What is a public insurance adjuster?

A public insurance adjuster is a licensed professional who represents the interests of policyholders in the insurance claims process. Unlike insurance company adjusters, who work for the insurance company, public adjusters are hired by homeowners to navigate the often complex and confusing world of insurance claims. These experts are well-versed in insurance policies, claims procedures, and negotiation techniques. Their primary goal is to ensure that your claim is settled fairly and efficiently, maximizing the amount you receive based on your policy.

Why would you hire a public adjuster?

Public insurance adjusters are licensed to represent the interests of the insured, not the home insurance company. A public insurance adjuster's sole function is to help you settle an insurance claim for the full amount due based on your home insurance policy, ensuring a fair claim settlement.

"A public adjuster reviews all coverages that may apply to the loss to calculate and settle the claim on behalf of the homeowner," says Ronald Reitz, former president of the California Association of Public Insurance Adjusters and second vice president with the National Association of Public Insurance Adjusters.. "Currently, 45 states require public adjusters be licensed to ensure they're capable of handling the claim."

Public adjusters only handle property claims. The claim can be for any dollar amount and can be the result of any type of damage (water, weather, fire, theft, etc.).

They handle residential and business property claims resulting from such perils as fire, lightning, wind, water, vandalism, theft, collapse, sinkhole, hail and flood, says Raymond A. Altieri, Jr., former president of the Florida Association of Public Insurance Adjusters and first vice president of the National Association of Public Insurance Adjusters.

A public adjuster can be hired at any point during the claim process. However, Altieri says it's better to bring one in early in the process.

What are the different types of adjusters?

There are three different types of insurance adjusters: company adjusters, independent adjusters and public adjusters. All three are regulated by the state department of insurance and must follow the state's guidelines.

The first two types of adjusters, including the insurance company's adjuster, review all coverages that may apply and work to settle the claim on behalf of the insurance company:

  • Company adjuster. An employee of the insurance company who works directly for your insurance carrier. "Typically, they are the final decision maker on whether to pay or deny a claim," Reitz says.
  • Independent adjuster. An adjuster hired by an insurance company to act as the carrier's representative but is not an employee, Reitz says. "Independent adjusters perform the fieldwork like inspecting the loss, investigating the facts of the loss and determining the extent of the loss and prepare a report for the home insurance company," he says. An independent adjuster can only work on behalf of an insurance company – not a property owner.
  • Public adjuster. Doesn't work for any insurance company, but rather for members of the public who hire them to assist with a claim.

What do public insurance adjusters do?

Public insurance adjusters begin by thoroughly assessing the damage to your property and determining the extent of the loss. They then negotiate with the insurance company on your behalf to secure a fair settlement. Skilled in communication and negotiation, public adjusters ensure that your interests are represented throughout the claims process. They also help you understand your insurance policy and the various steps involved in filing a claim, providing guidance and support from start to finish. This expertise can be invaluable in navigating the often daunting claims process.

Public insurance adjusters vs. insurance company adjusters

Public insurance adjusters and insurance company adjusters serve very different roles in the claims process. Public adjusters represent the interests of the policyholder, working to maximize the amount of money you receive from your claim.

In contrast, insurance company adjusters work for the insurance company and aim to minimize the payout. This fundamental difference means that public adjusters are focused on ensuring you get the full amount you are entitled to under your policy, while insurance company adjusters are looking to protect the financial interests of the insurance company. By hiring a public adjuster, you have a professional advocate on your side, working to ensure your rights are protected and that you receive a fair settlement.

How much does it cost to hire a public adjuster?

So, how much does a public adjuster charge? On average, an adjuster will have fees equal to 10% of the claim payout. For example, if your claim payout is $100,000, the public insurance adjuster would get $10,000 of that.

Most public adjuster's fees range between 5% to 12% of the claim payment. Some adjusters may offer alternative pricing models such as flat rates or hourly fees. Request quotes from a few public adjusters before you hire one to compare costs.

Finding a good public adjuster

If you're considering hiring a public adjuster, Reitz says to look for an adjuster who:

  • Has a website. An adjuster who doesn't have anything except a business card or whose address is a P.O. Box may not be dependable or reputable.
  • Is local. An adjuster who knows the local housing regulations and rebuilding costs can cut through the red tape and make sure you get your money sooner.
  • Is a NAPIA member. Adjusters who are not members of the National Association of Public Insurance Adjusters may not have the legal or insurance knowledge to represent you adequately. NAPIA can provide referrals for every state that licenses public adjusters.
  • Charges reasonable fees. The average is around 10%. Look for someone who charges between 5% and 12%. Some public adjusters may charge higher fees on smaller claims or when hired midway through the claim process.
  • Does not pressure you to make a quick decision. Hiring someone to represent you and get your home repaired is a big decision. Take your time.

Benefits of using a public adjuster

The main benefit of hiring a public adjuster is that you will have a professional to help you navigate the complex world of property claims secure a higher insurance settlement. You may read that people who use a public adjuster get more money, but bear in mind that no adjuster can get you more on a claim than the limits of your policy.

That said, an expert on the fine print of a policy can help you to get everything covered properly, and avoid missing something that should have been covered just because you weren't aware of it. they work for you, not the insurance company, so they're on the lookout for any extra amount you are owed.

A public adjuster gets paid when the claim is settled, so they have good reason to work hard on your behalf. The more you get as a claim payout, the more the adjuster will make, since it's a percentage.

"Since numerous claim payments are made throughout the claim process, the adjuster collects their fee directly from each check issued by the insurance company," says Ashley M. Hunter, a construction risk insurance specialist and owner of HM Risk Group, an insurance company in Austin, Texas.
 

Is it worth hiring a public adjuster?

There are pros and cons of hiring a public insurance adjuster. Here are a few:

ProsCons
Claims may be settled for more money when there is a public adjuster.Public insurance adjuster fees will come out of your claim payout.
Adjusters only get paid if you do.The claims process may take longer when using a public adjuster.
Public adjusters work in your best interest instead of the insurance company.May be difficult (or expensive) to find an adjuster for smaller claims.
Public adjusters help you navigate paperwork and red-tape that may be difficult to understand.

If the damage is substantial, the pros of using a public insurance adjuster outweigh the cons. When determining if hiring a public adjuster is right for you, look at the amount of damage and your specific situation regarding feeling confident to handle the claim independently. There is nothing wrong with asking for help from a public adjuster when you need it.