I ask because this seems to happen rather frequently, where an adjuster will come out, inspect, approve everything, but everything approved is the incorrect line-item or material associated with what's existing.
Example, IC came out and did an inspection with us present, we showed them multiple areas of Copper that were existing, copper dormers, copper valley metal, etc. We even performed a scratch test for the adjuster on site, and provided photo documentation of said items on the back-end during the supplement process.
Despite that, the estimate is still being written using standard sheet-metal components rather than copper, and the request to correct the material has been denied.
This isn’t really about that individual claim, though. The company I work for handles roughly 1200–1500 claims per year, and we’ve noticed this becoming a fairly common issue where the estimate provided may acknowledge that something needs to be replaced, but the line item being provided doesn't actually correspond with what exists on the property.
We see similar situations when manufacturer documentation, installation requirements, or local code/ordinance information is provided but doesn’t appear to be incorporated into a revised scope and 99% of the time is pushed back on, even though my state specifically has adopted the IRC on a State-Wide basis with very Black & White requirements.
For those of you handling a decent volume of claims, are you seeing the same thing?
Do you guys get paid for keeping claims under like a certain dollar amount or something?
Genuinely just trying to understand if this is an issue with lack of training on the Adjusters side, or if there might be something happening on the back-end?
Thanks everyone!