Assignment of Benefits Explained

Assignment of benefits explained

Bottom Line Up Front Assignment of benefits (AOB) transfers the policyholder’s claim payment rights directly to the contractor, fundamentally changing your role as their PA and creating operational complexities that can torpedo your fee collection. When contractors hold AOB agreements, you’re negotiating claim value while they control settlement timing and payment direction — a dynamic … Read more

Prompt Payment Laws for Insurance Claims

Prompt payment laws insurance claims

Bottom Line Up Front Prompt payment laws insurance claims represent your strongest leverage against carrier delays, but most PAs either invoke them too early or miss the statutory deadlines entirely. Master the timelines in your key states, document every carrier interaction with timestamps, and build enforcement into your claims management workflow — because carriers know … Read more

Unfair Claims Settlement Practices

Unfair claims settlement practices

Bottom Line Up Front Effective claims management transforms your practice from chaos to predictable revenue. Your pipeline should track claim status, carrier response times, and supplement cycles — not just dollar amounts — while your documentation standards must withstand desk adjuster scrutiny and appraisal review. The firms scaling past seven figures automate routine carrier communication, … Read more

How to Handle an Examination Under Oath

Handling examination under oath

Bottom Line Up Front An examination under oath (EUO) is the carrier’s nuclear option — they’re either building a denial case or testing whether you’ve prepared your insured properly. Your response in the first 48 hours determines whether this becomes routine cooperation or the beginning of coverage litigation that kills your timeline and fee collection. … Read more

Responding to a Reservation of Rights Letter

Responding to reservation of rights

Bottom Line Up Front Responding to reservation of rights letters requires immediate documentation, strategic communication, and clear positioning with your policyholder about potential coverage gaps. Your response sets the tone for the entire claim — treat it as the opening move in a negotiation, not administrative paperwork. Document everything, preserve your client’s rights, and use … Read more

How to Handle a Carrier Inspection

Handling carrier inspection

Bottom Line Up Front Handling carrier inspection means controlling the narrative before the adjuster arrives, documenting every interaction, and positioning your scope as the baseline for negotiations. Your preparation determines whether you’re defending your estimate or the carrier is justifying their denials. The Claims Lifecycle for PAs FNOL Intake and Initial Assessment Your claims lifecycle … Read more

How to Use a Drone for Property Claims

How to use drone for claims

Bottom Line Up Front Deploying a drone for property claims documentation cuts your roof assessment time by 75% while delivering 4K evidence that carriers can’t dispute. The key isn’t just getting aerial shots — it’s integrating drone data into your Xactimate scope, moisture mapping workflow, and supplement strategy to build bulletproof claim files that close … Read more

How to Determine Wind vs Hail Damage

How to determine wind vs hail damage

Bottom Line Up Front Distinguishing between wind and hail damage requires systematic documentation that matches specific damage patterns to perils, with thermal imaging and moisture mapping providing the technical evidence needed to counter carrier denials. Your scope of loss must detail the unique forensic markers of each peril while building a defensible narrative that withstands … Read more

How to Calculate Depreciation on a Claim

How to calculate depreciation claim

Bottom Line Up Front Calculating depreciation accurately is your leverage in every settlement negotiation. When you master the math behind recoverable depreciation, code upgrade calculations, and matching provisions, you transform from order-taker to claims strategist — and your settlement values reflect that expertise. Understanding Depreciation in Property Claims When you’re building your scope of loss … Read more

How to Calculate Replacement Cost

How to calculate replacement cost

Bottom Line Up Front Accurate replacement cost calculation separates elite public adjusters from the rest of the field. Your ability to calculate replacement cost precisely — factoring in current material costs, labor rates, code upgrades, and market conditions — directly determines your settlement leverage and fee income. Master the methodology, document your work bulletproof, and … Read more

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