is the reason the rest of this page is mostly about photographs, logs and inventories rather than about negotiation technique.

Ask for the adjuster’s full itemised estimate, not a summary figure. You cannot reconcile two documents when you have only been shown the total of one of them. It is a normal request.

Preparing for the inspection

The inspection is the highest-leverage hour of the whole claim. What the adjuster sees and records that day shapes everything downstream, and things that were not looked at are much harder to add later.

Before the day

  • Photograph and video everything, before anything moves. Wide shots of each room first, so the location is unambiguous, then close-ups, then the source of the loss. Include undamaged rooms — they establish what the finishes were. If material has already been removed, you want images from before that too, which is why this belongs in the first 24 hours.
  • Arrange for your contractor to be there. A joint inspection is the single most effective scope-gap prevention there is. The two estimators discuss the disagreement standing in front of the damage instead of exchanging documents a month later.
  • Do not throw anything away. Not damaged contents, not removed building material, not the failed component. If something had to be removed for health or safety reasons — contaminated water is the usual case — photograph it thoroughly first and record what was removed and why.
  • Have the paperwork to hand. Claim number, policy number, the emergency invoices so far, the moisture log if drying has started, receipts for anything already spent, and your contents inventory in progress.
  • Write the list of what you want looked at. Rooms, ceilings below the loss, cabinetry, the cavity, the subfloor, contents. Hand it over at the start. It is much easier to ask for something to be inspected than to argue later that it should have been.

On the day

  • Walk the whole property, not only the obvious rooms. Water travels. Smoke travels further.
  • Point at things rather than describing them. "This ceiling was dry before" is weaker than standing under it.
  • Say what you do not know. Guessing at a cause or a date and being wrong later costs you credibility you will want.
  • Take your own notes. Who attended, what was looked at, what was not, what was said about it, and the time. Date the note.
  • Ask two questions at the end. When will the estimate be issued, and what else do you need from me? Both answers are useful and both create a record.

The documentation that actually moves a scope

There is a large difference between documentation that feels thorough and documentation that changes a line item. The second kind is specific, dated, and about a physical thing.

EvidenceWhat it settlesWhat makes it usable
Photographs and video What was there, what condition it was in, and how far the damage extended. Taken before anything moved, then at each stage. Wide then close. Timestamped. Captioned with the room.
The moisture log Which materials were wet, how wet, for how many days — which supports both the removal decisions and the equipment days on the invoice. Daily readings of named materials at named locations, plus temperature and relative humidity, against a stated drying goal and the dry standard it came from. Ask for it rather than being told about it.
Itemised contents inventory The contents part of the claim, which is commonly the part most under-documented and therefore most under-settled. Item, description, age, condition, and a photograph. Built room by room. The contents inventory tool gives it structure.
Thermal and meter readings at the boundary Where the loss actually ends, as opposed to where the visible stain ends. Readings on a sketch, showing affected and unaffected material, taken by someone who can explain the instrument.
Discovery photographs Supplements. What was behind the wall at the moment it was opened. Taken at the moment of discovery, before anything is cut further, with the room and date recorded.
Receipts and invoices Additional living expenses, emergency work, replacement essentials. Kept from the first night, including small ones. Filed, not in a drawer.
Written correspondence What was agreed, what was requested, and when. Email rather than phone for anything that matters. After a phone call, email a short summary of what was said.

A useful test before sending anything: does this identify a specific line item and attach a specific piece of evidence to it? If it does, it can be acted on. If it says the estimate is too low, it cannot.

Line items worth checking are present

A large share of scope gaps are omissions rather than disagreements — legitimate work that simply is not on the estimate because nobody had seen the need for it yet. These are the categories most commonly missing in a restoration scope. They may or may not apply to your loss; the point is to check rather than to assume.

  • Detach and reset — fixtures, fittings and cabinetry that must come off and go back rather than being replaced.
  • Containment and negative air where the category of water or the presence of mould requires it. See mould remediation.
  • Disposal, which is priced differently for contaminated material than for clean construction debris.
  • Access and tear-out to reach a failed component, which is commonly a covered item even where the component is not.
  • Contents — moving, cleaning, packing out, storage. A separate scope from the structure. See contents restoration.
  • Permits and inspections, where the rebuild requires them.
  • Matching and continuity of flooring, trim or finishes across a boundary, including whether a discontinued material can be obtained at all. How this is handled varies by policy and by state.
  • Final cleaning and post-remediation verification where it applies.
  • Equipment days against the moisture log, on the mitigation invoice.

