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

Dealing with Insurance Disputes After Storm-Related Tree Damage: What Are Your Options?

Experiencing property damage due to a fallen tree can be a stressful situation, especially when insurance claims are involved. Recently, a homeowner faced this challenge when a tree collapsed onto their shed following storm conditions. An experienced local arborist inspected the scene and confirmed that both wind and rain contributed to the tree’s fall. However, the insurance provider disputed this assessment, claiming the damage was solely caused by rain and thus not covered under their policy.

This discrepancy raises important questions: Is it standard practice for insurance companies to deny claims based on such assessments? And what steps can homeowners take when faced with similar situations?

Understanding Claim Disputes Breakdown:

  1. Expert Assessments Versus Insurance Policies:
    It’s common for insurance companies to rely on their evaluations, which may sometimes contradict on-site expert opinions. In this case, the arborist’s professional assessment indicated a combination of wind and rain as the factors behind the fall, which typically should be recognized in coverage clauses. The insurer, however, attributed the damage solely to rain, perhaps due to their internal interpretation or policies.

  2. Absence of On-Site Inspection:
    Notably, no insurance representative visited the property to assess the damage firsthand. This can complicate the claims process, as in-person evaluations often carry significant weight in resolving disputes.

  3. Your Rights and Next Steps:
    If you find yourself in a similar situation, here are recommended actions:

  4. Gather Supporting Documentation:
    Collect all relevant evidence, including professional assessments, photographs, and weather reports detailing storm conditions at the time of the incident.

  5. Request a Re-evaluation:
    Contact your insurance company to request a re-inspection, highlighting the expert opinion obtained. Sometimes, providing additional documentation can influence their decision.

  6. Appeal the Decision:
    Most insurance policies include an appeals process. Follow these procedures, and consider submitting formal written statements supporting your claim.

  7. Consult a Public Adjuster or Legal Advisor:
    If disputes persist, seeking assistance from a public adjuster or an attorney specializing in insurance claims may help level the playing field.

  8. Explore Local Regulations and Consumer Protections:
    Certain regions have regulations governing insurance practices. Familiarize yourself with local laws to understand your rights.

Final Words:

Dealing with insurance denials, especially in

Leave a Reply

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