Negotiating Contractor Expenses on Home Insurance Claims (2024)

Negotiating Contractor Expenses on Home Insurance Claims (1)

Disputes over a property settlement claim are not uncommon. Insurers often turn down a homeowner’s first submission. One of the most common areas of dispute is the overhead and profit portion of your contractor’s bill. Insurers will question whether overhead and profit is owed at all on your claim, and whether initial payments should include this up-front expense. If your insurance company won’t pay, there are ways to negotiate this difference of opinion.

Overhead and Profit Expense

Contractor expenses, often referred to as Overhead and Profit (O&P) is intended to cover the general contractor’s overhead and operating costs, as well as profit. It is typically estimated at 20% of the total amount of the contractor’s own rebuild or renovation estimate. Your insurance company may balk at paying O&P, but it is a legitimate cost of doing business with your contractor and you, as the policyholder, are entitled in most cases to recover this expense.

What O&P Covers

Overhead and profit are two distinct types of costs, but are usually paired together. Your general contractor will assign a percentage to each cost, typically “10 and 10.” This means 10% of the total job estimate will be applied to overhead costs such as necessary equipment, office rent and utilities, employee salaries and benefits, licenses and advertising; and 10% will be applied as your contractor’s profit. If you choose to act as your own general contractor, insurance companies tend not to pay Overhead and Profit on all the costs associated with the claim.

Payment of O&P

Insurance companies have historically arguedthat O&P is only owed if three or more trades are involved repair or replacement of the damaged property(for example, a roofer, a plumber, and an electrician). They base this on the assumption that if three or more trades are involved, the repair work will require a general contractor to oversee and coordinate the entire process. No one’s sure where this “rule” originated, but a strong argument may be made to include these costs in any type of repair when a contractor is hired, not only when an arbitrary subcontractor threshold is met. Your state’s statutes will determine reasonable recoverable expenses, but it’s fair to request that O&P be paid as part of the payment to repair or replace the damaged property.

When to Seek Professional Help

You are entitled under the terms of your policy to have your damaged property restored to its original state by a contractor of your choosing. Further, you are not obligated to use the insurer’s recommended contractor to determine the scope of damage or make repairs. When your insurance company won’t pay certain covered expenses like overhead and profit, you have two options: fight them yourself or hire a good public adjuster. A public adjuster advocates for you alone and makes sure you are being fairly treated.

Remember that any reasonable expense you incur, including O&P, should be reimbursed to you by your insurance company. Unfortunately, you are not on a level playing field with your insurer if there is a claim dispute. Understand that you and your insurer have different objectives; you want to be fully reimbursed for all expenses and your insurance company wants limit the amount they pay for the damaged property.

Negotiating Contractor Expenses on Home Insurance Claims (2)

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Negotiating Contractor Expenses on Home Insurance Claims (3)

David Miller

Thank you for visiting us. My name is David Miller, and I know what it means to have to fight with your insurance carrier just to get fair payment for your property damage claim. My family suffered a total loss house fire that took nearly two very stressful years to settle. Since, I combined my experience in construction with my expertise in contract language to create Miller Public Adjusters. We work exclusively for policyholders. Please feel free to comment, ask questions, and let us know how we can help.

Negotiating Contractor Expenses on Home Insurance Claims (2024)

FAQs

What not to say to a home claims adjuster? ›

However, if you do have to speak with the company's adjuster, here is what not to say to an insurance adjuster.
  • Don't Admit Fault. What should you not say in a claim? ...
  • Don't Downplay Damages. ...
  • Don't Give a Recorded Statement. ...
  • Don't Accept the Initial Settlement Offer.
Mar 22, 2023

How to negotiate with a home insurance claim? ›

When negotiating with the adjuster, be prepared to advocate for yourself. Be polite and professional, but don't be afraid to push back if you think the settlement offer is too low. Provide evidence to support your position, and be willing to compromise to reach a mutually acceptable agreement.

How to get more money out of an insurance claim? ›

Maximize Your Insurance Claim Payout: 10 Tips for Understanding and Negotiating the Estimate
  1. Never Accept the First Offer.
  2. Never Sign Anything Before Consulting.
  3. Hire a Professional to Review and Give You Advice.
  4. Look Out for These Four Specifically.
  5. Show Proof if You Want to Argue the Estimate.
Jun 6, 2023

How to negotiate a higher insurance settlement? ›

8 Insurance Settlement Negotiation Tips
  1. Understand the Insurance Company. ...
  2. Initiate the Claim as Soon as Possible. ...
  3. Never Admit Fault for the Accident. ...
  4. Stick to the Facts, Never Speculate. ...
  5. Know the Rough Value of Your Claim. ...
  6. Be Patient, Do Not Accept the First Offer. ...
  7. Get Everything in Writing.

