Home Insurance Claims

Many homeowners in the GTA and surrounding areas have recently been hit with record rainfalls and are experiencing water damage to varying degrees, from minor low-cost damages and loss to major expensive damages and loss.

Ideally, you’ll never have to make a home insurance claim but there are instances where you should consider it. Here’s a brief overview of the process and things to consider when making a claim.

Overview of the Claim Process

  • You file your paperwork with your insurance company

  • Your insurance claims adjuster reviews the paperwork and determines if your claim meets the criteria for your insurance policy to cover the work

  • If approved, you pay your deductible, and the work is completed

When to File a Home Insurance Claim

There are many factors that influence whether you should make a home insurance claim, including:

  • The size of the deductible

  • The extent of the loss or damage

  • Whether you can pay for repairs and replacements out of pocket

If the repairs are minor and inexpensive, it may make sense to pay out of pocket, particularly if your deductible is high. If the repairs are extensive and expensive, you will likely want to proceed with an insurance claim.

Before Making a Claim

  • Move yourself and your family away from your home if there’s any danger present

  • Mitigate damage to the extent possible (i.e., move items away from the source of damage, get emergency repairs done)

  • Take as many pictures of the damage as possible

  • List all of the items and property that were damaged or destroyed

Water Damage

  • When there’s basement flooding no danger to you and your family, move as many items out of the path of water as you can

  • Contact your insurer to see if they have a preferred service provider

  • You can often recommend your own provider that you have worked with and/or know is reputable and the insurance provider will allow you to proceed with this provider

  • Keep any items that may have caused damage as this may be a factor in the approval of your claim

How Claims Work and Timing

Once you file a claim, a claims adjuster working for the insurance company that provides your home insurance policy will begin to assess your claim. During the claim process, they may contact you with questions or information and may visit your home to assess the damage.

The home insurance claim process can take some time depending on the following:

  • The complexity of the home insurance claim

  • The extent of the damage

  • The amount of documentation available for the home insurance claim

  • The number of other claims your insurance company is processing during the period when you make your claim

  • Finalizing your home insurance claim may take weeks or even months though in the best-case scenarios, it may only take a matter of days

Home Insurance Claims Process

1.    Opening Your Claim

  • Call your insurance company directly to file a claim

  • Have paperwork, pictures, and any other documentation ready when you phone in to file a claim

2.   Your insurance company will do the following:

  • Take a statement from you about the claim you’re making

  • Check your insurance coverage to see if the claim is eligible

  • Refer you to a recommended service provider for repairs (or you can often recommend one)

  • Tell you which documents to send them

  • Tell you which documents they may send you

  • Tell you your deductible

  • Give you a claims number to track your claim

Assessing the Damage

Building Damage: The cost for building damage (repairs or replacement) will be assessed by one of your insurance company’s recommended service providers. Should you disagree with the amount assessed, you can contact an alternative provider for an estimate and compare those estimates with the one provided by your insurer’s recommended service provider.

Personal Property Damage: You’ll send your insurer documentation proving that you owned the property you’re claiming for (pictures, receipts, credit card statements). Keep an updated inventory of all the items you own to simplify this process.

Repairs or Settlement Proposal

Building Damage: When possible, your insurance company will repair or replace buildings using their recommended service provider or one you recommended and pay them on your behalf.

Personal Property Damage: Your insurer will contact you to propose a settlement for property that’s been damaged or destroyed. Depending on the terms of your policy, they may offer amounts based on the replacement cost or the actual cash value of the items that were damaged.

Payment

Payment can occur in several ways. Your insurer may pay you directly to cover costs (such as in the case of personal property damage), or they may pay the service providers you’ve used to repair or replace your buildings (in the case of building damage). Alternatively, both repair costs and replacement costs may be covered directly by the insurance provider.

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