Insurance

    Working with Adjusters: A Restoration Industry Perspective

    The relationship between restoration companies and insurance adjusters directly impacts the speed, quality, and outcome of every property claim. When both parties work collaboratively, claims move faster, homeowners are better served, and outcomes are fair for all parties. This guide explores how that relationship works from the restoration side - and what insurance agents and property managers should know about it.

    Understanding the Adjuster's Role

    Insurance adjusters are responsible for investigating claims, assessing damage, determining coverage, and approving the scope and cost of restoration. They work for the insurance carrier (staff adjusters) or as independent contractors (independent adjusters/IAs) assigned by the carrier.

    What Adjusters Need from Restoration Companies

    • Accurate scope documentation: Clear, detailed, and honest assessment of the damage
    • Standardized estimates: Xactimate-format estimates that match the adjuster's software and pricing databases
    • Photo evidence: Time-stamped photos documenting pre-mitigation conditions, progress, and completion
    • IICRC standard compliance: Work performed according to IICRC standards that the adjuster can verify and defend
    • Clear communication: Prompt responses, professional correspondence, and proactive updates

    Common Points of Collaboration

    Initial Assessment

    Ideally, the restoration company and adjuster inspect the property around the same time. For water damage, the restoration company may need to begin mitigation before the adjuster arrives - which is expected and required. Thorough pre-mitigation documentation ensures the adjuster can see what the restoration company saw.

    Scope Agreement

    The restoration company and adjuster review the scope of work and estimate together. When both parties use Xactimate and reference IICRC standards, agreement is usually straightforward. Disputes typically arise when:

    • The restoration company includes work the adjuster doesn't see as necessary
    • Pricing differences between the restoration company's rates and the carrier's pricing guidelines
    • Hidden damage discovered after initial assessment

    Supplements

    Supplements are additional scope items identified during restoration that weren't visible during the initial inspection. They're routine for water and fire losses. A professional supplement request includes:

    • Photos of the newly discovered damage
    • Explanation of why it wasn't visible initially
    • Xactimate estimate for the additional work
    • Reference to applicable IICRC standards

    Most supplements are resolved within a few days when properly documented.

    Building Productive Adjuster Relationships

    Professionalism and Honesty

    The foundation of any good adjuster relationship is trust. Restoration companies that consistently provide honest assessments, accurate estimates, and quality work build reputations that precede them. Adjusters who trust a company's documentation approve claims faster and with fewer questions.

    Education, Not Adversarialism

    When scope disagreements occur, the best approach is education - showing the adjuster why specific work is necessary by referencing IICRC standards, moisture data, or industry best practices. An adversarial approach damages the relationship and delays the claim.

    Consistent Communication

    Keep the adjuster informed throughout the project. Share daily moisture readings, progress photos, and any changes to scope before they become surprises. Adjusters appreciate proactive communication that prevents issues from escalating.

    What Insurance Agents Should Know

    The restoration company your client uses directly affects the adjuster's experience with the claim. A company that produces sloppy documentation, inflated estimates, or adversarial communication makes the adjuster's job harder - which can slow down or complicate your client's claim.

    Conversely, a restoration company with a reputation for professionalism, accurate documentation, and streamlined billing makes the adjuster's job easier - leading to faster approvals and smoother claims.

    This is another reason why choosing the right restoration partner matters so much.

    When Disputes Arise

    Sometimes the restoration company and adjuster can't agree on scope or pricing. Resolution paths include:

    • Supervisor review: Escalating to the adjuster's supervisor or the carrier's claims department
    • Peer review: Having another adjuster review the scope
    • Umpire/Appraisal clause: Most policies include an appraisal process for amount disputes
    • State Department of Insurance: Filing a complaint with the state insurance commissioner if the carrier is acting in bad faith

    These situations are rare when both parties are professional, but knowing the options provides peace of mind.

    Connect with a Professional Team

    Our restoration network maintains professional relationships with adjusters across all major carriers. We use Xactimate on every project, follow IICRC standards, and provide the documentation adjusters need for fast claim resolution. Submit a referral to get started.