Dealing with the Unexpected: Filing an Insurance Claim

By on August 29th, 2019

Posted in Construction & Transition Litigation

It’s that moment that no homeowner wants to have. You just returned from vacation and were in the midst of stowing the suitcases under the house in your crawlspace. As you were exiting the crawlspace, something caught your eye—a wet spot on the concrete slab floor. It wasn’t a puddle, but it was clearly moisture.

Hoping for something minor, you began to poke around. During your search, you discovered that a portion of insulation in between the floor boards was soaked. While you removed what you thought was the problem, you saw a water leak dripping down a vertical pipe in between your walls.

Unfortunately, every homeowner will have to deal with a situation like this at one time or another. Fortunately, we have insurance for these very situations, however, knowing what to do and how to handle this situation will make a world of difference to both your mental health and to your wallet.

The first thing you want to do before contacting your insurance company is to dust off that homeowner’s policy and give it a read. The typical policy is comprised of a declarations page, coverage terms and conditions, and exclusions. The declarations page is basically the summary of your policy. It will identify the policy number, policy period, limits of coverage, and list any applicable endorsements and exclusions. While helpful for a quick glance, the meat and potatoes of the policy are in the coverage section and exclusions. Read these sections closely to understand what events are covered and what events may be excluded. It’s important to have this basic understanding of your homeowner’s policy before calling your carrier. Even though you pay for insurance, there is the possibility that you may be in for a fight.

Once you contact your insurance carrier you will be assigned a claim number and an adjuster. The adjuster’s role is to ascertain the “who, what, when, and how” of your insurance claim, and he/she will ultimately decide how much the carrier is willing to pay out for your loss. The adjuster will likely schedule an appointment with you to visit your home and inspect the leak and resultant damage. The carrier will have its own contractor inspect the damage and provide a quote to repair. This quote will be the basis for any payout you will receive. However, it is important that you also obtain your own quote. This will be essential if there is a dispute over the scope of repairs and/or the amount of insurance proceeds you will recover.

Depending on the position taken by your carrier and the size of the claim, it may become necessary to retain legal counsel to ensure your rights are protected. Too often, insurance carriers will deny claims that should be covered or offer payouts that simply do not reflect the damages. Sometimes, simply bringing in counsel to assist with the claim process will suffice. Other times, it may be necessary to file a legal action called a declaratory judgment action.

The purpose of a declaratory judgment action is to have a court of law rule on the scope of coverage of an insurance policy and the insurer’s obligation to you as the homeowner. Actions such as these are fairly straight forward, require little in the way of discovery, and can typically be completed in a year or less.

Moreover, if you have a legitimate claim that was denied by your carrier, and you are successful in your declaratory judgment action, under New Jersey law you are entitled to recover the costs you incurred in litigating the coverage dispute.

Here at Stark & Stark, we can help you seamlessly navigate through this stressful and time consuming process. Whether you are just filing your claim or are entrenched in a battle of numbers with your adjuster, having competent counsel on your side will ensure that your rights and interests are protected, and you recover what you are entitled to. Give us a call today to see how we can assist you.

Multiple locations to better serve your needs—

Princeton, NJ

993 Lenox Dr, Building 2
Lawrenceville, NJ 08648
Phone: 609.896.9060
Secondary phone: 800.535.3425
Fax: 609.896.0629
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Marlton, NJ

40 Lake Center, 401 NJ-73, Suite 130
Marlton, NJ 08053
Phone: 856.874.4443
Secondary phone: 888.241.7424
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Yardley, PA

777 Township Line Road, Suite 120
Yardley, PA 19067
Phone: 267.907.9600
Fax: 267.907.9659
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New York, NY

5 Pennsylvania Plaza 23rd Floor
New York, NY 10001
Phone: 800.535.3425
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Philadelphia, PA

The Bellevue 200 S Broad St #600
Philadelphia, PA 19102
Phone: 267.907.9600
Secondary phone: 800.535.3425
Fax: 215.564.6245
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Bridgeton, NJ

78 W Broad St
Bridgeton, NJ 08302
Phone: 856.874.4443
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