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

Understanding Insurance Disputes After a Fallen Tree: What You Need to Know

Facing Tree Damage: When Wind and Rain Are Blamed

If you’ve experienced a tree falling onto your property, you know how stressful it can be. Recently, a homeowner faced a common challenge: their certified arborist concluded that strong winds coupled with heavy rain caused a tree to fall, damaging a shed. However, their insurance provider insisted that only rain was responsible, subsequently denying the claim.

Is this a typical stance for insurers? What steps can you take if you find yourself in a similar situation?

Examining the Discrepancy

Insurance companies often have specific criteria for coverage, and sometimes disputes arise over what caused the damage. In this case, an expert on tree health and structural stability—the arborist—highlighted wind as a contributing factor, alongside rain. Yet, the insurer maintained that only rain was involved, leading to denial of the claim.

This situation underscores the importance of obtaining independent assessments from qualified professionals. Often, insurance adjusters do not inspect the property themselves, relying instead on reports or their own evaluation, which may differ from expert opinions.

How to Respond to Insurance Denials

When faced with a denial based on cause attribution, consider the following:

  1. Gather Evidence: Secure a detailed report from a qualified arborist or tree specialist that clearly states the factors contributing to the tree’s fall.

  2. Request an Inspection: If possible, request an insurance adjuster visit your property to review damage firsthand, or provide detailed photographic evidence along with the professional report.

  3. Appeal the Decision: Use the evidence to formally dispute the denial. Insurance policies often have appeals processes, and a well-documented case can be persuasive.

  4. Consult a Professional: If your claim is denied unjustly, seeking legal advice or assistance from a local insurance claims expert can help navigate the dispute more effectively.

Preventative Measures and Considerations

To reduce risks in the future, routine inspections of trees on your property by certified arborists can identify potential hazards early. Also, familiarize yourself with your policy’s coverage details and the specific definitions of covered events.

In conclusion, disagreements between homeowners and insurance companies about causes of damage are common but manageable. Collecting expert opinions, documenting damages thoroughly, and understanding your policy are crucial steps toward ensuring your claim receives fair consideration.

If you’re dealing with a similar situation, don’t hesitate to seek professional guidance and explore your options for dispute resolution.

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