There are two keys to successful restoration insurance invoice negotiations: preparing for negotiation and using the right negotiation tactics. Today, we’re going to be focusing on the best ways to prepare for claims negotiation. From the restoration invoice experts at OCS, here are some of the most important things you can do to set yourself up for success:
The number one thing you can do to set yourself up for success during restoration claims negotiation is to use an Assignment of Benefits. “When used appropriately, that Assignment of Benefits is an amazing tool,” Josh says. Asking homeowners to sign an Assignment of Benefits (AOB) transfers policy post-loss rights from the homeowner to your restoration company. This gives contractors the right to direct payment from insurers, helping you avoid headaches like the liens process during the claims negotiation and payment.
Insurers are legally required to honor AOBs in 48 states. However, AOBs are highly restricted in Florida and not allowed in Texas. For restoration companies based in these states, OCS recommends using Direct to Pay. Direct to Pay requests are a request from policyholders to their insurers, asking them to pay their contractor directly. While not legally-binding, using Direct to Pay is still better than not attempting to get direct payment at all.
You’ve heard it before, and you’ll hear it again: your documentation matters a lot during restoration claims negotiations. Having strong documentation for a job helps support the charges on your invoice and combat arguments. It’s a lot more difficult for restoration claims adjusters to argue that you didn’t need to open up a wall to treat a property’s water damage when you can show the adjuster documented proof of high moisture meter readings in that area. It’s hard for an adjuster to argue that you overcharged restoration labor hours when you have accurate technician job logs showing who was on site and when.
Homeowners dealing with water damage or other restoration emergencies are in a vulnerable position. It’s no secret that the biggest fear of many homeowners working with contractors is that they will be taken advantage of. Because of this, some adjusters try to turn homeowners against their restoration contractors by playing into this fear. For example, an adjuster might tell the homeowner that the damage was not as extensive as the contractor led them to believe or that their contractor is charging outrageous prices for the work that they did. The vast majority of restoration contractors operate in good faith. But regardless of the truth, if an adjuster manages to turn the policyholder against you, claims negotiation will be even more of an uphill battle.
The best thing you can do is to get the homeowner on your side during the job. Homeowners just want to know that you know what you’re doing and have their best interests in mind. You can prove this to them through transparent communication and education. Show them how you determine the degree of damage. Explain the reasoning behind your restoration decisions for their property. Explain how you determine pricing. Prepare them in advance for arguments their adjuster might make, and explain why they are untrue. Then, if an adjuster tries to tell the homeowner that you opened up a wall you didn’t need to, the homeowner can say, “I know that’s not true because my contractor showed me thermal imaging of the water damage to that wall.” When the homeowner is on your side, getting fair claims payouts from providers is easier.
Another thing you can do in advance of the claims negotiation process is turn to specialized restoration insurance billing services. At One Claim Solution, we provide restoration company billing services for restoration contractors nationwide. Our claims experts specialize in restoration claims and insurance adjuster negotiation. Our skillset helps us secure higher payouts for our contractors, even after our fee.
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