In the ideal world of restoration contractors, every insurance payout for the jobs they’re working on goes directly from the provider to them, skipping the policyholder completely. Unfortunately, sometimes insurance payouts end up with policyholders, complicating payment collection. If you’re a restoration contractor that’s faced this problem before, here are some tips from OCS Senior Operations Manager, Kaity Zittel, and Customer Care Team Lead, Belle Morgan, on how to avoid insurance funds ending up in the hands of policyholders and how to get funds returned to you if that happens.
The easiest way to ensure insurance funds go directly to you is to have your customers sign Assignment of Benefits paperwork at the beginning of the job. This legally-binding agreement requires providers to direct claim payouts to you instead of the policyholder, making the payment process more seamless for both you and the homeowner.
AOBs have restrictions in Florida and are not permitted in Texas. For restoration businesses in those states, Direction to Pay, a non-legally binding request, can be used to increase the chance of the insurer sending funds directly to the contractor.
Clear and upfront communication can help prevent a lot of headaches in the event that carriers send a claim payout to the customer. Help your customers understand early on that their insurance policy is intended to cover the services provided by you as their contractor. “Contractors should have contracts that outline a clear policy that the homeowner is ultimately responsible for payment, so if they don’t want to forward funds from insurance, they’ll owe those funds out of their own pocket,” Kaity says.
Sometimes, even if you’ve done everything you can to get insurance funds to come directly to you, insurance funds get sent to the policyholder. Whether you’re dealing with a third-party claim or you’re in a state with restrictions on Assignments of Benefit, here are some tips for how to get insurance funds returned to you:
Often, all it takes to get insurance funds returned to you is to communicate with the policyholder to clear up any misunderstandings about the purpose of insurance payouts.
Other times, the homeowner may have a reason for withholding payment. “Sometimes homeowners will hold onto insurance checks as leverage because they have additional concerns about the work that was done,” Kaity says. “It can be helpful to approach these conversations with an open mind to try to reach a mutually agreeable resolution.”
If you’re struggling to get a customer to send insurance funds to you, consider bringing their adjuster into the loop. “If the same messaging is coming from the contractor and the adjuster, this can help to put the homeowner’s mind at ease about sending payment,” Belle explains.
If all other attempts to secure funds from the homeowner fail, consider filing a lien. If you want the option of filing a lien available to you, give the homeowner pre-lien notice at the beginning of the job. This helps ensure you will have initiated the process within the legal timeframe allowed if you run into issues collecting funds from the homeowner down the road.
For tips on how to communicate about liens and pre-liens with homeowners, read OCS’s recent blog article.
For restoration contractors that partner with One Claim, it’s both less likely for funds to go to the homeowner and easier to resolve if it happens. We advise our contractors on what legal documentation and contracts can simplify securing funds. OCS has a dedicated team to contact property owners and adjusters until funds are collected. Our in-house legal counsel helps us ensure we use all recourse options available in your state to our advantage.
Interested in how OCS can make payment collection easier for your restoration business? Contact our team.