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How does the insurance claims process actually work?

Andy Kruger

Written by Andy Kruger

BuildSOS CEO8 min read

The short answer

Report the damage to your insurer as soon as it’s safe to do so, submit your documentation, and stay engaged through the adjuster visit and settlement review. Homeowners who file promptly, document thoroughly, and communicate clearly with their insurer consistently get faster, fairer outcomes than those who don’t. If a settlement comes in low, negotiate with specifics, not just a general objection, and know that a public adjuster usually charges a percentage of your settlement (many states cap it; Florida limits fees to 10% in the year after a declared emergency and 20% otherwise), which is worth it on larger or more contested claims and often not worth it on smaller ones.

This is general information, not legal or financial advice. Check your state Department of Insurance or consult a professional for guidance specific to your situation.

Why the process rewards preparation

A claim isn’t a single event, it’s a sequence, and each step goes more smoothly when the previous one was done well. Homeowners who file insurance claims promptly and accurately after a disaster significantly expedite their own recovery. Homeowners who submit thorough, well-documented claims are more likely to receive faster and fairer settlements. Delaying or mishandling the process, on the other hand, tends to mean extended uncertainty, additional expense, and a longer road back to normal.

The claims process, step by step

  1. Notify your insurer. Report the damage as soon as it’s safe to do so. This starts the clock on your claim.
  2. Document everything. Use your post-disaster documentation, photos, video, and your updated asset list. Combine your pre- and post-disaster documentation for the most complete, accurate claim possible.
  3. Submit your claim form. Include details about the damage and, if you have one, a preliminary repair estimate from a contractor.
  4. Request the adjuster visit, and be present for it. Point out all damage yourself rather than assuming the adjuster will catch everything. If possible, have your chosen contractor there too, so everyone is working from the same understanding of the damage. See Adjuster visits for the full walkthrough.
  5. Provide documentation directly to the adjuster. Repair estimates, receipts for temporary repairs, invoices for damaged belongings.
  6. Keep records of every interaction. Calls, emails, letters, and dates. This matters if there’s ever a dispute about timeline or what was communicated.
  7. Ask questions whenever something is unclear. The adjuster is there partly to help you understand the process. Use that.
  8. Review your settlement offer carefully against your documentation before accepting.
  9. Negotiate if the offer falls short, with specific evidence, not just a general objection.
  10. Ask for help if you hit a wall. A public adjuster or an attorney who specializes in insurance claims can assist with disputes that aren’t resolving through normal channels.

How to negotiate a low settlement offer

Carriers often write their first estimate lower than the actual cost to rebuild. If that happens, the strongest move isn’t a general complaint that the number feels low, it’s a specific, side-by-side comparison. If you have your own contractor’s estimate, compare it directly against the adjuster’s: where’s the gap, item by item? Did they miss a specific line item? Did they use a lower unit price than your market actually charges? Did they leave out code-required upgrades?

A supplement, a follow-up submission addressing every specific gap with documentation behind it, resubmitted to the carrier, is usually more effective than a phone call expressing general dissatisfaction. Specifics move a claim. Frustration alone usually doesn’t.

Is a public adjuster worth the fee?

A public adjuster is an independent adjuster you hire yourself, not the carrier, to negotiate on your behalf. Public adjusters usually charge a percentage of your settlement. Many states cap it; Florida limits fees to 10% in the year after a declared emergency and 20% otherwise. Here’s the practical math: at Florida’s 10% emergency cap, a $50,000 settlement means up to $5,000 out of your payout.

On a smaller, straightforward claim, that fee often isn’t worth it. On a larger or more complicated claim, especially one where you genuinely believe the carrier is being unfair, a skilled public adjuster can sometimes secure a meaningfully higher settlement even after their fee comes out. The decision usually comes down to claim size and complexity, not a blanket rule either way.

Frequently asked

How long does a typical claim take?

It varies widely by insurer, claim complexity, and disaster scale. Filing promptly and documenting thoroughly are the biggest factors within your control.

What if my contractor and the adjuster disagree on the damage?

Having your contractor present during the adjuster visit, if possible, helps both parties work from the same understanding and reduces the chance of a disputed scope later.

Do I need a lawyer for my claim?

Most claims don’t require legal involvement. Consider it if you hit a genuine dispute over coverage or a settlement that seems significantly out of line with your documented damage, and a public adjuster hasn’t resolved it.

What’s the difference between a public adjuster and the adjuster my insurer sends?

The insurer’s adjuster works for the insurance company. A public adjuster is independent and works for you, paid out of your eventual settlement rather than by the carrier.

What exactly is a “supplement” in the claims process?

It’s a follow-up submission to your insurer addressing specific gaps between their estimate and the actual cost to repair, backed by documentation. It’s the standard tool for correcting a low initial offer without escalating to a formal dispute.

Sources

  1. Florida Statutes — s. 626.854, public adjuster fee limits · flsenate.gov
Andy Kruger

About the author

Andy Kruger

Andy Kruger is CEO of BuildSOS, author of When the Storm Comes, and sits on multiple boards and advisory groups shaping disaster resilience policy and research.

About Andy

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