Insurance policies are drafted to protect the carrier's bottom line, often burying significant coverage entitlements in complex endorsements and definitions. We level the playing field. We identify contractual leverage points that standard adjusters miss, ensuring you capture the full financial benefits of your premium.
Wrongful Denial Reversal: Carriers often issue blanket denials based on misapplied exclusions (such as "wear and tear" or "neglect"). We dissect the denial letter against the policy language to prove coverage exists, effectively overturning improper coverage decisions.
Ambiguity Resolution: When policy language is vague, the benefit of the doubt legally belongs to the policyholder. We identify ambiguities in the insurance contract and leverage industry standards and legal precedents to force the carrier to adopt the interpretation most favorable to you.
Business Income & Financial Forensics: Physical damage is often just the tip of the iceberg. We deploy forensic accountants to calculate complex Business Interruption losses, Extra Expense claims, and Loss of Rents. We ensure the "Period of Restoration" is calculated correctly to protect your cash flow, not just your building.
We operate on a simple, non-negotiable principle: The loss is what the loss is. Our job is not to inflate the claim, but to prevent the insurance carrier from diminishing it. We strip away the speculation and subjective opinions that carriers use to underpay. By applying forensic science and rigorous documentation, we ensure the settlement reflects the actual reality of the damage - nothing more, nothing less.
Forensic Documentation: Damage is often invisible to the naked eye. We utilize industrial hygiene protocols, thermal imaging, and 3D modeling (iGuide) to document damages the naked eye misses.
Technical Substantiation: A claim based on opinion is weak; a claim based on fact is undeniable. We coordinate structural engineers, geotechnical experts, and estimators to provide the factual data necessary to validate the scope. We ensure that every line item in the estimate is backed by physical evidence and industry-standard repair guidelines.
Defensive Documentation: Carriers thrive on ambiguity. We eliminate it. We manage the claim file with detailed precision - logging every communication, RFI (Request for Information), and inspection. By creating an audit-proof record of the loss, we remove the carrier’s ability to delay or deny based on "lack of information."
To effectively resolve a dispute, you must understand the argument from both sides of the table. We bring a rare dual-perspective to the appraisal process. With a background rooted in decades of work directly for insurance carriers before becoming policyholder advocates, we possess an insider’s understanding of how claims are evaluated and how denials are constructed. This allows us to cut through bureaucratic noise and present impartial, irrefutable valuations that demand respect from opposing appraisers.
Independent Appraiser Services: An effective Appraiser is not a "cheerleader"-they are a competent, impartial expert. We don't need to inflate the loss to win; we simply apply the carrier's own guidelines against them. Because we speak their language and understand their internal protocols, we can dismantle a low-ball estimate line-by-line while maintaining the strict impartiality required by the policy.
Neutral Umpire Services: True neutrality requires the ability to see the validity (and invalidity) of both arguments. With a career spanning both carrier defense and policyholder advocacy, we are uniquely qualified to stand in the middle. We serve as the unbiased third party who ensures the final ruling is based on facts and policy intent - not on which side shouted the loudest.
Expert Witness & Litigation Support: When a file moves to litigation, we arm your legal team with the technical firepower they need. We provide expert estimates, code analysis, and deposition testimony to translate complex construction issues into clear, irrefutable evidence for a judge or jury.
Visible char is easy to pay; invisible smoke odor is where carriers cut costs. We utilize soot tagging and chemical sponges to map the migration of combustion byproducts throughout the structure. We ensure the scope includes full thermal shock assessment for framing and HVAC decontamination, preventing the "paint over it" approach often suggested by preferred vendors.
Water damage is a battle of categories. Carriers often attempt to classify "Category 3" (contaminated) water as "Category 1" (clean) to avoid necessary demolition. We enforce IICRC S500 standards of care, demanding that materials are not just dried, but physically removed when safety dictates. We ensure the "dry out" isn't just cheap - it's permanent.
For commercial clients, the physical repair is only half the claim. We analyze your P&L to model the true Period of Restoration—capturing not just lost net income, but Continuing Expenses and Extra Expenses incurred to stay afloat. We ensure the carrier pays for the time it takes to regain market position, not just the time it takes to hang drywall.
In catastrophic events, carriers often rely on "Anti-Concurrent Causation" clauses to deny coverage, blaming flood (excluded) for damage caused by wind (covered). We utilize meteorological data and structural engineers to isolate the proximate cause of loss, proving that wind-driven rain or structural shear triggered the policy coverage before the water rose.