Water damage can cause significant property loss, but unfortunately, not all insurance claims for water losses are approved. Many homeowners find themselves frustrated when their insurance company denies their claim, leaving them with costly repairs. Understanding why claims are denied and knowing how to fight back can make all the difference. As experienced public adjusters in Pennsylvania (PA), West Virginia (WV), and Maryland (MD), A H Neaman Company is here to help ensure you receive the settlement you deserve.
Common Reasons Insurance Claims for Water Losses Are Denied
1. Gradual Damage Instead of Sudden Loss
Insurance policies typically cover sudden and accidental water damage, such as a burst pipe. However, claims for damage that develops over time, like a slow leak, are often denied under the classification of “wear and tear.”
2. Failure to Maintain the Property
If an insurer determines that negligence contributed to the water loss—such as failing to repair a known leak or leaving pipes unprotected in freezing temperatures—your claim may be denied.
3. Excluded Causes of Water Damage
Some policies exclude certain types of water damage, such as:
- Flooding (which requires separate flood insurance)
- Sewer or drain backups (unless additional coverage is purchased)
- Water seepage through foundation cracks
4. Policy Lapse or Insufficient Coverage
If your policy has lapsed due to non-payment or if your coverage limits are too low, your claim could be denied or underpaid.
5. Delay in Reporting the Damage
Waiting too long to report a water loss can raise red flags for insurers. Many policies require immediate notification, and delays can be used as a reason for denial.
6. Disputes Over the Cause of Damage
Insurance companies often send adjusters who may argue that your water loss was due to a pre-existing condition or an excluded cause. This is where having a public adjuster on your side can be crucial.
How to Fight Back Against a Denied Claim
1. Review Your Policy
Carefully read your insurance policy to understand what is covered and what exclusions apply. Knowing your rights helps in disputing wrongful denials.
2. Gather Evidence
Strong documentation can support your claim. This includes:
- Photos and videos of the damage
- Maintenance records proving proper upkeep
- Witness statements if applicable
3. Request a Detailed Denial Letter
Your insurer must provide a written explanation for the denial. Review this carefully to identify any inconsistencies or unfair justifications.
4. File an Appeal
Most insurance companies allow you to appeal a denied claim. This process typically requires submitting additional documentation and arguments in favor of coverage.
5. Hire a Public Adjuster
Insurance companies prioritize their bottom line, which is why working with a public adjuster can make a huge difference. At A H Neaman Company, we specialize in handling water damage claims, negotiating with insurers, and ensuring our clients receive the maximum payout. We have extensive experience working with claims in PA, WV, and MD, and we know how to push back against unfair denials.
Why Choose A H Neaman Company?
- Expert Claim Assistance: We thoroughly review your policy and claim details to identify errors or unjust denials.
- Maximized Settlements: Our team fights to ensure you receive full compensation for your loss.
- Stress-Free Process: We handle all negotiations and paperwork, so you can focus on restoring your home.
Call A H Neaman Company for Expert Help
If your insurance claim for water damage has been denied, don’t accept it without a fight. Call A H Neaman Company today for a free consultation. Our experienced public adjusters in PA, WV, and MD will work tirelessly to get you the compensation you deserve.
