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

What To Do When Insurance Denies a Claim for a Fallen Tree: A Property Owner’s Guide

Dealing with unexpected property damage can be stressful, especially when insurance claims are denied. Recently, a homeowner faced this challenge after a tree fell on their shed. The homeowner consulted a certified arborist, who confirmed that wind and rain caused the tree’s fall. However, the insurance company responded differently, attributing the damage solely to rain and consequently denying the claim.

This situation raises important questions about insurance practices and how homeowners can navigate such discrepancies. Is it common for insurers to limit coverage based on their assessments? What steps can you take if you find yourself in this predicament?

Understanding Insurance Disputes in Property Damage Claims

It’s not unusual for insurance companies to scrutinize claims and interpret policy language in ways that may lead to denial. In this case, the insurer determined that rain alone was responsible, despite expert confirmation of wind involvement. Since no insurance adjuster or representative inspected the property personally, the basis for their decision relies on their own assessment, which may or may not fully consider expert opinions or evidence.

Strategies for Addressing Claim Denials

If you find yourself in a similar situation, consider the following steps:

  1. Gather Evidence: Collect all relevant documentation, including reports from certified arborists or other professionals who can attest to the causes of the damage.

  2. Review Your Policy: Carefully examine your insurance policy to understand coverage details, exclusions, and the claims process.

  3. Initiate an Appeal: Contact your insurance company’s claims department to dispute the denial, submitting all supporting evidence and requesting a thorough review.

  4. Request an On-Site Inspection: If your claim was denied without an inspection, ask for a professional assessment to support your case.

  5. Seek Professional Assistance: Consider consulting a public insurance adjuster, legal advisor, or a consumer advocacy group familiar with property claims.

  6. Consider Mediation or Legal Action: If disputes persist, alternative dispute resolution methods or legal proceedings may be necessary.

Conclusion

Encountering denial of a property damage claim can be frustrating, especially when expert opinions suggest a different cause than the insurer’s assessment. Staying informed about your policy, gathering compelling evidence, and advocating persistently can improve your chances of a favorable resolution. Remember, understanding your rights and options is essential when navigating insurance disputes related to storm damage or other unforeseen events.

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