How do you argue with a home insurance adjuster? ›

How to dispute a denied homeowners insurance claim
  1. Review your claim and coverage. ...
  2. File an appeal. ...
  3. Get another professional opinion. ...
  4. File a complaint with your state's insurance department. ...
  5. Hire an attorney.
Apr 24, 2024

What not to say to a home insurance inspector? ›

Admitting Fault, Even Partial Fault.

Avoid any language that could be construed as apologetic or blameful. Admitting any level of fault can eliminate or reduce the compensation that may be available.

How do you respond to a lowball offer from an insurance company? ›

If you have determined to respond to a low settlement offer yourself, consider the following:
  1. Stay polite and professional. We understand it's a frustrating and emotional process. ...
  2. Ask questions. ...
  3. Offer the facts. ...
  4. Put your response in writing. ...
  5. Don't be bullied.

What does R&R mean on a home insurance claim? ›

R&R = Remove & replace. This Xactimate entry is used when an item is being entirely demolished & replaced with a new similar item of similar grade & composition. O&P = Overhead & profit.

How to negotiate a settlement offer? ›

How to Negotiate the Best Deal on Your Settlement Agreement
  1. Prepare Well for the Settlement Agreement Negotiation. ...
  2. Decide which negotiation tactics to use. ...
  3. Ask for a Protected Conversation with your Employer. ...
  4. Don't ask for too much. ...
  5. Don't ask for too little. ...
  6. Find out how the settlement payments will be taxed.

What reduces the amount paid in a claims settlement? ›

The insurance company pays up to the policy limits. They also reduce the settlement by the amount of any applicable deductible. Car insurance coverage can limit the amount of a settlement even if the damages are greater than the policy limits.

How to argue with an insurance company? ›

Write a letter

If you've run into a roadblock verbally communicating, try writing a letter to the appropriate manager at the company. In the letter, you should ensure that you clearly state the problem you're having and to describe clearly how you think a fair resolution would look.

How do I get the most out of my claim? ›

How To Maximize Your Personal Injury Claim
  1. Value Your Claim Fully.
  2. Have A Specific Settlement Amount In Mind.
  3. Preserve Evidence.
  4. Get Medical Treatment.
  5. Stay Off Social Media.
  6. Don't Jump At The First Offer.
  7. Don't Forget Future Damages.
  8. Hire An Experienced Personal Injury Lawyer.

Can you negotiate a settlement figure? ›

As stated earlier in the article, you do not have to agree to a settlement agreement. You have the right to negotiate the terms and any negotiations are confidential, provided marked 'without prejudice' and cannot be used in an ET or other legal proceedings by you or your employer.

How do you negotiate more compensation? ›

Salary Negotiation Tips 21-31 Making the Ask
  1. Put Your Number Out First. ...
  2. Ask for More Than What You Want. ...
  3. Don't Use a Range. ...
  4. Be Kind But Firm. ...
  5. Focus on Market Value. ...
  6. Prioritize Your Requests. ...
  7. But Don't Mention Personal Needs. ...
  8. Ask for Advice.

How long does it take to negotiate a settlement? ›

When it comes to determining how long a settlement negotiation will take, the answer can vary. The average settlement negotiation takes one to three months once all relevant variables are presented. However, some settlements can take much longer to resolve.

How to answer insurance adjuster questions? ›

Remember this motto: Stick to the basic facts. Don't add opinions such as who's at fault, what triggered the crash, or what the damages might be. More importantly, don't lie or even embellish the facts, as this can compromise your insurance claim and become grounds for serious legal trouble.

What is one of the most important responsibilities of a claims adjuster? ›

Key Takeaways

A claims adjuster investigates insurance claims to determine the extent of insuring a company's liability. Claims adjusters may handle property claims involving damage to structures, and/or liability claims involving personal injuries or third-person property damage.

Are claims adjusters biased? ›

Dealing With Insurance Adjusters

The insurance adjuster has only the best interests of their client in mind and will perform their duties with a certain degree of bias. Some insurance adjusters may even go as far as to employ bad faith tricks to lower the potential payout the insurance company has to deliver.

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