Some restorers find themselves avoiding appraisals altogether because they don’t fully understand them. But if you’re not using the appraisal process to your advantage, you may be leaving money on the table. From industry legal experts Josh Ehmke and Samantha McCreedy, here’s a further look into how restoration contractors can strategically use appraisals.
When a restoration contractor sends an invoice to a carrier, there is often some negotiation over the amount the carrier pays the contractor. If the contractor and provider still disagree on the value of a loss after some negotiation, either party can initiate an appraisal. Appraisals are an alternate dispute resolution process provided in almost every insurance policy.
“Appraisals are an independent process where each party hires an independent party to review the claims and determine the true value of the work that was done,” Samantha explains.
During the appraisal process, each party hires an independent appraiser who joins together to determine the value of the work. If the two appraisers disagree, they select a third party called an umpire and together decide a loss’s value. The price they decide is what the carrier has to pay. The carrier and the contractor each pay their share of the appraiser fees.
When you’ve come to an impasse with the carrier during the claim negotiation process, you have four options:
Unlike the first three options restoration contractors have, appraisals do not require litigation. “Litigation can be very costly and very time-consuming,” Josh explains. “[Appraisals are] a more cost-efficient way to bring accountability to the claims payment process.”
Before jumping into the appraisal process, make sure it is worth it financially by doing a cost-benefit analysis. To go through the appraisal process, contractors have to pay for an appraiser which often costs around $2000-$3000. If the dispute goes to an umpire, the cost may exceed $3000.
In Josh’s experience, after appraisal, contractors usually get paid around half of the remaining invoice balance. With this in mind, contractors can do a cost-benefit analysis to determine an appraisal will be worth it.
Say a restoration contractor’s invoice total is $15,000, and the carrier already paid them $3,000 of the invoice, making the remaining balance $12,000. A contractor can expect to get paid around $6000 after the appraisal process. After deducting $3000 to pay the appraiser, their expected net profit from the appraisal process is $3000, making it worth it.
On the other hand, a restoration contractor that has reached a stalemate with a carrier who has only paid $2000 of a $5000 invoice, probably would not benefit from an appraisal. Assuming they receive half of the remaining balance, their net profit will be around $0 after paying the appraiser.
Both Josh and Samantha say that the most common misconception they see contractors have about appraisals is that they can control the outcome. Appraisals are an independent process. Contractors need to be prepared to step back and let the appraisers come to a decision.
Appraisals may be much faster than litigation, but they’re not an instant solution. Appraisals often take 1-6 months.
When appraisers convene to determine a loss’s value, they will look at your documentation. Make sure you have the documentation needed to back up your charges.
When contractors partner with OCS, our team of experts negotiates claims on their behalf. We help them secure better payouts, and when needed, guide them through the appraisal process. “We’ve come up with a more cost-effective way to do appraisals because of the volume that we do. So, appraisals cost us way less than they cost a contractor,” Josh says. This allows OCS to secure more profit for our contractors.
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