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How Does the First-Party Insurance Claim Process Work?

January 6, 2025
By Rhine Law Firm, P.C.

When filing a first-party insurance claim for property damage in North Carolina, you seek compensation from your own insurance company under the terms of your policy. The process typically begins with notifying your insurer promptly after the damage occurs and providing them with details of the incident. Throughout the process, ensure you understand your policy terms, including coverage limits and deductibles.

Understanding the intricacies of the first-party insurance claim process is essential for securing a fair and timely settlement. At Rhine Law Firm, we’re here to make the process more manageable. Our property damage attorneys offer representation and assistance to North Carolina property owners whose homes have been damaged or destroyed by natural disasters, extreme weather events, fire, and other severe casualties. Please call or visit our Wilmington office as soon as you can after a disaster strikes to schedule a free consultation about your first-party insurance claim.

What is a First Party Insurance Claim?

As noted, first-party insurance claims are those filed with your own insurer. You’ll need to document the damage thoroughly through photos, videos, and a list of affected items and submit this evidence along with any required forms.

The insurer will assign an adjuster to investigate your claim, which may involve inspecting the property and assessing the extent of the damage. Based on the adjuster’s findings, the insurance company will determine the coverage and issue a settlement offer. If the offer seems insufficient, your property damage lawyer can negotiate or provide additional evidence to support your claim.

Understand Your Policy Terms and Conditions

Understanding your insurance policy terms and conditions is vital to navigating property damage claims in North Carolina. Your policy outlines what types of damage are covered, the coverage limits, and any exclusions. For example, a standard homeowner’s policy may cover damage from fire or hurricanes but exclude flooding unless you have specific flood insurance.

The policy also defines your responsibilities, such as promptly reporting damage, mitigating further harm (like covering a damaged roof), and cooperating with the insurer’s investigation. Key sections to review include the declarations page, which summarizes your coverage, and the exclusions section, which details what is not covered. Familiarity with these terms ensures you comply with policy requirements and understand what compensation you’re entitled to receive.

Important Evidence for a Property Damage Claim

When filing a property damage claim in North Carolina, having solid evidence can strengthen your case and ensure a fair settlement. Here are key pieces of evidence to collect:

  • Photographs and Videos. Capture clear images and videos of the damage from multiple angles. Include close-ups and wide shots to provide a complete view of the affected area.
  • Repair Estimates. Obtain written estimates from contractors or repair professionals detailing the costs to restore the property. This helps establish the monetary value of the damage.
  • Receipts and Invoices. Keep records of any expenses related to temporary repairs, replacement items, or mitigation efforts, such as tarps or boarding materials.
  • Proof of Ownership. Provide documents like deeds, purchase receipts, or appraisals to confirm ownership and the value of damaged property.
  • Insurance Policy. Have a copy of your policy handy to reference coverage details, deductibles, and claim filing procedures.
  • Incident Reports. If applicable, include police reports or official documentation of the event, such as reports for fires, floods, or theft.
  • Witness Statements. Collect statements from neighbors, contractors, or other witnesses who can confirm the extent of the damage or details of the incident.
  • Correspondence with Insurer. Maintain a record of all communications with your insurance company, including emails, letters, and notes from phone calls.

Gathering and organizing this evidence ensures you present a compelling claim, increasing your chances of a successful resolution.

The Role of the Insurance Adjuster

Insurance adjusters play a crucial role in protecting the insurance company’s bottom line by evaluating property damage claims and determining appropriate settlements. As part of the company’s for-profit model, adjusters aim to minimize claim payouts while adhering to policy terms.

For instance, they may assess whether damaged items, such as roofing or flooring, can be repaired instead of replaced, potentially reducing costs for the insurer. While investigating claims and ensuring they align with policy coverage, adjusters often focus on finding cost-effective solutions that benefit the company. This makes it essential for claimants to document damage thoroughly and work with a skilled attorney.

Contact the Rhine Law Firm for a Free Consultation

At Rhine Law Firm, we investigate each claim and use our knowledge of North Carolina insurance law and regulations to push back and get our clients the money they need to rebuild. Schedule a free, no-obligation consultation today. Because we work on a contingency basis, you pay no legal fees unless you receive compensation.

About Us

Rhine Law Firm, P.C. serves clients throughout North Carolina and nationwide, specializing in complex civil litigation led by Joel Rhine. With expertise in personal injury, car accidents, property damage, sex abuse, and more, the firm is passionate about taking on challenging cases. They emphasize providing personalized legal representation, prioritizing their clients’ best interests while offering state-of-the-art legal strategies. Rhine Law Firm’s dedicated attorneys enjoy the fight for justice and are committed to guiding clients through complicated legal processes. The firm offers free consultations, flexible appointment scheduling, and Spanish language services.

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