The is this estimate fair tool walks the structure of a restoration bill, and what drives restoration cost explains why each of these lines exists, which is what lets you check the one in front of you.

Supplements are normal

The original scope is written before anything has been opened up. Then a wall comes off and there is rot in the framing, or the subfloor fails once the flooring is lifted, or wiring cannot be reused. A supplement is the documented addition to the agreed scope that covers it.

On restoration work this is routine. It is not evidence that the contractor lowballed, and it is not evidence that the adjuster missed something culpably. It is the consequence of estimating a building you cannot see inside of. What matters is how a supplement is handled:

  • Photographed at the moment of discovery, before anything else is cut.
  • Priced the same way as the original scope, not on a different basis.
  • Submitted in writing with the evidence attached.
  • Approved before that work proceeds, so nobody is arguing about a bill for work already done.

A contractor who is discovering large supplements weekly, without photographs, and continuing work regardless of approval, is a different problem — that is covered in avoiding restoration scams.

When you disagree

Disagreement about scope is ordinary and there is a sequence for it. Work it in order. Each step is cheaper, faster and more likely to resolve the matter than the one after it, and skipping to the end rarely helps.

  1. Get the full itemised estimate. Not a summary. You cannot dispute what you have not been shown.
  2. Identify the specific lines. Put the adjuster’s estimate next to your contractor’s and mark the differences: missing items, quantity differences, unit price differences, replace-versus-clean disagreements. Most gaps turn out to be two or three categories, not a hundred small ones.
  3. Put it in writing, item by item, with evidence attached. Photographs, readings, the contractor’s corresponding line, and a clear statement of what you are asking for. Keep it factual. Tone is not the variable that decides this.
  4. Request a reinspection with your contractor present. For anything that turns on what is physically there, this resolves more than correspondence does.
  5. Use the insurer’s internal review or complaint process. Insurers have one. Ask for it by name, in writing, and ask for the reference number.
  6. Check your policy for an appraisal clause. Many property policies contain a provision for resolving disputes about the amount of loss — as distinct from whether something is covered — through appraisers and an umpire. Whether it applies to your dispute and what invoking it involves is a question for your policy wording and your insurer.
  7. Contact your state department of insurance. Every state has one; it regulates insurers licensed in that state and accepts consumer complaints. The NAIC directory below links to all of them. Many states also publish claim-handling deadlines, which give you specific, checkable points to raise.
  8. Consider a public adjuster, or take legal advice. See below. This site cannot advise you on either, and does not act on claims.

Public adjusters

A public adjuster is a licensed professional you hire and pay, who represents you rather than the insurer and who prepares, documents and negotiates the claim on your behalf. They are the only one of the three adjuster types working for the policyholder.

QuestionWhat is generally the case
Who pays them?You do.
How much?Commonly a percentage of the claim settlement. Both licensing and fee limits vary by state, and some states cap fees, particularly following a declared disaster.
Are they licensed?Public adjusters are licensed by states. Verify the licence with your state department of insurance before signing anything.
When do people engage one?Most commonly on large or complex losses, where a claim has stalled, or where the homeowner cannot do the documentation work themselves.
What should you read first?The contract: the fee basis, what it applies to, whether it covers amounts already offered before they were engaged, and the cancellation terms.
Do they guarantee a better outcome?No one can, and a promise of a specific result is a reason to be careful rather than reassured.

HyreRestore is not a public adjuster, does not employ them, does not refer to them and performs no part of that role.

Things not to do

  • Do not discard damaged property until the adjuster has seen it or released you in writing. This remains the most common self-inflicted reduction in a settlement.
  • Do not guess at facts. Dates, causes and durations that turn out to be wrong cost you more than saying you do not know.
  • Do not let the rebuild start on a wet structure. Closing a wall over material that has not reached the drying goal is how a water loss becomes a mould problem later. Ask for the final readings. See structural drying.
  • Do not rely on verbal approvals. If something was agreed on a call, email a summary the same day.
  • Do not sign anything transferring claim rights to get past a disagreement. See assignment of benefits.
  • Do not inflate anything. Beyond being wrong, it hands the insurer a reason to examine everything else you have submitted.

