Arborist said tree fell because of wind & rain; insurance says rain-only and denied. What do?

Understanding Insurance Disputes When Trees Fall: Wind, Rain, and Coverage Challenges

Dealing with property damage caused by falling trees can be a stressful experience, especially when insurance claims are denied unexpectedly. Recently, a homeowner faced such a dilemma after a tree collapse damaged their shed. The local certified arborist attributed the fall to the combined effects of wind and rain, yet the insurance company claimed the event was solely caused by rain and subsequently denied the claim. This situation raises important questions about how insurance policies interpret such incidents and what steps homeowners can take to advocate for their coverage.

The Incident: Tree Collapse and Insurance Dispute

The homeowner’s predicament began when a tree toppled onto their shed, causing significant damage. An expert arborist, certified locally, examined the scene and confirmed that the fall was due to a combination of strong winds and rainfall. Despite this professional assessment, the insurance provider maintained that the tree fell exclusively because of rain, which they considered outside the scope of coverage, leading to a denial of the claim.

Key Issues to Consider

  • Discrepancies in Expert Opinions: The difference between the arborist’s assessment and the insurance company’s reasoning highlights the importance of clear, comprehensive evaluations. Having an independent expert’s report can bolster your case.

  • Insurance Policy Language: It’s essential to review your policy thoroughly. Many policies specify coverage for damages caused by wind, rain, or both. Understanding the exact wording can clarify whether a claim is likely to be approved.

  • Lack of On-site Inspection: Notably, no insurance representative visited the property to evaluate the damage firsthand. This absence can complicate the claims process, as insurers often rely on on-site assessments to make determinations.

Advocating for Your Rights and Navigating the Process

When facing a claim denial, it’s crucial to know your options:

  1. Gather Evidence: Compile all supporting documentation, including the arborist’s report, photos of the damage, weather reports, and any communication with the insurer.

  2. Request a Reconsideration: Contact your insurance company to appeal the decision. Sometimes, presenting additional evidence can influence the outcome.

  3. Seek Expert Opinions: Consider obtaining independent assessments or appraisals to substantiate your claim.

  4. Escalate the Matter: If initial efforts do not resolve the issue, inquire about formal dispute resolution processes or consider consulting with a legal professional specializing in insurance disputes.

  5. Understand Your Policy: Familiarize yourself with the specific coverage clauses related to storm-related damages

Leave a Reply

Your email address will not be published. Required fields are marked *