Related reading

Sources

Claim-handling rules, adjuster licensing and complaint routes vary by state. Your state department of insurance, listed via the NAIC directory above, is the authority for where you live.

Questions

What does an adjuster actually do?
An adjuster assesses the loss and determines what your policy covers, then writes an itemised scope — an estimate, line by line and room by room, with quantities and unit prices — that represents the insurer’s position on the repair. They are applying a contract to a set of facts. They are not your representative, and they are not your opponent. The facts they work from are largely the ones you and your contractor put in front of them, which is the part you can influence.
Why does my contractor’s estimate differ from the adjuster’s?
Because they are two people estimating the same building from different information, often using different estimating software settings, and sometimes disagreeing about what the loss actually damaged. Common causes of a gap: the adjuster did not see something behind a wall or under a floor; the two disagree about whether material can be cleaned or must be replaced; line items such as detach-and-reset, containment, disposal, permits or matching are missing rather than disputed; or the price list versions differ. Most gaps are documentation problems, not arguments, and they close when the missing evidence is supplied.
Can I be present at the adjuster’s inspection?
Yes, and you should be, along with your contractor if you can arrange it. A joint inspection means the two people who will write the two estimates look at the same damage at the same time and can discuss disagreements standing in front of them rather than in writing three weeks later. It is the single most effective thing you can do to prevent a scope gap from forming.
What documentation actually changes a scope?
Evidence that is specific, dated and physical. Photographs and video taken before anything was moved, and then at each stage as material was removed. A daily moisture log with readings of named materials at named locations against a stated drying goal. An itemised contents inventory with descriptions, ages and photographs. Invoices and receipts. Written notes of who said what and when. General assertions that the estimate is too low change nothing; a photograph of rotted subfloor with a dated caption changes a line item.
What is a supplement and is it a bad sign?
A supplement is a documented addition to an agreed scope, submitted when work uncovers damage nobody could see at the original inspection — rot behind drywall, a subfloor that fails once exposed, wiring that cannot be reused. On restoration work supplements are routine and expected rather than a warning sign, because the first inspection happens before anything has been opened up. What makes a supplement work is evidence: photographs at the moment of discovery, readings, and written approval before the supplemental work proceeds.
What should I do if I disagree with the adjuster?
Work the sequence rather than escalating straight to the top. Ask for the full itemised estimate, not a summary. Identify the specific line items in dispute. Put the disagreement in writing with photographs, readings and your contractor’s corresponding line items attached. Request a reinspection with your contractor present. Use the insurer’s internal review or complaint process. Check whether your policy contains an appraisal clause for disputes about the amount of loss. If it remains unresolved, your state department of insurance accepts consumer complaints about insurers licensed in your state. Some people engage a public adjuster or a lawyer at that point.
What is a public adjuster and what do they cost?
A public adjuster is a licensed professional you hire and pay, who represents you rather than the insurer and who documents and negotiates the claim on your behalf. They are licensed by states, and both their licensing and the limits on what they may charge vary by state — some states cap fees, particularly after a declared disaster. Fees are commonly charged as a percentage of the claim settlement. Whether one is worth engaging depends on the size and complexity of the loss and on how much documentation work you can do yourself. Verify any public adjuster’s licence with your state department of insurance and read the contract, including the cancellation terms, before signing.
Can the adjuster tell me which contractor to use?
They can recommend one, and insurers maintain preferred vendor or managed repair programmes whose members are often perfectly competent. In most cases your insurer decides what it will pay rather than who is permitted to work on your property, though some policies contain managed repair provisions. If you are told you have no choice, ask for that in writing with reference to the policy provision it comes from, and read your own policy.
How long should the adjuster take to respond?
Many states set deadlines for how quickly an insurer must acknowledge a claim, begin investigating it, and accept or deny it once proof of loss is submitted. Those deadlines vary by state and are published by your state department of insurance. If you are past the published timeframes for your state, that is a specific, checkable point you can raise in writing — and it is one of the things a state department of insurance complaint exists to address.
Does HyreRestore deal with adjusters for me?
No. HyreRestore is an independent information publisher and a platform intended to connect homeowners with local restoration companies. It is not an insurer, not a public adjuster and not a law firm. It does not file, adjust, negotiate, appraise or settle claims, does not contact adjusters on anyone’s behalf, and nothing on this site is insurance or legal advice.

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